User:NoahTitera/sandbox

this is the treatment page and I will be editing this Edit a lot of the fluff from this that is found on the signs and symptoms and add the extra info to signs and symptoms

Cyclic vomiting syndrome (CVS) is a chronic functional condition of unknown pathogenesis. CVS is characterized as recurring episodes lasting a day to multiple weeks, divided into four phases: inter-episodic, prodrome, vomiting, and recovery. Inter-episodic phase (symptom free phase), is characterized as no discernible problems, normal everyday activities are resumed, this phase typically lasts one week to one month. The prodrome phase is known as the pre-emetic phase, characterized by beginning to feel an approaching episode, but still able to keep down oral medication. Emetic or vomiting phase is characterized as intense persistent nausea, and repeated vomiting typically lasting hours to days. Recovery phase is typically the phase where vomiting ceases, nausea diminishes or is absent, and appetite returns. This syndrome is most commonly seen in children usually between ages 3 and 7, however adult diagnosis is quite common. This disorder is thought to be closely related to migraines and family history of migraines.

Treatment for Cyclic vomiting syndrome depends on the evident phase of the disorder.

Because the symptoms of CVS are similar (or perhaps identical) to those of the disease well-identified as "abdominal migraine", beginning to establishing a prophylactic migraine medications such as torpiramate and amitriptyline, has seen recent success in treatment for the prodrome, and vomiting, phases, by reducing the duration and frequency of episodes.

therapeutic treatment for the Prodromal phase, characterized by the anticipation of an episode, are sumatriptan (nasal or oral) an anti-migraine medication, anti-inflammatory drugs to reduce abdominal pain, and possible anti-emetic drugs. These options may be helpful in preventing an episode, or reducing the severity of an attack.

The most common therapeutic strategies for those already in the vomiting phase, or experiencing an episode 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 who comfort seek during episodes take prolonged showers and baths typically quite hot, only finding relief while in the bath or shower, the use of a heating pad may help reduce abdominal pain.

Lifestyle changes may be recommended, such as extended rest, reduction of stress, frequent small meals, abstain from fasting, and possibly cessation of cannabis use. A diet change may be recommended avoid food allergens, eliminating trigger foods such as, chocolates, cheese, bear, and red wine.