Cyclic vomiting syndrome, or CVS, is a disorder marked by recurrent and severe episodes of vomiting and is believed to be related to migraine. It is frequently misdiagnosed, and B.U.K. Li, MD, a professor of pediatrics (gastroenterology) at the Medical College of Wisconsin in Milwaukee, provided insights into its diagnosis and treatment at the Annual Academy of Pediatrics conference in October in San Diego.
Cyclic vomiting syndrome is a form of migraine typically seen in children and characterized by explosive, recurrent, prolonged and severe attacks of vomiting with no other underlying cause. Because people with the syndrome can’t take oral medications, a small trial in Japan studied the effect of sumatriptan given as a subcutaneous injection and as a nasal spray.
By Sumit Parikh, M.D. Co-Director of the Cleveland Clinic Neurogenetics/Neurometabolism Clinic and the Cyclic Vomiting Syndrome Center, Neuroscience Institute, Cleveland Clinic, Cleveland, Ohio Q. My child has headaches that occur every month. They’re mild, but he also vomits frequently and intensely for several hours. Are these migraines or something else?
Evidence has recently supported a complex neurobiologic basis for migraine with origins beyond the brain. This theory involves the gut-brain axis, which suggests an interaction between the brain and the gastrointestinal tract.
Q. What do you know about L-Carnitine for migraines? Is it safe? Is it better to use it with magnesium? I just heard about this for 1st time!