Question

Why do I often feel dizzy and vomit? Although I have tried traditional Chinese medicine treatment in the past year with no improvement, I don’t know the cause and hope for assistance.

Answer

Dizziness accompanied by vomiting, without organic inflammation, is usually related to unpleasant environments or psychological tension. Vomiting episodes are indefinite, often occurring suddenly after defecation, in a jet-like , without obvious nausea or other discomforts, not affecting appetite. After vomiting, defecation can occur, without weight loss, no symptoms of endocrine disorders, and is common in patients with hysteria.

Diagnosis:

The causes of vomiting are diverse, including nervous vomiting, gastritis, pyloric spasm, or intestinal obstruction, among others. A diagnosis should be confirmed through medical history, physical examination, and various tests to determine if it is related to a specific physical disease. If not, consider a diagnosis of nervous vomiting.

Treatment Measures:

  1. Medication Therapy: Antispasmodic and antiemetic drugs have limited effectiveness; anti-anxiety medications can be used to alleviate symptoms.
  2. Behavioral Therapy: This can yield better results.
  3. Psychological Therapy: Explaining the patient’s condition and eliminating tension can help in treatment.
  4. Medication Therapy: Symptomatic treatment for accompanying symptoms should be administered in small doses, such as sulpiride or fluoxetine.
  5. Nutritional Support Therapy: Appropriate nutritional support should be provided based on the impact of vomiting.