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Cyclical Vomiting Syndrome: Psychiatrist's View Point
D Vijaya Raghavan1, V Vimal Doshi2, Shanthi Nambi2
1Department of Psychiatry, Institute of Mental Health, Madras Medical College, Chennai, Tamil Nadu, India.
Indian Journal of Psychological Medicine
|August 31, 2017
Summary
Cyclical vomiting syndrome (CVS) is a functional disorder with unknown causes, often linked to stress and psychiatric issues. A multidisciplinary approach, including psychiatric care, improves recovery from CVS.
Area of Science:
- Gastroenterology
- Psychiatry
- Pediatrics
Background:
- Cyclical vomiting syndrome (CVS) is an idiopathic functional gastrointestinal disorder.
- Characterized by recurrent nausea and vomiting episodes with symptom-free intervals.
- Affects all age groups, though initially described in children.
Observation:
- Exact etiology of CVS remains unknown.
- Physical, infectious, and psychosocial stressors are implicated.
- High incidence of psychiatric comorbidities like anxiety and depression observed.
Findings:
- Children may outgrow CVS, transition to migraine, or have adult-onset CVS.
- Frequent misdiagnosis and delayed treatment prolong suffering.
- Multidisciplinary management, including psychiatric input, is crucial.
Implications:
- Highlights the importance of addressing psychological factors in CVS.
- Suggests integrated care models for faster and prolonged recovery.
- Emphasizes the need for early and accurate diagnosis of CVS.
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