An idiopathic chronic functional GI disorder characterized by discrete, recurrent, stereotypical paroxysmal episodes of high-intensity nausea and vomiting lasting hours to days, sepa...
Children often present with bilious emesis (83%), severe abdominal pain (80%), and/or hematemesis.
The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition ...
Patient reassurance
Avoid triggers (stress, sleep deprivation, chocolate, cheese, monosodium glutamate, red wine) (4)[A].
Nonstimulating environment
Relaxation techniques and ps...
Weekly appointments for severe cases
Monitor for hypokalemia, acid-base disturbances, and ketosis if ongoing emesis.
Regular outpatient visits for...
Fleisher DR. The cyclic vomiting syndrome described. J Pediatr Gastroenterol Nutr. 1995;21(Suppl 1):S1–S5.
Hermus IP, Willems SJ, Bogman AC, et al. Cyclic vomiting syndrome: An...
G43.A0 Cyclical vomiting, not intractable
G43.A1 Cyclical vomiting, intractable
536.2 Persistent vomiting
346.20 Variants of migraine, not elsewhere classified, without mention of intracta...
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...
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