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Psychogenic Belching: A Case Report.

Vivekkumar Ashok Nagarale1, Suyog Vijay Jaiswal2, Vishal Ashok Sawant3

  • 1Senior Resident, Department of Psychiatry, HBT Medical College and Dr. R.N.Cooper Municipal General Hospital, Juhu, Vile Parle (West), Mumbai, Maharashtra, India.

Journal of Clinical and Diagnostic Research : JCDR
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Summary

Psychogenic belching, a rare conversion disorder symptom, can manifest from emotional conflicts. This case shows a woman improved with psychotherapy and placebo after medical treatments failed.

Keywords:
ConversionPsychogenic aetiologySupportive psychotherapy

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Area of Science:

  • Psychiatry
  • Gastroenterology
  • Psychosomatic Medicine

Background:

  • Conversion symptoms often stem from underlying emotional conflicts.
  • Psychogenic belching is a rare but recognized manifestation of conversion disorder.
  • Medical management for unexplained belching can be challenging.

Observation:

  • A middle-aged woman presented with persistent belching.
  • Her symptoms were unresponsive to conventional medical interventions.
  • The belching was suspected to be of psychogenic origin.

Findings:

  • Supportive psychotherapy sessions were initiated for the patient.
  • Placebo medication was administered as part of the treatment.
  • The patient experienced significant improvement in belching symptoms post-intervention.

Implications:

  • This case highlights the importance of considering psychosomatic etiologies in unexplained gastrointestinal symptoms.
  • Psychotherapy can be an effective treatment modality for rare conversion disorders like psychogenic belching.
  • Placebo effects, when integrated with psychological support, may contribute to symptom resolution.