“May all be happy, may all be healed, may all be at peace and may no one ever suffer."
Cyclic vomiting syndrome (CVS) is a rare disorder that causes recurrent, severe episodes of vomiting. The episodes can last for hours or days and are typically followed by periods of normal health.
Symptoms of CVS can include severe nausea, vomiting, abdominal pain, and dehydration. In some cases, individuals may experience a headache, fever, or sensitivity to light and sound.
The cause of CVS is not fully understood, but it is thought to be related to dysfunction in the parts of the brain that control nausea and vomiting. Triggers for episodes may include stress, certain foods, infections, or hormonal changes.
Diagnosis of CVS is based on a person's symptoms and medical history and may involve ruling out other causes of vomiting. Treatment of CVS may involve medications to control nausea and vomiting, as well as lifestyle modifications to avoid triggers for episodes. In some cases, hospitalization may be necessary to manage severe symptoms and prevent dehydration.
Complications of CVS can include electrolyte imbalances, malnutrition, and tooth decay from repeated vomiting. It is important for individuals with CVS to work closely with their healthcare provider to manage their condition and prevent complications.
The underlying cause of cyclic vomiting syndrome is unknown. Some possible causes include genes, digestive difficulties, nervous system problems and hormone imbalances. Specific bouts of vomiting may be triggered by:
Identifying the triggers for vomiting episodes may help with managing cyclic vomiting syndrome.
Many people know what triggers their cyclic vomiting episodes. Avoiding those triggers can reduce the frequency of episodes. While you may feel well between episodes, it's very important to take medications as prescribed by your doctor.
If episodes occur more than once a month or require hospitalization, your doctor may recommend preventive medicine, such as amitriptyline, propranolol (Inderal), cyproheptadine and topiramate.
Lifestyle changes also may help, including:
There's no cure for cyclic vomiting syndrome, though many children no longer have vomiting episodes by the time they reach adulthood. For those experiencing a cyclic vomiting episode, treatment focuses on controlling the signs and symptoms.
You or your child may be prescribed:
The same types of medications used for migraines can sometimes help stop or even prevent episodes of cyclic vomiting. These medications may be recommended for people whose episodes are frequent and long lasting, or for people with a family history of migraine.
IV fluids may need to be given to prevent dehydration. Treatment is individualized based on the severity and duration of symptoms as well as the presence of complications.
1-4 years 1 pill or 1 tsp. 5-12 years 2 pills or 2 spoons. Above 12 years 3 pills each or 3 spoons.
Promethazine thioclate is a drug in the initial phase. 1 pill 3 times a day
1/2 pill 3/4 times a day.
1 pill a day 10 minutes before meals 2/3 times a day.
Syrup: 1/2 teaspoon before Kabar 3 times a day.
Drops: 10-20 drops 2/3 times a day.
Adults: take 1/2 spoon of 1+1+1 syrup according to age 15 minutes before eating.
1 injection into the flesh.
Medicines containing cinnarizine to stop dizziness or improve blood supply to the head.
1/2, 1 pill 3 times a day. Do not use it during pregnancy.
Intravenous fluids with antiemetics give good results.
40/50 drops of medicine should be given into the vein every minute.
Adults over 2 years of age should swallow 2 tablets of 400 mg after a light meal.