Bulimia and cough: psychogenic or organic?

Francavilla, Ruggiero; Favia, V.; Bucci, N.; Indrio, Flavia; Berardi, Mariangela

doi:10.1016/s0140-6736(09)60793-5

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…Achalasia might be suspected if swallowing difficulties occur in public (Gravier, Naja, Blaise, & Cremniter, ), which contrasts with the characteristically furtive purging behaviour in BN not readily disclosed to others. Clinicians should be aware that (i) patients with longstanding or chronic BN may develop the ability to vomit voluntarily without mechanical stimulation (Mehler, ; Mehler, Birmingham, Crow, & Jahraus, ; Robinson, ) and (ii) individuals with achalasia may self‐induce vomiting to relieve pain and discomfort (Francavilla et al, ). Thus, the use of mechanical stimulation to induce vomiting, per se, may not reliably distinguish achalasia from an ED.…”

Section: Resultsmentioning

confidence: 99%

“…Galanakis et al (Mehler, 2011;Mehler, Birmingham, Crow, & Jahraus, 2010;Robinson, 2000) and (ii) individuals with achalasia may self-induce vomiting to relieve pain and discomfort (Francavilla et al, 2009). Thus, the use of mechanical stimulation to induce vomiting, per se, may not reliably distinguish achalasia from an ED.…”

Section: Shared and Distinguishing Clinical Features Of Achalasia And Edmentioning

confidence: 99%

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Is It an Eating Disorder or Achalasia or Both? A Literature Review and Diagnostic Challenges

Reas

Zipfel²,

Rø

2014

Euro Eating Disorders Rev

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Introduction: Achalasia is a rare oesophageal motility disorder characterized by physical, behavioural and psychosocial features that are strikingly similar to eating disorders (ED). Method: A literature search of PubMed and Google Scholar identified 36 cases of achalasia from 11 countries misdiagnosed as ED between 1980 and 2013. Results: On average, the typical misdiagnosed case was an 18-year-old female with an average weight loss of 16.2 kg. Vomiting behaviour in achalasia was distinguished by occurring after both solids and liquids, occurring in public, and worsening at night or while lying down, and was associated with pain relief. Manometric investigations of oesophageal functioning in clinical ED samples are few and have shown little evidence of dysmotility. Discussion: Achalasia and ED share numerous clinical features including weight loss and vomiting. Pain associated with swallowing difficulties may lead to an increasingly restricted pattern of eating and food avoidance. Increased awareness of achalasia in ED treatment settings can help facilitate detection of achalasia, thereby reducing treatment delay.

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Section: Resultsmentioning

confidence: 99%

Section: Shared and Distinguishing Clinical Features Of Achalasia And Edmentioning

confidence: 99%

Is It an Eating Disorder or Achalasia or Both? A Literature Review and Diagnostic Challenges

Reas

Zipfel²,

Rø

2014

Euro Eating Disorders Rev

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“…In man, achalasia is characterised by a lack of oesophageal peristalsis, increased LES pressure and partial or incomplete LES relaxation (Francavilla et al . ) and predisposes to formation of diverticuli (Debas et al . ) and megaoesophagus (Vaezi and Richter ).…”

mentioning

confidence: 99%

“…In man, achalasia is characterised by a lack of oesophageal peristalsis, increased LES pressure and partial or incomplete LES relaxation (Francavilla et al 2009) and predisposes to formation of diverticuli (Debas et al 1980) and megaoesophagus (Vaezi and Richter 1999). If lack of oesophageal peristalsis is associated with increased LES pressure and partial or incomplete LES relaxation this might also be classified as (primary) achalasia in the equine species.…”

mentioning

confidence: 99%