A case series of cyclic vomiting syndrome in paediatric patients at a tertiary care hospital in Chennai, Tamil Nadu, India
Keywords:Cyclic vomiting syndrome, Dyspepsia, Migraine, Recurrent vomiting
Background: Cyclic vomiting syndrome is an increasingly recognized disorder with sudden, repeated episodes of severe nausea, vomiting, and physical exhaustion that occur with no apparent cause. It is more common in children than adults. However, we don’t often see a diagnosis of cyclic vomiting syndrome being made. Hereby we report 7 cases of cyclical vomiting.
Methods: This is a retrospective study. Medical records of 5 years were review and consecutive paediatric patients discharged with a diagnosis of cyclic vomiting syndrome were identified, data collected and analysed.
Results: Total of 7 cases were found, all of which were adolescents. The mean age was 13.28. 57.14% (4) were females and 42.86% (3) were boys. 42.86% (3) presented with complications. 14.28% (1) had an association with menstrual cycles and 14.28% (1) had an association with psychological stress.
Conclusions: Cyclic vomiting syndrome should be kept in mind when a child presents with multiple episodes of vomiting, especially when repeated admissions have been made for the same. Early diagnosis and treatment can improve the quality of life.
Fitzparick E, Brouke B, Drumm B, Rowland M. The incidence of cyclic vomiting syndrome in children: a population-based study. Am J Gastroenterol. 2008; 103(4):991.
Li BU, Lefevre F, Chelimsky GG, Boles RG, Nelson SP, Lewis DW, et al. North American society for paediatric gastroenterology, hepatology and nutrition consensus statement on the diagnosis and management of cyclic vomiting syndrome. J Pediar Gastroenterol Nutr. 2008;47(3):379-93.
Rome F. Guidelines--Rome III Diagnostic Criteria for Functional Gastrointestinal Disorders. Journal of gastrointestinal and liver diseases: JGLD. 2006;15(3):307.
Shearer J, Luthra P, Ford AC. Cyclic vomiting syndrome: a case series and review of the literature. Frontline Gastroenterol. 2018;9(1):2-9.
Abell TL, Adams KA, Boles RG, Bousvaros A, Chong SK, Fleisher DR, et al. Cyclic vomiting syndrome in adults. Neurogastroenterol Motil 2008;20(4):269-84.
Withers GD, Silburn SR, Forbes DA. Precipitants and aetiology of cyclic vomiting syndrome. Acta Paediat. 1998;87(3):272-7.
Magagna J. Psychophysiologic treatment of cyclic vomiting. J Pediat Gastroenterol Nut. 1995;21:S31-6.
Hejazi RA, McCallum RW. Cyclic vomiting syndrome: treatment options. Exp Brain Res. 2014;232(8):2549-52.
Calhoun AH, Pruitt AP. Injectable sumatriptan for cyclic vomiting syndrome in adults: a case series. Headache: J Head Face Pain. 2014;54(9):1526-30.
Sezer OB, Sezer T. A new approach to the prophylaxis of cyclic vomiting: topiramate. J of Neurogastroenterol and Motili. 2016;22(4):656.