A Case of Recurrent Nausea with Vomiting for Past Sixteen Years Successfully Treated with a Kampo Formulation Shimbuto / 日本東洋医学雑誌

We herein report a 36-year-old male patient, who complained of persistent and recurrent nausea with vomiting for 16 years in spite of various standard treatments, was successfully treated with Kampo formulation Shimbuto, which selected based on the left para-navel tender point. We speculated that the clinical disorder in this case was related to suitai i.e. water imbalance syndrome in Kampo medicine. However, there has never been such a case report in the field of Kampo, and no related papers have been found in the standard database Medline. We believe this report is valuable from the viewpoint of therapeutics in both Western and Kampo medicine.

Superior mesenteric artery syndrome masquerading as chronic gastric volvulus in a child with severe acute malnutrition: a case report

Superior mesenteric artery (SMA) syndrome is a rare cause of high intestinal obstruction. It is commonly seen in severely malnourished patients presenting with repeated episodes of vomiting. We report a case of SMA syndrome in a 3 years old male child provisionally diagnosed as chronic gastric volvulus with severe acute malnutrition. The diagnosis of SMA syndrome was confirmed on abdominal exploration. SMA syndrome is a rare case of intestinal obstruction in paediatric age group. Chronic malnutrition is one of the common causes of this entity. There should be a high index of suspicion for this syndrome when we encounter a child with severe malnutrition and recurrent vomiting.

A case series of cyclic vomiting syndrome in paediatric patients at a tertiary care hospital in Chennai, Tamil Nadu, India

Background: Cyclic vomiting syndrome is an increasingly recognized disorder with sudden, repeated episodes of severe nausea, vomiting, and physical exhaustion that occur with no apparent cause. It is more common in children than adults. However, we don't often see a diagnosis of cyclic vomiting syndrome being made. Hereby we report 7 cases of cyclical vomiting.Methods: This is a retrospective study. Medical records of 5 years were review and consecutive paediatric patients discharged with a diagnosis of cyclic vomiting syndrome were identified, data collected and analysed.Results: Total of 7 cases were found, all of which were adolescents. The mean age was 13.28. 57.14% (4) were females and 42.86% (3) were boys. 42.86% (3) presented with complications. 14.28% (1) had an association with menstrual cycles and 14.28% (1) had an association with psychological stress.Conclusions: Cyclic vomiting syndrome should be kept in mind when a child presents with multiple episodes of vomiting, especially when repeated admissions have been made for the same. Early diagnosis and treatment can improve the quality of life.

A Case of Sexual Abuse Presenting as Recurrent Vomiting

History taking in medicine is an important step andintegral part towards reaching diagnosis. Sometimes,it becomes necessary to evaluate history in more detailand essentially, beyond usual steps in diagnosisparticularly, when medico-legal, psychological andbehavioral aspects are concerned, which becomes veryimportant to reach a final decision in diagnosis andhence in further management; this implies particularlyin case of adolescents presenting with recurrentdisorders. Sexual abuse can present as recurrent orchronic headaches, recurrent abdominal pain and sleepdisturbances.

Recurrent Severe Vomiting in a 7-year-old boy

@#This case study is a reminder that recurrent severe vomiting requires admission for correction of fluid and electrolyte derangement, and a diagnostic work-up. It also highlights the need for a high level of clinical suspicion and good history taking in the diagnosis of cyclical vomiting syndrome. A definitive diagnosis is important to prepare the patient and family for future management as cyclical vomiting syndrome is a chronic episodic condition.

RECURRENT SEVERE VOMITING IN A 7-YEAR-OLD BOY

This case study is a reminder that recurrent severe vomiting requires admission for correction of fluid and electrolyte derangement, and a diagnostic work-up. It also highlights the need for a high level of clinical suspicion and good history taking in the diagnosis of cyclical vomiting syndrome. A definitive diagnosis is important to prepare the patient and family for future management as cyclical vomiting syndrome is a chronic episodic condition.