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Related Experiment Videos

[Cyclic vomiting in children].

W L van der Woerd1, J R Fontijn, M H Rövekamp

  • 1Gelre ziekenhuizen, afd. Kindergeneeskunde, Apeldoorn.

Nederlands Tijdschrift Voor Geneeskunde
|January 31, 2006
PubMed
Summary
This summary is machine-generated.

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Cyclic vomiting syndrome is a common but often unrecognized condition in children. Early diagnosis and treatment with medications like propranolol can lead to recovery.

Area of Science:

  • Pediatrics
  • Gastroenterology

Background:

  • Cyclic vomiting syndrome (CVS) is a functional gastrointestinal disorder characterized by recurrent, stereotypical episodes of nausea and vomiting.
  • CVS is often underdiagnosed in pediatric populations, leading to delayed diagnosis and treatment.
  • The syndrome's episodic nature and symptom-free intervals can mask its presence, complicating diagnosis.

Observation:

  • Two pediatric patients, aged 13 and 10, presented with recurrent, severe vomiting episodes.
  • Underlying pathological conditions were excluded, leading to a diagnosis of CVS.
  • Treatment involved intravenous fluid support and medications including propranolol, pizotiphene, diclophenac, granisetron, lorazepam, and pantoprazole.

Findings:

  • Both patients experienced complete recovery following the implemented treatment regimen.

Related Experiment Videos

  • CVS incidence may be as high as 2% in school-aged children, highlighting its prevalence.
  • The study underscores the importance of considering CVS in children with recurrent vomiting, especially when other causes are ruled out.
  • Implications:

    • The findings suggest that CVS is a significant pediatric health concern that warrants greater clinical awareness.
    • A structured diagnostic protocol can aid in timely identification and reduce unnecessary investigations.
    • Early prophylactic therapy, particularly with anti-migraine agents like propranolol, is recommended for effective management and improved patient outcomes.