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My son is 7 years old. He is suffering from recurring tonsillitis from the last 3 years. He is having a fever after every 15 days. I have got his CBC test reports his Hg is 11.6, TLC is 3200, ESR 50, RBC 4.45, HCt 32.7, MCV 73.5, MCH 26.1, MCHC 35.5, RDW 15.4, platelet 217000, MPV 7.6 kindly advice what to do? is his blood reports are normal? is he require any special medication? pls. advice.
My baby has been just on first food. She got constipated. After trying all household remedies I used suppository and she pooped. Now again she is constipated .and she has fever for first time since her birth. Pl help me.
14 month baby had acute diarrhea and fever two days ago. Now if he cries he can't breathe for minutes and lips turn blue. Please help.
My baby is born on 1 jan 2015. We got the pentavalent vaccination first dose done on 18th Feb. Can we have the second dose of this vaccine on 11th March or 1st April, or it has to be between 18th to 20th March only. Please advise as my wife is not in town in between.
My daughter is 11 months old, is consuming very less water and passing very less urine since last for days. Is it normal?
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.