Skip to main content

Cyclic Vomiting Syndrome

Joanna Jiang, MD and Stephen Firkins, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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

  • Subset...

DIAGNOSIS

HISTORY

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

  • Episodes are often triggered by stressors or concurrent illness.

  • The North American So...

TREATMENT

GENERAL MEASURES

  • Patient reassurance

  • Avoid triggers (stress, sleep deprivation, chocolate, cheese, monosodium glutamate, red wine) (7)[A].

  • Nonstimulating environment

  • Relaxation techniques and p...

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
Venkatesan T, Levinthal DJ, Tarbell SE, et al. Guidelines on management of cyclic vomiting syndrome in adults by the American Neurogastroenterology and Motility Society and the Cyclic Vomi...

CODES

ICD10

  • G43.A0 Cyclical vomiting, not intractable

  • G43.A1 Cyclical vomiting, intractable

SNOMED

18773000 cyclical vomiting syndrome (disorder) 

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.

×