header Repeated attacks of nausea and vomiting for no apparent reason could signal cyclic vomiting
syndrome class="$ID/[No paragraph style]Dr Flo, I have a three-year-old daughter who has been vomiting often.
Among the entries are abdominal aortic aneurysm, acetaminophen overdose, acute coronary syndrome, backboard clearance, carbon monoxide toxicity, cyclic vomiting
syndrome, fever of unknown origin, heart failure, Herpes Zoster, hypertensive emergency, inflammatory bowel disease, laceration management, procedural conscious sedation, rabies: mammal bites, radial head subluxation, Rocky Mountain spotted fever/Lyme disease, superficial thrombophlebitis, upper respiratory infection, and urinary retention.
The third category, nausea and vomiting disorders comprises chronic idiopathic nausea (frequent bothersome nausea without vomiting), functional vomiting (recurrent vomiting in the absence of self-induced vomiting or underlying eating disorders, metabolic disorders, drug intake or psychiatric or central nervous system disorders) and cyclic vomiting
syndrome (stereotypical episodes of vomiting with vomiting-free intervals).
In addition, 10 of 24 children (42%) with temporal lobe epilepsy were misdiagnosed with GERD (five cases), recurrent abdominal pain (two cases), or cyclic vomiting
, gastric pain, or dysfunctional elimination syndrome (one case each).
Gastroesophageal reflux disease, gastroparesis, mechanical obstruction, anaphylaxis, Munchausen syndrome by proxy (factitious disorder by proxy), intracranial masses, peptic ulcer disease, cyclic vomiting
, and diabetic ketoacidosis also may be diagnostic considerations.
"We're starting to see more cyclic vomiting
syndrome called cannabis hyperemesis because THC content of marijuana now is so high," Gabbard said, referring to the psychoactive component of marijuana.
He also has to put up with cyclic vomiting
syndrome, which usually affects children and can result in repeated vomiting fits.
Cystic fibrosis (CF), pyloric stenosis, continuous gastric drainage, chloride loosing diarhea, inappropriate laxative use and cyclic vomiting
can cause PBS.
Recurrent vomiting is at least 3 episodes over a 3-month period while cyclic vomiting
is recurrent, intense episodes separated by asymptomatic periods.
As observed in earlier publications, the patients were young, mostly male and had been suffering cyclic vomiting
for more than a year.
A diagnosis of cyclic vomiting
syndrome requires at least five attacks of predictable, severe, periodic nausea and vomiting occurring at least four times an hour, lasting at least an hour and up to 10 days, and spaced at least a week apart.
They did come up with one diagnosis: cyclic vomiting