Abstract
The Sri Lanka Journal of Psychiatry (SLJP) is a peer-reviewed, open access journal published bi annually by the Sri Lanka College of Psychiatrists.The Journal publishes original papers, brief reports including case reports and commentaries relevant to psychiatry and allied sciences. The Sri Lanka Journal of Psychiatry is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.Cover “Watching and waiting to catch the first rays of dawn, similar to gathering knowledge of psychiatry during my early years of training”. Dr Charani Anuradha Abayaweera, Post-MD Psychiatry trainee
Highlights
The occurrence of cyclical vomiting syndrome (CVS) was first described by Heberden in 1806 in France and by Gee in 1882 in Britain (1)
Recent research suggests a variety of possible etiologies, including mitochondrial enzymopathies, cannabinoid hyperemesis, gastrointestinal dysmotility, Corticotropin Releasing Factor (CRF)-Adrenocorticotpic hormone (ACTH) dysfunction and autonomic dysfunction
Triggers for vomiting were identified as a spicy preparation of fish, stressors such a fear of upcoming examinations and conflicts with, peers at school. Her management focused on four main aspects: 1. Management of the prodromal phase:A combination of relaxation techniques and distraction methods were used in conjunction with with antiemetics and anxiolytics
Summary
The occurrence of cyclical vomiting syndrome (CVS) was first described by Heberden in 1806 in France and by Gee in 1882 in Britain (1). The patient was admitted to the in-patient child psychiatry unit at a tertiary care children’s’ hospital She was observed for vomiting, factors which triggered vomiting and psychosocial factors affecting the patient and the family were explored. She was moderately dehydrated during the initial days of her admission to hospital; this was corrected with intra-venous fluids. Triggers for vomiting were identified as a spicy preparation of fish, stressors such a fear of upcoming examinations and conflicts with, peers at school. Her management focused on four main aspects: 1. Her management focused on four main aspects: 1. Management of the prodromal phase:A combination of relaxation techniques and distraction methods were used in conjunction with with antiemetics and anxiolytics
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