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...
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. Empiric guidelines for the management of cyclic vomiting syndrome. http://cvsaonline.org/pdfs/2008%20Empiric%20Guidelines%202045-3.pdf. Accessed December 16, 2017. http...
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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