Cyclic Vomiting


What is CVS?

Cyclic Vomiting Syndrome (CVS) is a condition in which patients:

• Have 3 or more episodes per year
• Are completely normal between episodes
• Experience vomiting for hours or days
• All diagnostic tests are negative.

Hypnotherapy Offers Superior Treatment For Cyclic Vomiting Syndrome

A pioneering study of children and adolescents with Irritable Bowel Syndrome (IBS) and Functional Abdominal Pain was done comparing hypnotherapy (HT) and standard medical therapy (SMT).  The HT group did far better both short-term and long-term.2,3 And, IBS often has similar symptoms to CVS.

Medical hypnosis can also help improve a patient’s vomiting, constipation, and/or diarrhea.

When I see patients with CVS, they invariably act as if they are having an abdominal migraine.  For example, patients with abdominal migraine or migraine headaches usually experience an “aura.”  This is a sensation, a warning sign of some sort, that in 10 to 30 minutes, the abdominal migraine or migraine headache will occur. The timeline for CVS is virtually the same as a migraine headache. Patients who learn self-hypnosis can use the aura or beginning of the episode to use this technique to prevent the episode from occurring and there is typically significant improvement after only 2 to 3 visits.

References:

1.    Dulued, Emily, MD, Desilets, David J, MD, Boles, Richard G. in Uptodate, online, September 23, 2009.
2.    Vlieger AM, Menko-Frankenhuis C, Wolfkamp SC, Tromp E, Benninga MA. Hypnotherapy for children with functional abdominal pain or irritable bowel syndrome: a randomized controlled trial. Gastroenterology. 2007;133(5):1430-1436.
3.    Vlieger et al. Long-term follow-up of gut-directed hypnotherapy vs. standard care in children with functional abdominal pain or irritable bowel syndrome. Am J Gastroenterol. 2012 Apr; 107(4):627-31.