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Cyclic vomiting syndrome in adults.
Wiener Medizinische Wochenschrift (1946)
|November 16, 2013
Summary
Cyclic vomiting syndrome (CVS) is a functional disorder causing recurrent nausea and vomiting. Diagnosis relies on symptoms and excluding other conditions, as specific tests are unavailable.
Area of Science:
- Gastroenterology
- Neurology
Background:
- Cyclic vomiting syndrome (CVS) is a functional gastrointestinal disorder impacting all age groups.
- It presents as recurrent, stereotypical episodes of nausea and vomiting, interspersed with nausea-free periods.
Observation:
- Delayed diagnosis is common due to a lack of awareness and the absence of a specific diagnostic test for CVS.
- Diagnosis is primarily based on patient history (anamnesis) and ruling out other potential causes of recurrent vomiting.
Findings:
- Current diagnostic approaches for CVS rely on characteristic patient history and the exclusion of differential diagnoses.
- No specific biomarker or diagnostic test currently exists for identifying CVS.
Implications:
- Improved awareness and diagnostic criteria are crucial for timely CVS diagnosis.
- Effective management strategies include acute treatments (antiemetics, antimigraine, sedatives) and prophylactic medications (amitriptyline, propranolol).
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