"Can't breathe, and now vomiting too?"... Could it be 'this disease'?
2024.07.19 22:42
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For those with panic disorder...
If vomiting occurs, it may be necessary to check whether it is circulatory vomiting syndrome...
You need to be healthy both physically and mentally..
It's becoming an era where more and more people are getting sick ㅠㅠ
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Korean Society of Gastroenterology, announces clinical practice guidelines for 'Cyclic Vomiting Syndrome'
Approximately 65% of patients with the somewhat unfamiliar Cyclic Vomiting Syndrome (CVS) experience panic attacks for about an hour before the vomiting episodes. Additionally, about 50% of patients visit the emergency room at least once a year. If vomiting and nausea occur together with panic attacks, this condition should be suspected. [Photo = Getty Images Bank]
If you vomit after experiencing severe panic disorder for about an hour, you may suspect 'Cyclic Vomiting Syndrome (CVS)'. The American Gastroenterological Association (AGA) has issued new clinical guidelines for CVS that include this information.
According to this guideline, about 65% of patients with cyclic vomiting syndrome may experience severe panic attack symptoms for approximately one hour before vomiting. Panic disorder is also experienced by many famous celebrities. It is a symptom where one feels like they are about to die and cannot breathe properly.
Approximately 50% of patients with cyclic vomiting syndrome visit the emergency room at least once a year, and about one-third experience various disturbances and discomforts such as nausea and indigestion. Nausea and vomiting are the fundamental symptoms of this condition. However, just before vomiting and during the vomiting phase, symptoms such as fatigue, heat or cold sensations, mental clouding, anxiety, headache, urgent bowel movements, acute diarrhea or constipation, abdominal pain, sweating, facial flushing, and trembling may occur. In particular, abdominal pain is present in most patients. Vomiting episodes generally occur early in the morning. It is more common in women, young adults, and those with a family history of migraines. Therefore, both patients and physicians should pay close attention to these signs.
Stress is the main cause... Lack of sleep, travel, motion sickness, infections, fasting before surgery, and other factors can also be causes.
Dr. David Levintal, co-author of the new clinical practice guidelines and director of the Neuro-Gastroenterology and Motility Center at the University of Pittsburgh Medical Center, said, "Cyclic vomiting syndrome affects up to 2% of the general population. However, most patients are only properly diagnosed and treated several years after symptoms first appear." He added, "Accurate diagnosis of this condition allows us to identify the debilitating symptoms and develop effective treatment plans."
Cyclic vomiting syndrome is a chronic disorder caused by brain-gut interactions. It is characterized by sudden nausea, vomiting, and belching. Mild cases occur less than four times a year and last less than two days, while moderate to severe cases are defined as occurring four or more times a year, lasting more than two days, and requiring at least one emergency room visit or hospitalization. Patients with this condition do not experience repeated vomiting between episodes but may suffer from mild symptoms such as nausea, indigestion, and occasional vomiting.
Dr. Tangam Venkatesan, a co-author of the new clinical practice guidelines from Ohio State University in the United States (specializing in neurogastroenterology and motility), said, "This disease is diagnosed based on the Rome criteria, which are clinical standards. It is important to avoid excessive and unnecessary tests."
I like millet powder porridge and scorched rice... I should avoid greasy, spicy, salty, and sweet foods as much as possible.
Improving lifestyle habits through regular sleep and stress management, and using medications to prevent and stop vomiting episodes, greatly helps in alleviating symptoms. The earlier the diagnosis, the higher the likelihood of stopping vomiting episodes. Practicing preventive measures to eliminate episodes in advance is also important.
According to Seoul Asan Medical Center's medical information, good foods for this patient include bland foods such as rice powder, porridge, or similar, as well as dry foods like scorched rice and crackers, light teas, fresh vegetables, and fruits. It is advisable to avoid greasy foods, salty and spicy foods, and excessively sweet foods. The patient should keep the mouth and oral cavity clean. If children or the elderly vomit, or if vomiting occurs due to excessive drinking, they should not lie down. There is a risk that vomit could be inhaled into the airway. When vomiting, the face should be immediately turned to the side.
According to the research team, patients may drink a lot of water or put their fingers in their throats to induce vomiting. This can temporarily help alleviate symptoms. Such behavior is a peculiar 'self-soothing' pattern in these patients. Do not misunderstand that the patient is just being troublesome. Bathing or showering with warm water can also help reduce symptoms. In fact, studies have shown that about 48% of patients experienced relief. However, prolonged exposure to hot water can cause burns, so caution is necessary. Cognitive-behavioral therapy and mindfulness meditation can also help alleviate symptoms.
Even if you put your finger in your throat to vomit, you shouldn't scold the patient... A peculiar pattern of 'self-soothing'
Cyclic vomiting syndrome has similarities to migraines. It has been found that 70-80% of patients experienced stress. Negative stressors such as the death of a close person or conflicts at work or with family, as well as positive stressors like birthdays, family reunions, and vacations, can trigger vomiting episodes, so caution is especially needed. Sleep deprivation, hormonal fluctuations related to menstruation, travel, motion sickness, acute infections, and surgery can also cause vomiting due to physiological stress. Although rare, prolonged fasting or intense exercise can also act as triggers.
In addition, mood disorders including anxiety, depression, and panic disorder occur in 50-60% of all patients. 20-30% of patients experience migraines, and about 3% experience seizure disorders. Autonomic nervous system imbalance may also occur. For prevention, medications such as tricyclic antidepressants are recommended.
The research results on the new clinical practice guidelines (AGA Clinical Practice Update on Diagnosis and Management of Cyclic Vomiting Syndrome: Commentary) were published in the journal Gastroenterology of the American Gastroenterological Association (AGA).
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