Skip to main content

Cyclic Vomiting Syndrome

Jennifer M. Cornwell, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • An idiopathic chronic functional GI disorder characterized by discrete, recurrent, stereotypical episodes of high-intensity nausea and vomiting lasting hours to days, separated by sy...

DIAGNOSIS

HISTORY

  • Children often present with bilious emesis (83%), severe abdominal pain (80%), and/or hematemesis.

  • The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition ...

TREATMENT

GENERAL MEASURES

  • Patient reassurance

  • Avoid triggers (stress, sleep deprivation, chocolate, cheese, monosodium glutamate, red wine) (4)[A].

  • Nonstimulating environment

  • Relaxation techniques and ps...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Weekly appointments for severe cases

  • Monitor for hypokalemia, acid-base disturbances, and ketosis if ongoing emesis.

  • Regular outpatient visits for...

REFERENCES

1
Cooper CJ, Said S, Bizet J, et al. Rapid or normal gastric emptying as new supportive criteria for diagnosing cyclic vomiting syndrome in adults. Med Sci Monit.  2014;20:1491–1495. {L...

ADDITIONAL READING

CODES

ICD10

  • G43.A0 Cyclical vomiting, not intractable

  • G43.A1 Cyclical vomiting, intractable

ICD9

  • 536.2 Persistent vomiting

  • 346.20 Variants of migraine, not elsewhere classified, without mention of intracta...

CLINICAL PEARLS

  • CVS is more common in children than adults. The average age of diagnosis is 5 years.

  • A food diary helps identify patterns and triggers for vomiting cycles.

  • Proper sleep hygiene, stress m...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×