ABSTRACT
PURPOSE: To increase recognition and present symptom assessment strategies for treating cyclic vomiting syndrome (CVS). DATA SOURCES: Clinical experience, a range of pediatric, gastroenterological, emergency medicine research, survey, and literature review reports on CVS. CONCLUSIONS: Improved efforts to recognize, diagnose, and treat CVS will help patients manage their symptoms and may reduce both the morbidity and costs of hospitalizations associated with this illness. IMPLICATIONS FOR PRACTICE: If promptly diagnosed and appropriately treated, CVS episodes can be aborted. Patients inappropriately treated must often be hospitalized because of complications associated with symptoms. Lifestyle changes, prophylactic and abortive migraine therapy, and supportive care are important to prevention.
Subject(s)
Prognosis , Vomiting/diagnosis , Diagnosis, Differential , Humans , Surveys and Questionnaires , Vomiting/complications , Vomiting/therapySubject(s)
Cough/etiology , Fatigue/etiology , Hemoptysis/diagnostic imaging , Mediastinal Neoplasms/diagnostic imaging , Teratoma/diagnostic imaging , Adult , Diagnosis, Differential , Hemoptysis/surgery , Humans , Male , Mediastinal Neoplasms/pathology , Mediastinal Neoplasms/surgery , Radiography , Teratoma/pathology , Teratoma/surgeryABSTRACT
The availability of many over-the-counter drugs that were formerly prescription medications enable patients with migraine to self-medicate easily and delay entry into the appropriate medical management. The potential for adverse effects, drug interactions, and analgesic rebound headaches can often be complications that hinder treatment. Over-the-counter products force the patient to employ a less effective step-care approach as opposed to evidence-based guidelines.
