How Can Cyclical Vomiting Syndrome Be Treated?

Posted on Thu, 22 Mar 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 22 Mar 2018 Answered on

Thu, 21 Mar 2019 Last reviewed on

Question : Hello Doctor, I want your opinion about my 4.5 year old son. It's about his vomitting.Â 1. December he had an episode of vomitting, he would vomit once or twice a day after meals, not everyday but lasted for 4 - 5 days. 2. February, same thing but for 2 days. 3 vomits in total. 3. Again now on Saturday, yesterday and today. Today he had one big vomit after eating something in school and after coming home 2 small vomit (not even a spoonful). He was hungry and asked for food after vomit. He doesnt have fever and is active.Â Is there a concern? Is this common? Any medicine to help?

Answered by Dr. Sumanth Amperayani (30 minutes later)

Brief Answer:

Looks like a common variant or CVS

Detailed Answer:

Hi,

There are 2 possibilities here -

1. A normal variant which you need not worries at all. Just giving ondansetron at 5ml thrice a day if there's vomiting will do.
2. Cyclical vomiting which requires evaluation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Sumanth Amperayani, Pediatrician, Pulmonology

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sumanth Amperayani (19 minutes later)

hello doctor, normal variant of what? what is cyclical vomitting

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:

Explanation on cyclical vomiting syndrome

Detailed Answer:

Hi,

1. Normal variant means - that it could be normal occasional vomiting without any clear significance. It happens all the time in kids of this age.

2. Cyclical vomiting syndrome is a type of recurrent vomiting which occurs at intervals and every time it occurs, the kid will have only vomiting and will require hospitalization because of dehydration and will get better with only intravenous fluids and intravenous anti-vomiting medications.

There will not be any specific reason which could be found out for it and the kids will come out of the cyclical vomiting syndrome as the age progresses and they grow up.

Hope I have answered your query.

Take care

Regards,
Dr Sumanth Amperayani, Pediatrician, Pulmonology

Above answer was peer-reviewed by : Dr. Remy Koshy