Cyclic Vomiting Syndrome in Adults

Cyclic vomiting syndrome



) was considered to be a paediatric disease for very long. But, it has been noticed that even adults can suffer from this dreadful syndrome and of late the incidence of this syndrome in adults is fast growing. Also, this disease, being an under-diagnosed one can take very long to be recognised even though the symptoms have appeared way back.

Cyclic Vomiting Syndrome in Adults:

Most adults who do not know that they suffer from CVS would have to pay frequent visits to emergencies, go for unwanted diagnostic tests and surgeries and abuse substances as a result of the unrecognised nausea and trauma they face.

A symposium on motility and neurogastroenterology has suggested that the diagnosis of CVS in adults is tough

because of the variability in the onset age and also due to the different patterns in symptoms. Due to these reasons, the diagnosis in adults is known to be delayed by at least 8 years after the symptoms first appear.

CVS Symptoms and Intensity:

According to the Rome Foundation, CVS is defined as a cyclic period of intense nausea or relentless vomiting that can last for either several hours or days. The person who suffers from these symptoms would return to a normal healthy state in due course, but the symptoms would reappear frequently.

  • A mild CVS form would not have any affect on an adult’s daily routine, including work or employment, says Dr. David Fleisher from the University of Missouri, Columbia. In his research on 41 CVS adults, he found that 8 percent suffered from mild symptoms while 44 percent suffered from moderate ones which had a sever affect on their lifestyle. The other 48 percent suffered with a high CVS that kept them away from work frequently.
  • Dr. Fleisher also observed that the high CVS patients experienced eight vomiting episodes each hour and this state of theirs lasted for months.
  • Also, severe episodes can lead to blood being vomited due to the tearing of the Mallory-Weiss (a gastro-esophageal syndrome). Due to this gastro-esophageal disorder, symptoms like dehydration, hypokalemia and electrolyte imbalance would also appear.
  • Tooth decay, weight loss over time and severe abdominal pain would also be observed in patients.
  • Along with low fever, patients would also suffer from unusual behavioural tendencies that can make the diagnosis very tough.

Cyclic vomiting syndrome

(CVS) in adults has to be addressed with increased caution and there is a need for more specialised staff in this area.

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