Cyclic vomiting syndrome

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Causes

By Mayo Clinic staff

The cause of cyclic vomiting syndrome is unknown. But the bouts of vomiting that characterize the syndrome can be triggered by:

  • Colds, allergies or sinus problems
  • Emotional stress or excitement, especially in children
  • Anxiety or panic attacks, especially in adults
  • Foods, such as chocolate or cheese
  • Overeating or eating right before going to bed
  • Hot weather
  • Physical exhaustion
  • Menstruation
  • Motion sickness

Identifying the triggers for vomiting episodes may help with managing cyclic vomiting syndrome.

Risk factors Symptoms
References
  1. Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed Feb. 15, 2013.
  2. Choung RS, et al. Cyclic vomiting syndrome and functional vomiting in adults: association with cannabinoid use in males. Neurogastroenterology & Motility. 2012;24:20.
  3. Cyclic vomiting syndrome. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/cvs/index.aspx. Accessed Feb. 18, 2013.
  4. Kumar N, et al. Cyclic vomiting syndrome (CVS): Is there a difference based on onset of symptoms - pediatric versus adult? BMC Gastroenterology. 2012;12:52.
  5. Drumm BR, et al. Cyclical vomiting syndrome in children: A prospective study. Neurogastroenterology & Motility. 2012;24:922.
  6. Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Feb. 18, 2013.
  7. Hejazi RA, et al. Review article: Cyclic vomiting syndrome in adults - rediscovering and redefining an old entity. Alimentary Pharmacology & Therapeutics. 2011;34:263.
  8. AskMayoExpert. When should patients with nausea and vomiting be referred for subspecialty evaluation? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  9. Longo DL, et al. Harrison's Principles of Internal Medicine. 18th ed. New York, N.Y.: McGraw-Hill; 2012. http://www.accessmedicine.com/content.aspx?aID=9112783. Accessed Feb. 15, 2013.
  10. Slutsker B, et al. Breaking the cycle: Cognitive behavioral therapy and biofeedback training in a case of cyclic vomiting syndrome. Psychology, Health & Medicine. 2010;15:625.
  11. Boles RG. High degree of efficacy in the treatment of cyclic vomiting syndrome with combined co-enzyme Q10, L-carnitine and amitriptyline, a case series. BMC Neurology. 2011;11:102.
  12. Rakel D. Integrative Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/das/book/body/208746819-2/0/1494/0.html. Accessed March 3, 2013.
  13. Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. March 4, 2013.
DS00835 April 19, 2013

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