title: Psychological or organic vomiting.
abstract: The near-fatal occurrence of achalasia in a patient with pre-existing bulimia nervosa is described. The case emphasizes the critical importance of being alert to the development of new pathology in individuals with chronic symptoms, especially in the presence of psychological illness. It also raises the possibility of an additional mechanism by which achalasia could be initiated.
authors.affiliation: Department of Medicine, Wythenshawe Hospital, Manchester, UK.
authors.forename: Faiyaz
authors.initials: F
authors.lastname: Mohammed
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Whorwell
mesh_terms: D002032:Bulimia / Q000150:complications*; D004931:Esophageal Achalasia / Q000150:complications* / Q000175:diagnosis; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D014839:Vomiting / Q000209:etiology*