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Can Fam Physician
Vol. 53, No. 3, March 2007, pp.417 - 419
Copyright © 2007 by The College of Family Physicians of Canada
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Pediatric Pearls

Treating children’s cyclic vomiting

Shirley Chow and Ran D. Goldman, MD
Pediatric Pearls is produced by the Pediatric Research in Emergency Therapeutics (PRETx) program at the Hospital for Sick Children in Toronto, Ont. Ms Chow is a member and Dr Goldman is Director of the PRETx program. The mission of the PRETx program is to promote child health through evidence-based research in therapeutics in pediatric emergency medicine

QUESTION One of my pediatric patients was diagnosed with cyclic vomiting syndrome, and the parents are understandably frustrated with the recurrent yet unpredictable episodes that control and disrupt their family life. Are there any effective treatments for this condition?

ANSWER There is currently no evidence-based treatment regimen for cyclic vomiting syndrome. Pharmacologic remedies, according to anecdotal cases, retrospective reports, and open-label trials, have found that some antimigraine, antiemetic, prokinetic, and anticonvulsant agents have been effective. Management focuses on correct diagnosis of the syndrome, avoidance of potential triggers, prophylactic pharmacotherapy, and supportive care for children and their families during episodes.






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Copyright © 2007 by The College of Family Physicians of Canada.