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Nocturnal vomiting
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Nocturnal vomiting

My 3 year old daughter has been vomiting every night at the same time (between 12:30 a.m. and 1:30 a.m.) Then usually again one more time about 1 1/2 to 2 hours later; then she is fine.  Upon awakening, she is slightly nausiated, but for the most part, no vomitting.  Then again the next night, and so on.  We've been doing this for almost a week now.  Can someone please tell me what is going on with her?  The ER and Peds say it's a "biphasic virus".  Why though is she vomitting at the same time every night?
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Avatar_n_tn
To: lovemy4kids
Hi, I was just up doing some research on CVS and came across your post. I have a 22 y/o son who was diagnosed with CVS or cyclic vomiting syndrome after YEARS of him being ill enough to be hospitalized on the avg approx 27 days annually. I don't want to sound discouraging, but this is a rare and commonly overlooked/misunderstood disease that at best is debilitating during a cyle.

As all the blood tests have not revealed any diagnosis,I feel it can be a case of cyclic vomiting syndrome(CVS). CVS is an uncommon, unexplained disorder of children and some adults characterized by recurrent, prolonged attacks of sever nausea, vomiting and prostration with no apparent cause. Vomiting occurs at frequent intervals (5-10 times an hour at the peak) for hours to 10 days (1-4 most commonly).

CVS has been difficult to diagnose. The diagnosis is made by careful review of the patient's history, physical examination and studies to rule out other diseases that may cause vomiting similar to that seen in patients with CVS. Treatment is generally supportive with early intervention in a dark quiet environment for sleep and I.V. fluids when needed.I would suggest a consultation by a gastroenterologist.

Hope it helps.Take care and pls do keep me posted on how you are doing.

This disease commonly begins in young children. They also usually become ill at night or upon waking. My son fell ill at approx. age 9 and still suffers. He has now been "hospital free" for EXACTLY one year, though he has had episodes we've learned how to (with medication) stop them during what is called the "prodrome" stage. There is no known cure for this disease, nor is there a known cause. Treatment consists of relieving or alleviating the symptoms. I can't fully explain in a post, but if you're interested in learning you can google "EMPIRIC GUIDELINES FOR THE MANAGEMENT OF CYCLIC VOMITING SYNDROME" or go to http://www.cvsaonline.org
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Avatar_dr_f_tn
Hi,
How is your daughter?  There are possible causes of nausea and vomiting such as acute gastritis, central causes (signals from the brain), association with other illnesses, medications and medical treatments and possibly mechanical obstruction of the bowel. Virus infection usually resolves after a few days and if it still persisted, further evaluation may need to be done to rule out other conditions. Take care and do keep us posted.
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Avatar_n_tn
hi i am 39 and suffered severe vomiting for 3yr every 6weeks i vomit for up to 10days from i wake up in the morning til 4 oclock. i need be hospitalized i have had all blood test scans to no avail. i am waiting on some research on this condition from america,i would post if any help  to you.
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Avatar_f_tn
To: Nocturnal Vomiting,
You have stated that this vomiting in your 3 yr. old has only been going on for a week and it's time frame is highly predictable. Before you jump into investigating the rare disorders others have discussed above, I urge you to respond calmly to your daughters nightly episodes, but think like an investigator and start a daily log of all food intake which includes brands and serial numbers, activities, changes in lifestyles, daily routines, teachers and every single thing that has taken place and changed in the home or where she spends time outside the home.  Meanwhile, keep a log on her daily and night time temp., her urine and bowel movements and make sure she is getting lots of water replacement therapy. Doing all this for as short as two weeks will help you and her pediatrician narrow down all possible outside influences. These basic steps are highly important when it comes to diagnosing a child or adult.  Your child could be exposed to a new toxin that is causing this. Consider outdoor sprays, new rugs, mattress', pillows, blankets, clothes and furniture. New toys she got for christmas, especially fuzzy ones and those made in China, are highly suspect and new childcare routines frequently cause upset tummies. You are looking for two primary causes of upset stomachs. The first is toxins, the other is emotional upset. Look at foods listed under recalls, and check to see if she is exposed to molds or lead paints, especially near her bed. Keep a full and detailed log on all you have investigated and don't give it away. Make copies for the Doctors. Did this start right after Christmas? If so, the toys and other Christmas items should be considered as the most likely cause of her nightly illness. Good Luck Mom, you can help more in figuring out what and why your daughter is vomiting at this point than a billion, expensive and frightening test. Let common sense be your guide.
Ginbud
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Allentown, PA