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Heterogeneity of diagnoses presenting as cyclic vomiting
B U Li1, R D Murray, L A Heitlinger
1Department of Pediatrics, Ohio State University, Columbus, USA.
Pediatrics
|September 17, 1998
Summary
Cyclic vomiting in children often has an underlying cause, with most cases diagnosed as idiopathic cyclic vomiting syndrome. Systematic evaluation is crucial to identify potential contributing disorders in pediatric patients experiencing recurrent vomiting episodes.
Area of Science:
- Pediatric Gastroenterology
- Clinical Diagnostics
- Symptomology Research
Background:
- Cyclic vomiting is a complex symptom in children.
- Identifying the underlying cause is critical for effective management.
Purpose of the Study:
- To define the diagnostic profile of cyclic vomiting in pediatric patients.
- To investigate the range of disorders associated with cyclic vomiting.
Main Methods:
- Retrospective chart review and structured telephone interviews.
- Study included 225 children under 18 with at least three vomiting episodes.
- Diagnostic testing and treatment responses were analyzed.
Main Results:
- Idiopathic cyclic vomiting syndrome accounted for 88% of cases.
- Identified disorders (GI, renal, CNS, endocrine) were found in 49% of patients.
- Associated conditions like GERD and sinusitis were noted in 41% of idiopathic cases.
Conclusions:
- Cyclic vomiting can stem from diverse underlying conditions.
- Systematic diagnostic investigation is essential for children presenting with cyclic vomiting patterns.