Cyclical Vomiting Syndrome

Question 1

What is CVS

Answer 1

Disorder which starts in children where there is repeated episodes of feeling and being sick. Regular and predictable cycle

Question 2

Phases of CVS (4)

Answer 2

Prodrome phase
Vomiting
Recovery
Well phase

Question 3

Causes of CVS

Answer 3

Not understood but linked with migraine
Can have some triggers such as emotional or physical stress, some food or drinks, very hot or very cold weather, motion sickness, allegies, over or under eating

Question 4

Common age to develop CVS

Answer 4

3-7 years

Question 5

Associated features

Answer 5

Those with migraine history may be more likely to inherit CVS, may stop getting symptoms when older but can continue and may experience migraines as adults

Question 6

Medications to help with CVS

Answer 6

Sumitriptan and propanolol (migraines)
Ranitidine or omeprazole (stomach acid)
Onsansetron (sickness)
Amitriptylline or ibuprofen (pain)

Question 7

Complications of CVS

Answer 7

Dehydration, oesophagitis, tear in lining of oesophagus, tooth decay, gastroparesis