A case series of cyclic vomiting syndrome in paediatric patients at a tertiary care hospital in Chennai, Tamil Nadu, India

Abstract

Background: Cyclic vomiting syndrome is an increasingly recognized disorder with sudden, repeated episodes of severe nausea, vomiting, and physical exhaustion that occur with no apparent cause. It is more common in children than adults. However, we don’t often see a diagnosis of cyclic vomiting syndrome being made. Hereby we report 7 cases of cyclical vomiting.Methods: This is a retrospective study. Medical records of 5 years were review and consecutive paediatric patients discharged with a diagnosis of cyclic vomiting syndrome were identified, data collected and analysed.Results: Total of 7 cases were found, all of which were adolescents. The mean age was 13.28. 57.14% (4) were females and 42.86% (3) were boys. 42.86% (3) presented with complications. 14.28% (1) had an association with menstrual cycles and 14.28% (1) had an association with psychological stress.Conclusions: Cyclic vomiting syndrome should be kept in mind when a child presents with multiple episodes of vomiting, especially when repeated admissions have been made for the same. Early diagnosis and treatment can improve the quality of life.

Cyclic vomiting syndrome in a 27‐year‐old male: A case report

“… 1 Usually, it is characterized by recurrent severe vomiting separated by a long asymptomatic period. 2 It is commonly found in children even though, nowadays cases have also been reported in young adults. 1 , 2 The incidence of CVS was reported 3.15 per 1,00,000 in a study of 1,647 participants conducted in Ireland.…”

“… 2 It is commonly found in children even though, nowadays cases have also been reported in young adults. 1 , 2 The incidence of CVS was reported 3.15 per 1,00,000 in a study of 1,647 participants conducted in Ireland. 3 Studies revealed various gender distribution across the countries.…”

“… 3 Studies revealed various gender distribution across the countries. 2 , 4 The exact pathogenesis is still unknown; however, studies show that it is associated with psychological stress, improper sleeping, foods (like monosodium glutamate, chocolate, cheese), phobia, fasting, infection, and use of various recreational drugs could act as the triggering factors. 1 , 2 Sometimes it may co‐exist with migraine.…”

“… 2 , 4 The exact pathogenesis is still unknown; however, studies show that it is associated with psychological stress, improper sleeping, foods (like monosodium glutamate, chocolate, cheese), phobia, fasting, infection, and use of various recreational drugs could act as the triggering factors. 1 , 2 Sometimes it may co‐exist with migraine. However, many times the cases have been labeled as food poisoning, gastrointestinal reflux disorder (GERD), gastroenteritis, and neurological disorders that herald unnecessary delay in diagnosis.…”

“…Usually, it is characterized by recurrent severe vomiting separated by a long asymptomatic period 2 . It is commonly found in children even though, nowadays cases have also been reported in young adults 1,2 3 .…”