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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Episodes Of Vomiting, Chronic Condition. CBC Blood Work Normal. Causes?

My 12 year old son started having episodes of vomiting about 8 months ago...it has progressed from every few weeks to at least once a week...once he starts, he continues the rest of the day unless he is able to sleep it off. he has had some basic blood work (CBC) but of course that showed nothing... any help would be appreciated
Thu, 6 Sep 2012
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Pediatrician, Cardiology 's  Response
Hello
Thanks for the query
There are so many causes of recurrent vomiting, may be gastrointenstinal, renal, neurological, metabolic, endocrine or psychological. So your son needs a battery of investigation. If all tests wiil be normal then it may be cyclical vomiting syndrome or abdominal migraine.
The criteria as per the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) are as follows (all criteria must be met)

At least 5 episodes, or a minimum of 3 over a 6-month period
Episodic attacks of intense nausea and vomiting that lasts 1 hour to 10 days, occurring at least one week apart
Stereotypical pattern and symptoms in the individual patient
Vomiting during episodes occurs at least 4 times an hour for at least one hour
A return to baseline health during episodes
Not attributed to another disorder
So I would suggest you to consult a pediatric gastroenterologist for proper evaluation.
I hope this answers your query well
With regards
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Episodes Of Vomiting, Chronic Condition. CBC Blood Work Normal. Causes?

Hello Thanks for the query There are so many causes of recurrent vomiting, may be gastrointenstinal, renal, neurological, metabolic, endocrine or psychological. So your son needs a battery of investigation. If all tests wiil be normal then it may be cyclical vomiting syndrome or abdominal migraine. The criteria as per the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) are as follows (all criteria must be met) At least 5 episodes, or a minimum of 3 over a 6-month period Episodic attacks of intense nausea and vomiting that lasts 1 hour to 10 days, occurring at least one week apart Stereotypical pattern and symptoms in the individual patient Vomiting during episodes occurs at least 4 times an hour for at least one hour A return to baseline health during episodes Not attributed to another disorder So I would suggest you to consult a pediatric gastroenterologist for proper evaluation. I hope this answers your query well With regards