Food, Eating & Swallowing · 11 entries

Food, Eating and Swallowing Fears

Vomiting, choking, swallowing and specific foods. Emetophobia is the entry that carries the group: it affects roughly nine per cent of people, it is one of the most treatment-sought specific phobias, and its own literature describes it as an elusive predicament because so little research has been done on it. That combination, high demand and thin evidence, is unusual and it shapes everything filed here.

It also explains the filing. Emetophobia sits with food rather than with blood and injury, because the diagnostic manuals do not count vomiting among the blood-injection-injury codes even though the disgust reaction looks similar. Pseudodysphagia is the other boundary case: it produces a sensation of difficulty swallowing that is real to the person and has no physical cause, so dysphagia has to be excluded before the word can be used at all. A fear of the texture of a food rather than of the food is a sensory fear and files there instead.

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Common questions

Questions about food, eating and swallowing fears

What is emetophobia?

The fear of vomiting. It affects roughly nine per cent of people and is described in its own literature as an elusive predicament, because so little research has been done on it relative to how often treatment is sought for it. It is also the phobia most often mistaken for something else.

Is fear of choking the same as difficulty swallowing?

No, and the difference is diagnostic. Pseudodysphagia produces a sensation of difficulty swallowing that is real to the person and has no physical cause, so genuine dysphagia has to be excluded before the term can be used. One is a fear; the other is a physical finding.

Why is fear of vomiting not filed with blood and needles?

Because the diagnostic manuals do not count vomiting among the blood-injection-injury codes, even though the disgust involved looks similar. Emetophobia sits in the residual other type in DSM-5-TR, which is the heading the manual keeps for fears that are real and common and belong to none of the four named types.

What is the fear of food called?

Cibophobia for food in general, mageirocophobia for cooking, mycophobia for mushrooms, ostraconophobia for shellfish. Most of these are labelled coined or documented here: they appear in dictionaries and lists, and the clinical literature works instead with avoidant/restrictive food intake disorder, which is named in the manual.