All::Gastroenterology::Diseases::Cyclical vomiting syndrome

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What is cyclical vomiting syndrome?

Chronic functional condition of unknown pathogenesis, characterized by recurring vomiting episodes.

Cyclical vomiting syndrome

What is the epidemiology of cyclical vomiting syndrome?

Rare, more common in children than adults, slightly more affected in females than males.

Cyclical vomiting syndrome

What percentage of children and adults with cyclical vomiting syndrome also have migraines?

80% of children, 25% of adults.

Cyclical vomiting syndrome

What are the typical presentations of cyclical vomiting syndrome?

Severe nausea, sudden vomiting lasting hours to days, prodromal intense sweating and nausea, well in between episodes.

Cyclical vomiting syndrome

What symptoms may be present alongside vomiting in cyclical vomiting syndrome?

Weight loss, reduced appetite, abdominal pain, diarrhea, dizziness, photophobia, headache.

Cyclical vomiting syndrome

What investigations are typically done for cyclical vomiting syndrome?

Clinical diagnosis, pregnancy test in women, routine blood tests.

Cyclical vomiting syndrome

What management strategies are recommended for cyclical vomiting syndrome?

Avoidance of triggers, prophylactic treatments like amitriptyline, propranolol, and topiramate, ondansetron, prochlorperazine, and triptans in acute episodes.

Cyclical vomiting syndrome