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Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.
There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmies (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation – a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.
The syndrome (a group of symptoms) usually has 4 phases:
Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.
Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.
Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.
If the causative agent has been identified, for instance, infection or migraines, then managing that takes care of the CVS also.
If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
If identified after full onset, rest and sleep and medications to control nausea and vomiting are required.
Adequate hydration with electrolyte replenishment and sedatives can provide additional support. However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.
Mera baby 18 days ka hai agar mai use formula milk dena chahu to kitni quantity ek bar me deni chahiye please tellme.
My son has suffer from a fever from 18th July to till now. My son is 4 year old. His body temperature is between 100-103 celsius. But we consult with our family Dr. On 19th July morning. He has given some medicine 1. P250; 2. Chloroquine phosphate suspension 3.vomikind.but not improve till now, what shall I do now at first ? Dear Dr.
Hello doctor, I have daughter which is 10 years old. When she siting up and down her right knee have pain with sound. Day by day going it increasing. Give me proper replay.
My baby is 2.5 months old. She is 70% on lactogen from past 1 month & 30% on mother milk. From past 1 month she has severe colic problem. Also she passes the stool after 3 days by use of suppository capsule. Does the lactogen difficult to digest? Can we give Nan pro? It is easy to digest than lactogen? Or Cows milk will be a good option? We have tried colimex & colicaid but no effect on colic problem.
5 months infant is attacked from cold for 3 days, how to cure? Which syrup is suitable to the infant?
Hello, my daughter is 3 years old. She has cold, cough and bronchitis. Whenever she get cold and cough that can't cure easily. We give such medicine that will b cure for 3 to 5 days and again that continue for 2 to 3 months. So please advice proper medication to cure .
Sir/ Madam, my daughter 6 years of age is suffering from asthma and eczema problem. After giving nebulization (Asthalin, duolin) from last 3 years we have consulted Ayurveda doctor, it is 10 days now. With the change of climate her condition has become very bad. She cough continuously with vomiting. Sir what shall we do. Can we give her nebulization along with Ayurveda medicine or will it cause some side effect.
Hiii doctor I want to asked you that my baby is 6 months old. Nw what should I give him .should I give him mango too.
My baby is 1 year old and her weight is 6.7 KG only, as she is active, she play well, nothing have history problem also nothing have any illness still weight not gain. Is this a worry subject or is there any other thing I need to do, please suggest.
If the father have diabetes after his parenting then how is the link of his child's have diabetes. Is anything matters related to his gene or something else? If the risk is more then what care should someone suppose to take to avoid the risk?
My son who is 2 year old is having loose motion after every 15 days or within a month is it due to his teeths or something else?
I am a premature baby when I was born. So the nurse gave me a formulated milk instead of breast milk, so did I have any risk of disease when I becoming old.
My son is 15 months old and he is suffering from cold frequently. He can't able to breathe also I have consulted many doctors but there is no change suggest me opinion how should I treat my son.
My daughter is 2 month old nd she is pre term baby 32 weeks. She is born on 31 march 2016 then her weight was 1400 kg but now she is 4 kg. Is this gud weight.
My daughter aged 16 years has been suffering from Idiopathic Urticaria from the age of 3 years. She currently takes levocetirizine 5 mg when skin itching starts. The effect of the medicine remains for 2 days and again it reoccurs. Like to know the cause and the treatment. Also mention that she undergoes periodic de-worming. We tested with different foods to understand the cause like eggs, brinjal and others but no caused could be ascertained.
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