Cyclic Vomiting Syndrome

Cyclic vomiting syndrome (CVS), first described in children by Samuel Gee in 1882, is a chronic functional disorder of unknown etiology that is characterized by paroxysmal (sudden increase or recurrence of symptoms), recurrent episodes of vomiting.

CVS is characterized by recurrent, discrete, stereotypical episodes of rapid-fire vomiting between varying periods of completely normal health. This on-and-off stereotypical pattern of vomiting is nearly pathognomonic.

Not the most fun conversation around the dinner table.  There are currently no specific tests for this condition.  Most of the time it is discovered through history which often reveals patters that lead to the diagnosis.  Many tests can be performed that may or may not be helpful.  Such as:

• Imaging studies— such as endoscopy, ultrasound or a CT scan — to check for blockages in the digestive system or signs of other digestive conditions
• Motility tests to monitor the movement of food through your digestive system and to check for digestive disorders
• Laboratory tests to check for thyroid problems and other metabolic conditions

Although difficult to diagnosis in many cases the Mayo clinic defines cyclic vomiting as episodes of severe vomiting that have no apparent cause. Episodes can last for hours or days and alternate with symptom-free periods. Episodes are similar, meaning that they tend to start at the same time of day, last the same length of time, and occur with the same symptoms and intensity.

CVS can be confused with abdominal migraines (AM). Both are rare, and both cause a lot of belly discomfort.

These conditions are similar and both conditions are linked to migraine headaches — throbbing pain that can cause nausea and make you more sensitive to light and sound. And both happen most often in children, though kids usually outgrow them by the time they’re teenagers.  Between bouts, a person with either CVS or AM feels healthy and has no symptoms.

The two conditions differ in that Abdominal migraines are bouts of stomach discomfort that can last up to 3 days. You may have nausea or vomiting, but sometimes you just have belly pain. You also might look pale and have dark shadows under your eyes.  Cyclic vomiting syndrome refers to waves of intense nausea, vomiting, and other stomach problems for no obvious reason.

The demographic presentation of these two are between 1% and 4% of children get abdominal migraines. Girls are more likely to get them than boys.  CVS is much less common. About 3 kids in 100,000 will have it. It happens more often in boys and affects white children more often than African-Americans or Latinos.

Since both are similar and the cause is unknown it is difficult to tell if they are relational or not.  Some theories relate these to food allergies, stealth pathogens, mitochondrial syndromes, and even genetics to name of few.

CVS triggers include:

• Hot weather
• Motion sickness
• Physical or emotional stress
• Sinus or respiratory infections

AM triggers include:

• Being nervous or anxious
• Flickering or glaring lights
• Foods like cured meats, chocolate, and some vegetables
• Not keeping a regular sleeping or eating schedule

As one could surmise when the cause is vague the solution can be challenging.  With that in mind there are several natural interventions that have shown very successful.  Below is a brief guide and keeping in mind each case is different they do have some similarities.

1. Identify and avoid your triggers
2. Fight symptoms during an episode
3. Ask about supplements
4. Minimize emotional stress
5. Get plenty of rest

Let’s first explore some natural remedies that have shown to be helpful.

Teas, such as ginger or chamomile tea.
Aromatherapy or use of essential oils such as peppermint or lemon.
Many people find that a warm shower or bath helps their nausea.
Stay well hydrated, re-hydrate with coconut water or an electrolyte drink.
Drink clear liquids, broths, fruit juices or electrolyte drinks.
Research supports the use of co-enzyme Q10 (CoQ10), riboflavin and L-carnitine

As with many conditions multiple factors can make this condition more challenging to remedy.  However, if you or someone you know is suffering from Cyclic Vomiting Syndrome (CVS) help is a phone call away.

#DrShapero #PremierHealthCareWellness  #CVS #cyclicvomitingsyndrome #AM #abdominalmigraine

Yours for Better Health, Dr. Shapero
EXPECT MIRACLES – WE DO
www.premierhealthcaresc.com