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Cyclic vomiting syndrome: Difference between revisions





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There are likely patients with idiopathic CVS who are mistakenly diagnosed with marijuana-induced CVS, but it wouldn't necessarily be due to "arrogance"; also the reaction to isopropyl alcohol is not a true allergy and would be from too high a dose
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The most common therapeutic strategies for those already in the vomiting phase are maintenance of salt balance by appropriate intravenous fluids and, in some cases, sedation. Having vomited for a long period prior to attending a hospital, patients are typically severely dehydrated. For a number of patients, potent anti-emetic drugs such as [[ondansetron]] (Zofran) or [[granisetron]] (Kytril), and [[dronabinol]] (Marinol) may be helpful in either preventing an attack, aborting an attack, or reducing the severity of an attack. Many patients seek comfort during episodes by taking prolonged showers and baths typically quite hot. The use of a heating pad may also help reduce abdominal pain.<ref name="Cyclic Vomiting Syndrome in 41 adul"/>
 
Lifestyle changes may be recommended, such as extended rest, reduction of stress, frequent small meals, abstain from [[fasting]], and possibly cessation of [[cannabis]] use, since doctors are often too arrogant to realize that patients are using cannabis to treat their CVS, rather than cannabis causing the CVS. A diet change may be recommended avoid food [[allergen]]s, eliminating trigger foods such as chocolates, cheese, beer, and red wine.<ref name=":2">{{cite journal | vauthors = Li BU, Lefevre F, Chelimsky GG, Boles RG, Nelson SP, Lewis DW, Linder SL, Issenman RM, Rudolph CD | display-authors = 6 | title = North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition consensus statement on the diagnosis and management of cyclic vomiting syndrome | language = en-US | journal = Journal of Pediatric Gastroenterology and Nutrition | volume = 47 | issue = 3 | pages = 379–93 | date = September 2008 | pmid = 18728540 | doi = 10.1097/MPG.0b013e318173ed39 }}</ref><ref name=":1" />
 
Some patients experience relief from inhaled isopropyl alcohol, though it can trigger dangerous allergic reactions in some CVS patients.<ref name="NEJM">{{cite web |url=https://www.jwatch.org/na46286/2018/03/09/inhaled-isopropyl-alcohol-superior-oral-ondansetron |title=Inhaled Isopropyl Alcohol Superior to Oral Ondansetron as an Antiemetic |author=<!--Not stated--> |date= 2018-03-09|website= |publisher=New England Journal of Medicine Journal Watch jwatch.org |access-date= |quote=}}</ref>
 
==Prognosis==

Retrieved from "https://en.wikipedia.org/wiki/Cyclic_vomiting_syndrome"
 




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