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Cyclic Vomiting Syndrome, Pediatric

Desale Yacob, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Cyclic vomiting syndrome (CVS) is characterized by recurrent and stereotypical episodes of vomiting with intervening periods of normal health.

  • Essential clinical features of CVS are t...

DIAGNOSIS

  • A consensus statement by the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) expert task force suggests the diagnosis can be made if the following ...

TREATMENT

  • The treatment strategy should be tailored to an individual taking into account the following:

    • The frequency and severity of attacks as well as how badly it impacts the patient

    • Potential side e...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Referral to either pediatric gastroenterologists or neurologists with special interest in CVS should be made. 

PATIENT EDUCATION

Patients and parents should be dire...

ADDITIONAL READING

  • Boles RG. High degree of efficacy in the treatment of cyclic vomiting syndrome with combined co-enzyme Q10, L-carnitine and amitriptyline, a case series. BMC Neurol.  2011;11:1...

CODES

ICD9

536.2 Persistent vomiting 

ICD10

  • G43.A0 Cyclical vomiting, not intractable

  • G43.A1 Cyclical vomiting, intractable

SNOMED

18773000 cyclical vomiting syndrome (disorder) 

FAQ

  • Q: How should I evaluate a child with presumed CVS who presents with progressive or focal neurologic findings?

  • A: The child should be evaluated for increased intracranial pressure as well as a meta...

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