Cyclic vomiting syndrome

Diagnosis  

Cyclic vomiting syndrome can be challenging to diagnose due to the absence of a specific test for confirmation, and vomiting can be a symptom of numerous conditions that need to be ruled out first. 

The healthcare provider will commence by inquiring about the patient’s or your own medical history and performing a physical examination. Additionally, the physician will seek information about the recurring pattern of symptoms. 

Following this, the healthcare provider may suggest the following: 

• Imaging studies: such as endoscopy, ultrasound, or computed tomography (CT) scans, to examine for obstructions within the digestive system or indications of other digestive disorders. 
• Motility tests: To observe the movement of food through the digestive system and to identify potential digestive ailments. 
• Laboratory tests: To assess for thyroid abnormalities and other metabolic conditions.  

Treatment  

Cyclic Vomiting Syndrome (CVS) currently has no known cure, although many individuals with the condition may experience a decrease in vomiting episodes as they reach adulthood. When managing a cyclic vomiting episode, the primary goal is to alleviate and control the associated symptoms. 

Patients, whether children or adults, might be prescribed various medications, which could include: 

• Anti–nausea drugs 
• Pain–relieving medications 
• Medications designed to reduce stomach acid production 
• Antidepressants 
• Anti–seizure medications 

For individuals with frequent and prolonged episodes or those with a family history of migraines, healthcare providers may suggest using medications commonly employed to treat migraines. These medications can sometimes help halt or prevent cyclic vomiting episodes. 

In cases where severe dehydration is a concern, intravenous (IV) fluids may be administered to maintain adequate hydration levels. Treatment plans are personalized based on the severity and duration of symptoms, as well as the presence of any complications.