Initially described in children, cyclic vomiting syndrome (CVS) is an idiopathic disorder that affects patients of all ages and is characterized by recurrent episodes of vomiting separated by symptom-free intervals or baseline health. Frequent misdiagnoses and delays in diagnosis often lead to years of recurrent vomiting. Similarities in the clinical features and symptoms of children and adults with CVS are often linked to migraines. Treatment is mostly empiric, with few controlled therapeutic studies conducted so far. Most children outgrow CVS with time, though some children transition to migraine headaches or continue to have CVS as adults.

Here we report a case 3 year old girl presented with repeated episodes of vomiting over a one year period. She had severe bilious vomiting, occurring in cycles which needed repeated hospital admissions, severely affecting her functioning. Management was instituted in eight phases and she responded well to her treatment.

Keywords: Cyclic vomiting syndrome, migraine, bilious.

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Nasreen Ali

Junior Resident, Department of Pediatrics,

M.K.C.G Medical College, Berhampur, Ganjam, Odisha- 760004 India