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Reason for vomiting sensation on seeing dirty things.

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Hi,

My name is Bharat, well i don't know how do i explain my state but from like many years old patientlike from my school years old patientabout 10 years old patientback i feel like vomiting when i see dirty things or smell dirty things like i cannot just sit with an drunk person i cannot even resist when someone is vomiting or coughing or just clearing their throat. I sometimes doubt that i am just observing these more then anyone else. To get rid of this vomiting feeling i started eating Nestle Polo from last 4 to 5 years, nearly 1 everyday or 3 in a week or so.
I am actually very reserved type person, earlier i used to live with my parents so we were 3 people living in one house with no dirty habits. But just 15 days back my aunt has died due to interestial lung disease so their family of 3 members also joined us in the same home. I don't know why but i am feeling very very uneasy to adjust in this environment. One of Aunt's child is having habit of spitting everytime or spitting loudly while brushing teeth and many more therefore the reason i am running from him everytime and if i am sitting with then i always always carry a Nestle Polo to stop my vomiting sensations as my brain keep reminding things that he do daily.

Can you please tell me the reason for my this state. I can't just do anything, earlier this week i need to go Netherlands for some office work but i stopped by with the fear of vomiting and uneasiness. Also this may sound weird but i always think that in Flight the drink served to passengers can lead any of passenger crazy and then he'll vomit as well which makes me vomit too (Just sensations). I think am over sensitive to the things, most of my friends or you can say all just adjust easily in this kind of environment easily but i don't why i don't. Otherwise am very friendly, healthy person! I want to be happy always and want to see things in my way.

Please advice what i need to do now to get ease with all this ? After maybe 1 or 2 years old patienti'll be getting married so i don't want to ruin any of my relationship with these habits. Also i would like to mention that i work from home while sitting hours on bed with my laptop, not on chair just on bed. But i just started working 3 years old patientback so i don't think sitting is the issue for all this. Even my business is running successfully so yea i am good at my work it's just the world i always wanted to be in but whenever i come out of my room the scene changes things just go opposite! Earlier i was atleast not that bad at this but yea visiting hospitals, seeing many patients and blood then my aunt died and then seeing family in this condition made me more sensitive i guess ? I don't know what else i need to write. I even don't visit doctors because i am afraid that they will say that it's the big problem am facing so yes i choose to consult doctors online and yes doctors spring has having many professionals then at any physical hospital. Even i don't visit Dentist for just cleaning of my teeth as i always fear that when they will insert anything in my mouth i will vomit again. It's just a fear but i don't know after eating polo i keep myself calm and surpass that situation.

Now, hopes are with you :)

Regards
Bharat

Category: Psychiatrist

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Hello
Thanks for posting your query at DoctorSpring.com

I have gone through your question in detail and I can understand what you are going through.
You have excessive thoughts about the dirt and and the resultant nausea and vomitings. Your vomiting center in the brain is over sensitive to the obnoxious stimuli. We need to do two things.
1. We need to control your thoughts about the dirt and filth. These uncontrolled thoughts could be a part of obsessive compulsive disorder. This can be controlled with systematic desensitizations with relaxation. This is a behavioural therapy done by a clinical psychologist. Further among medicnes 60mg of fluoxetine or 50mg of fluvoxamine may help to reduce the thoughts.
2. We need reduce the sensitivity of the vomiting areas of brain. This can be done by taking medines like ondansetron daily for a few days while you are doing your behavioural therapy.
This may require 6-7 sessions and I would advice you to visit a clinical psychologist for this purpose. He will help you with the behaviouaral therapy sessions.
Hope this helps
If you have any further query do let me know.
Kind regards
Dr. Srikanth Reddy MD


Dr. Srikanth Reddy
Category: Sexologist
Experience: 
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

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