Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Adults also suffer from cyclical vomiting syndrome

21.12.2005


Migraines and panic attacks may be the triggers for Cyclical Vomiting Syndrome in adults, according a small study published today in the open access journal BMC Medicine. Cyclical Vomiting Syndrome (CVS), widely accepted as occurring in children, is also found in adults according to researchers.



David R. Fleisher, of the University of Missouri School of Medicine in Columbia, Missouri in the US, and colleagues conducted a retrospective study of 41 adults patients they had seen from 1994 to 2003 who were suffering from CVS. The patients were selected from a cohort of 237 children and adults, and were between 20 and 49 years of age at the time of consultation.

CVS is a disorder whereby sufferers experience recurrent stereotypic episodes of incapacitating nausea, vomiting and other symptoms, separated by weeks or months of comparative wellness. Sufferers typically experience between 6 and 12 episodes a year that are completely incapacitating.


The disorder appears to originate in the central nervous system, not the abdomen, say the authors. Fleisher and colleagues found that 28 out of 40 patients experienced migraine headaches during or between episodes. 93% of patients experienced a phase known as the prodrome, indicating the approach of an episode of CVS. Panic attacks were also "surprisingly prevalent". The authors found that "in two thirds of our adult CVS patients, panic attacks triggered cyclic vomiting episodes". Most patients had elements of both migraine tendency and anxiety complicated by panic attacks.

While panic attacks are uncommon in pre-adolescent children, children suffering from CVS are known to have higher rates of anxiety than children generally.

Fleisher and colleagues hypothesise that adult patients suffering from CVS may experience two routes to an attack, with different causes. "One involves whatever creates attacks of migraine or migraine equivalents in patients with migraine diathesesis. The other involves whatever creates anxiety attacks in patients with anxiety disorders."

The diagnosis can be made only by recognition of its clinical pattern over time. CVS is often missed because its clinical features are not widely known. Of the 41 patients reported, 16 patients underwent 17 surgeries, including 10 cholecystectomies, all of which proved futile. Migraines and panic attacks may be the triggers for Cyclical Vomiting Syndrome in adults, according a small study published today in the open access journal BMC Medicine. Cyclical Vomiting Syndrome (CVS), widely accepted as occurring in children, is also found in adults according to researchers.

David R. Fleisher, of the University of Missouri School of Medicine in Columbia, Missouri in the US, and colleagues conducted a retrospective study of 41 adults patients they had seen from 1994 to 2003 who were suffering from CVS. The patients were selected from a cohort of 237 children and adults, and were between 20 and 49 years of age at the time of consultation.

CVS is a disorder whereby sufferers experience recurrent stereotypic episodes of incapacitating nausea, vomiting and other symptoms, separated by weeks or months of comparative wellness. Sufferers typically experience between 6 and 12 episodes a year that are completely incapacitating.

The disorder appears to originate in the central nervous system, not the abdomen, say the authors. Fleisher and colleagues found that 28 out of 40 patients experienced migraine headaches during or between episodes. 93% of patients experienced a phase known as the prodrome, indicating the approach of an episode of CVS. Panic attacks were also "surprisingly prevalent". The authors found that "in two thirds of our adult CVS patients, panic attacks triggered cyclic vomiting episodes". Most patients had elements of both migraine tendency and anxiety complicated by panic attacks.

While panic attacks are uncommon in pre-adolescent children, children suffering from CVS are known to have higher rates of anxiety than children generally.

Fleisher and colleagues hypothesise that adult patients suffering from CVS may experience two routes to an attack, with different causes. "One involves whatever creates attacks of migraine or migraine equivalents in patients with migraine diathesesis. The other involves whatever creates anxiety attacks in patients with anxiety disorders."

The diagnosis can be made only by recognition of its clinical pattern over time. CVS is often missed because its clinical features are not widely known. Of the 41 patients reported, 16 patients underwent 17 surgeries, including 10 cholecystectomies, all of which proved futile.

Juliette Savin | alfa
Further information:
http://www.biomedcentral.com
http://www.biomedcentral.com/1741-7015/3/20/

More articles from Health and Medicine:

nachricht The genes are not to blame
20.07.2018 | Technische Universität München

nachricht Targeting headaches and tumors with nano-submarines
20.07.2018 | Universitätsmedizin der Johannes Gutenberg-Universität Mainz

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Future electronic components to be printed like newspapers

A new manufacturing technique uses a process similar to newspaper printing to form smoother and more flexible metals for making ultrafast electronic devices.

The low-cost process, developed by Purdue University researchers, combines tools already used in industry for manufacturing metals on a large scale, but uses...

Im Focus: First evidence on the source of extragalactic particles

For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.

To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...

Im Focus: Magnetic vortices: Two independent magnetic skyrmion phases discovered in a single material

For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.

Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...

Im Focus: Breaking the bond: To take part or not?

Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.

A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...

Im Focus: New 2D Spectroscopy Methods

Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.

"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Leading experts in Diabetes, Metabolism and Biomedical Engineering discuss Precision Medicine

13.07.2018 | Event News

Conference on Laser Polishing – LaP: Fine Tuning for Surfaces

12.07.2018 | Event News

11th European Wood-based Panel Symposium 2018: Meeting point for the wood-based materials industry

03.07.2018 | Event News

 
Latest News

A smart safe rechargeable zinc ion battery based on sol-gel transition electrolytes

20.07.2018 | Power and Electrical Engineering

Reversing cause and effect is no trouble for quantum computers

20.07.2018 | Information Technology

Princeton-UPenn research team finds physics treasure hidden in a wallpaper pattern

20.07.2018 | Materials Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>