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Cyclic vomiting syndrome and its treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   For about the last five years or so i have suffered with nausia and vomating. i am not pregneant. i find most of the time it is to do with hightend emotions and stress. but sometimes i can just puke out of no where. i have gone to my doctors a couple times about it with no answers just a bottle of pills that just never work. could it be anything serious??? i am a 22 year olf female
Doctor :   Hi
User :   hello
Doctor :   Iam.Dr.
Doctor :   Please let me read your post
User :   i am XXXXXXXX nice to meet you
Doctor :   Do you have pain in stomach?
User :   not really... discomfert sometimes but nothing painful
Doctor :   Do you vomit immediately after food?
Doctor :   ok
User :   no, sometime i dont need to eat
Doctor :   Do you have normal bowel movement?
Doctor :   ok
User :   yes
Doctor :   Do you take alcohol or smoke?
Doctor :   ok good
User :   i smoke. but i dont drink alcohol
Doctor :   ok
Doctor :   Do you have recurrent head aches?
Doctor :   What work do you do?
User :   yes
Doctor :   When you have more vomiting?
Doctor :   is your vomiting assosciated with headache?
User :   i work at a winery making wine... i have most vomiting probably when i wake up or late afternoon
User :   sometimes i vomit because of my headache yes
Doctor :   ok do you have any acid reflux disease in the past
User :   yes accute acid reflux
Doctor :   Are you stressed these days?
Doctor :   Do you have any sudden lifestyle changes?
Doctor :   Nausea and vomiting are controlled by the same parts of the brain that control involuntary bodily functions
Doctor :   Vomiting is actually a reflex triggered by a signal from the brain.
Doctor :   The signal to vomit can be stimulated by smells, taste, various illnesses and emotions (such as fear), pain, injury, infection, food irritation, dizziness, motion, and other changes in the body
Doctor :   May i know your weight and height?
User :   i am a little stressed, i am starting school in a month... i have had a bit of a lifestyle change, mainly just drinking a lot more water and walking a lot more
Doctor :   Are you lean?
User :   5'3 i am 175 pounds
Doctor :   ok
Doctor :   Avoid milk and any dairy products. They can make your nausea and vomiting worse.
User :   ok
Doctor :   do you have any vertigo or dizziness with it?
User :   no usually just get cold sweats when i'm about to vomit
Doctor :   i feel you are slightly overweight too
Doctor :   ok
User :   yes
Doctor :   did you under go endoscopy test?
Doctor :   do you have any recent history of trauma?
Doctor :   then you might need Brain scan (a CT scan to look for signs of head injury
User :   what is that? i had a test where i drank this thick chalk stuff
User :   no trauma
Doctor :   ok it is barium meal study
Doctor :   did they find any obstruction any were
User :   none at all
Doctor :   ok thats good
Doctor :   Ginger may be used to control nausea and vomiting.
Doctor :   You may also brew ginger tea or suck on candied or crystallized ginger, which may be available in Asian food stores.
User :   ok
Doctor :   were you given any medicines>?
Doctor :   Cyclic vomiting syndrome (CVS) is a chronic functional disorder of unknown etiology that is characterized by paroxysmal, recurrent episodes of vomiting
Doctor :   Although this was initially thought to occur mostly in children, it is being recognized with increasing frequency in adults
User :   yes, a while ago they gave me some small pills to take before eating to make things digest faster or something... they didnt work
Doctor :   Although the pathophysiology is unknown
Doctor :   ok it might be enzyme supplements
Doctor :   If psychological stressors trigger episodes, stress management techniques or benzodiazepine anxiolytics may help to abort attacks in the early stages
Doctor :   Daily prophylactic pharmacotherapy may be used to prevent episodes that occur more than once per month or if they are extremely severe and disabling
Doctor :   Most of these drugs are non-GI medications, such as antimigraine agents, anticonvulsants, neuroleptics, and prokinetic drugs.
Doctor :   Also do an CBC count with differential, erythrocyte sedimentation rate (ESR), and levels of hepatic transaminases, pancreatic amylase, and lipase.
Doctor :   these tests detects liver and pancreatic problems
Doctor :   You might also require an psychological evaluation as it may reveal ongoing panic, anxiety, and eating disorders, and stress management may attenuate the stress triggers
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