Updated guidelines on diagnosis, management of cyclic vomiting syndrome

The American Gastroenterological Association published a comprehensive clinical practice update on the diagnosis and management of adult patients with cyclic vomiting syndrome, according to updated guidelines published in Gastroenterology.

Cyclic vomiting syndrome is characterized by recurring episodes of intense nausea, vomiting and retching followed by symptom-free intervals. The condition is estimated to affect about 2% of Americans.

The guideline authors distinguished between mild and moderate to severe cyclic vomiting syndrome and recognized the four distinct phases of the condition: interepisodic, prodromal, emetic and recovery. Clinicians were advised to conduct complete blood counts, serum electrolyte and glucose measures, liver function testing, lipase tests and urinalysis to help diagnose patients with possible cyclic vomiting syndrome.

Additionally, the guideline authors noted a majority of patients experienced prodromal symptoms and abdominal pain prior to vomiting and during an episode, respectively.

The guideline authors concluded that lifestyle modifications; management of comorbid conditions like anxiety, depression, migraines and sleep disorders; prophylactic therapy; and abortive therapy may all help mitigate triggers and manage patients with the condition.

Read more: Gastroenterology

The article presented here is intended to inform you about the broader media perspective on dentistry, regardless of its alignment with the ADA's stance. It is important to note that publication of an article does not imply the ADA's endorsement, agreement, or promotion of its content.