Cyclic vomiting syndrome – Symptoms and causes


Cyclic vomiting syndrome is characterized by episodes of dangerous vomiting that have no apparent causal agent. Episodes can last for hours or days and understudy with symptom-free periods. Episodes are alike, meaning that they tend to start at the like clock time of day, last the like length of fourth dimension, and occur with the lapp symptoms and saturation .
Cyclic vomiting syndrome occurs in all age groups, though it often begins in children around 3 to 7 years old. Although it ‘s more common in children, the issue of cases diagnosed in adults is increasing .
The syndrome is unmanageable to diagnose because vomit is a symptom of many disorders. Treatment much involves life style changes to help prevent the events that can trigger vomiting episodes. Medications, including anti-nausea and migraine therapies, may help lessen symptoms.


The symptoms of cyclic vomiting syndrome often begin in the good morning. Signs and symptoms include :

  • Three or more recurrent episodes of vomiting that start around the same time and last for a similar length of time
  • Varying intervals of generally normal health without nausea between episodes
  • Intense nausea and sweating before an episode starts

other signs and symptoms during a vomiting sequence may include :

  • Abdominal pain
  • Diarrhea
  • Dizziness
  • Sensitivity to light
  • Headache
  • Retching or gagging

When to see a doctor

Call your doctor if you see rake in your or your child ‘s emetic .
continue vomit may cause hard dehydration that can be dangerous. Call your doctor if you or your child is showing symptoms of dehydration, such as :

  • Excess thirst or dry mouth
  • Less urination
  • Dry skin
  • Sunken eyes or cheeks
  • No tears when crying
  • Exhaustion and listlessness


The implicit in lawsuit of cyclic vomiting syndrome is unknown. Some potential causes include genes, digestive difficulties, nervous system problems and hormone imbalances. Specific bouts of vomit may be triggered by :

  • Colds, allergies or sinus problems
  • Emotional stress or excitement, especially in children
  • Anxiety or panic attacks, especially in adults
  • Certain foods and drinks, such as alcohol, caffeine, chocolate or cheese
  • Overeating, eating right before going to bed or fasting
  • Hot weather
  • Physical exhaustion
  • Exercising too much
  • Menstruation
  • Motion sickness

Identifying the triggers for vomiting episodes may help with managing cyclic vomiting syndrome.

Risk factors

The kinship between migraines and cyclic vomiting syndrome is n’t unclutter. But many children with cyclic vomiting syndrome have a family history of migraines or have migraines themselves when they get older. In adults, cyclic vomiting syndrome is besides associated with a personal or family history of migraines .
Chronic use of cannabis ( Cannabis sativa ) besides has been associated with cyclic vomiting syndrome because some people use cannabis to relieve their nausea. however, chronic marijuana function can lead to a condition called cannabis hyperemesis syndrome, which typically leads to persistent vomiting without normal intervening periods. People with this syndrome much show frequent shower or bathing behavior .
Cannabis hyperemesis syndrome can be confused with cyclic vomiting syndrome. To rule out cannabis hyperemesis syndrome, you need to stop using marijuana for at least one to two weeks to see if vomiting lessens. If it does n’t, your doctor will continue testing for cyclic vomiting syndrome .


Cyclic vomiting syndrome can cause these complications :

  • Dehydration. Excessive vomiting causes the body to lose water quickly. Severe cases of dehydration may need to be treated in the hospital.
  • Injury to the food tube. The stomach acid that comes up with the vomit can damage the tube that connects the mouth and stomach (esophagus). Sometimes the esophagus becomes so irritated it bleeds.
  • Tooth decay. The acid in vomit can corrode tooth enamel.


many people know what triggers their cyclic vomiting episodes. Avoiding those triggers can reduce the frequency of episodes. While you may feel well between episodes, it ‘s very crucial to take medications as prescribed by your doctor .
If episodes occur more than once a calendar month or require hospitalization, your doctor of the church may recommend preventive medicine, such as amitriptyline, propranolol ( Inderal ), cyproheptadine and topiramate.

life style changes besides may help, including :

  • Getting adequate sleep
  • For children, downplaying the importance of upcoming events because excitement can be a trigger
  • Avoiding trigger foods, such as alcohol, caffeine, cheese and chocolate
  • Eating small meals and low-fat snacks daily at regular times

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