high incidence of psychiatric comorbidities such as panic attacks, anxiety disorder, and depression is seen in cvs. the exact etiology of cvs is not known. here, we present a case report of a child with cvs to highlight the psychological underpinnings and the role of a psychiatrist in the management of this condition. born of nonconsanguineous marriage, she is the only child and with normal developmental milestones, studying first standard in a regular school with very poor academic performance. at first, she was admitted as in patient in pediatric gastroenterology ward and was evaluated for the recurrent vomiting.
she was administered malin’s intelligence scale for indian children and found her iq be 70. the child behavior checklist was administered to look for any psychopathology in the child. the child is on regular follow-up, and her vomiting episodes have reduced in frequency and severity. hence, cvs can a reaction to psychological stress, and a mental health referral is warranted to alleviate the psychological stressors. it is important to address the family relationship in the case of child with cvs. the frequency and severity of the episodes also depend on the presence of anxiety in the patient. the course of certain psychiatric disorders is cyclical in nature.
cyclic vomiting syndrome is a debilitating clinical syndrome. psychiatric comorbidities in cyclic vomiting syndrome are often unknown, and very few prospective studies are available in the literature (4). panic disorder is the most common form of anxiety in patients with cyclic vomiting syndrome (7). management of cyclic vomiting syndrome and its associated psychiatric comorbidities includes pharmacological and psychosocial interventions.
there is a high prevalence of psychiatric disorders comorbid with cyclic vomiting syndrome among both children and adults. the most frequent psychiatric comorbidities observed in patients with cyclic vomiting syndrome appear to be anxiety and depression. : clinical, psychiatric and manometric profile of cyclic vomiting syndrome in adults and response to tricyclic therapy. : an internet survey of marijuana and hot shower use in adults with cyclic vomiting syndrome (cvs).
 cvs is associated with high incidence of psychiatric comorbidities. it is observed that this syndrome is frequently accompanied by panic attacks, anxiety, symptoms of panic disorder usually respond to lorazepam (7). cyclic vomiting syndrome in adults is typically indicated by abdominal pain, higher additional conditions that occur more often in those with cvs include anxiety, depression, attention deficit hyperactivity disorder (adhd), seizures, autistic, treatment for cyclic vomiting syndrome in adults, cyclic vomiting syndrome life expectancy, cyclic vomiting syndrome life expectancy, what triggers cyclic vomiting syndrome, psychological vomiting syndrome.
vomiting episodes may be triggered by: emotional stress, such as excitement, anxiety or panic attacks. physical stress, such as an infection, exhaustion, or lack of sleep. some foods and drinks, such as chocolate, cheese, and things that contain caffeine, alcohol or msg (monosodium glutamate) clinically significant anxiety is common in children with cvs [30, 31] and seems to be a predisposing factor to cyclic vomiting episodes [1, 16, anxiety, a panic attack, or something that is emotionally upsetting may bring on your cvs. also, the following may trigger cvs: respiratory or people with cyclic vomiting syndrome are also more likely than people without the disorder to experience depression, anxiety,, cyclic vomiting syndrome diet, symptoms of cyclic vomiting syndrome.
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