International Journal of Current Research in
نویسندگان
چکیده
Cyclic vomiting syndrome (CVS), a rare condition described as continuous cycles of intractable vomiting followed by symptom-free periods has been well recognized in children. However, the awareness of CVS in an adult needs to improve by clinician to avoid unnecessary surgeries or invasive diagnostic procedures, and provide prompt psychological intervention. Here, we report one adult-onset CVS who was initially misdiagnosed. After multiple abdominal surgeries and endoscopy/colonscopy, he was diagnosed with this syndrome and improved with psychological intervention. The patient started to follow up with psychiatrist on a regular basis for the major depression, treated with oral antidepressant (amitriptyline 200 mg daily, po) and psychological therapy, and his CVS symptom flared up every time when we tried to wean off the narcotics treatment. In conclusion, increased awareness of the condition and a high index of suspicion may help decrease delay in diagnosis after symptom onset. Psychiatric conditions should be considered in the treatment and narcotics are not recommended in the long-term treatment. Cyclic vomiting syndrome
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