Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
120 Doctors are Online

Diagnosed with cyclical vomiting syndrome. Gastric emptying time test delayed emptying time. Any suggestion?

User rating for this question
Very Good
Answered by
Practicing since : 1967
Answered : 2341 Questions
Hello, My daughter is 12 years old and was diagonised with Cyclical vomiting syndrome, but i was unconvinced because her abdominal pain was severe and her episode recently were 2 consequitive times every month. All tests done from the past 2 years were normal like CT abdomen, Endoscopy, and blood tests, they had mentioned However that the duodenal lumen was dilate. The vomiting in the last 2 episodes were yellow and green . last week a barium meal test was done , but did not confirm clearly of any obstruction, but the gastro doctor told me that her small bowel loops look to be dilated but has not been reported and a Diagnostic Laproscopy needs to be donre to confirm. but the paediatric surgeon and the paediatrician in the hospital were not very sure to go ahead with this, so we dropped the idea of a laparoscopy and took a second opinion, the other doctor also had doubts seeing the barium film, but not sure. he suggested a Gastric Emptying Time test. this test showed a delayed emptying time 120 minutes where the normal time mentioned was 75 mnts. I am unsure now does the Gastric emptying time anyway confirms an obstruction in small Bowel or is it that my child has Gastroparesis? please clarify
Posted Sat, 23 Nov 2013 in Digestion and Bowels
Answered by Dr. Venkata Subrahmanaym Mukkavilli 57 minutes later
Brief Answer: noconfirmatory tests for cyclicalvomiting syndrome Detailed Answer: Hi, Thank you for asking question on health care magic. I understand your concern for your daughter. THERE ARE NO CONFIRMATORY TESTS FOR CYCLICAL VOMITING SYNDROME. The diagnosis is arrived only from history of vomiting occurring at regular intervals with the same duration and intensity of vomiting and at the same time of the day or night. During the interim period the child is absolutely alright. When all the tests were normal, only delayed emptying time does not confirm the diagnosis of obstruction. In such cases, I prefer to wait for some time. Treat it as cyclical vomiting syndrome and repeat the test if necessary in future. Hope this answer will serve your purpose Please feel free to ask any more queries if required Take care Dr.M.V.Subrahmanyam MD;DCH Associate professor of pediatrics
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor