Abstract
Initially described in children, cyclic vomiting syndrome (CVS) is an idiopathic disorder that affects patients of all ages and is characterized by recurrent episodes of vomiting separated by symptom-free intervals or baseline health. Frequent misdiagnoses and delays in diagnosis often lead to years of recurrent vomiting. Similarities in the clinical features and symptoms of children and adults with CVS are often linked to migraines. Treatment is mostly empiric, with few controlled therapeutic studies conducted so far. Most children outgrow CVS with time, though some children transition to migraine headaches or continue to have CVS as adults.
Here we report a case 3 year old girl presented with repeated episodes of vomiting over a one year period. She had severe bilious vomiting, occurring in cycles which needed repeated hospital admissions, severely affecting her functioning. Management was instituted in eight phases and she responded well to her treatment.
Keywords: Cyclic vomiting syndrome, migraine, bilious.
References
- Li BUK Cyclic vomiting syndrome and abdominal migraine. Int Semin Pediatr 2000;9:1–9.
- Sonje S, Levenson JL. Cyclic vomiting syndrome, part Primary Psychiatry. 2009;16(6):15-18.
- Li BUK, Lefevre F, Chelminsky GG, Boles RG, Nelson SP, et al. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Consensus Statement on the Diagnosis and Management of Cyclic Vomiting Syndrome. J Pediatr Gastroe-nterol Nutr. 2008;47:379–393. [PubMed]
- Li BUK, Balint J. Cyclic vomiting syndrome: evolution in our understanding of a brain–gut disorder. Adv Pediatr. 2000; 47:117–160. [PubMed]
- Sunku B, Li BUK . Cyclic vomiting syndrome. In: Guandalini S, editor. Textbook of Pediatric Gastroenterology and Nutrition.London, United Kingdom: Taylor and Francis Group; 2004. pp. 289–302.
- Abell TL, Adams KA, Boles RG, Bous-varos A, Chong SK, et al. Cyclic vomiting syndrome in adults. Neurogastr-oenterol Motil. 2008;20:269–284. [PubMed]
- Abu-Arafeh I, Russel G. Cyclic vomiting syndrome in children: a population based study. J Pediatr Gastroenterol Nutr. 1995;21:454–458. [PubMed]
- Ertekin V, Selimoglu MA, Altnkaynak S. Prevalence of cyclic vomiting syndrome in a sample of Turkish school children in an urban area. J Clin Gastroenterol. 2006;40:896–898. [PubMed]
- Is cyclic vomiting syndrome related to migraine?Li BU, Murray RD, Heitlinger LA, Robbins JL, Hayes JR J Pediatr. 1999 May; 134(5):567-72. [PubMed] [Ref list]
- Cyclic vomiting: the pattern and syndrome paradigm.Li BU J Pediatr Gastroenterol Nutr. 1995; 21 Suppl 1():S6-10. [PubMed] [Ref list]
- Pfau BT, Li BU, Murray RD, Heitlinger LA, McClung HJ, Hayes JR. Differentiating cyclic from chronic vomiting patterns in children: quantitative criteria and diagnostic implications. Pediatrics. 1996;97:364–368. [PubMed]
Corresponding Author
Nasreen Ali
Junior Resident, Department of Pediatrics,
M.K.C.G Medical College, Berhampur, Ganjam, Odisha- 760004 India
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.214
