Monday, January 28, 2008

Mei Mei's Cyclical Vomiting

She is my niece and she is 3 years old. She had Cyclical Vomiting Syndrome (CVS) (www.cvsa.org.uk/www.cvsaonline.org) since Aug 2006. She started vomiting in Aug 2006 for 3 times (2 weeks gap). She continued to vomit in Feb 2007 for every 2 weeks continuously until today.

In the beginning, she only vomits and had to be admitted for IV to avoid dehydration. No other noticeable symptom other than exhaustion and dehydration. But, more symptoms noticed recently. It started with character change, where she would become fussy. Our guess is her abdomen pain, but she never tells us. Few hours, up to 1/2 day later, she starts throw out everything in her stomach. When no food left in her stomach, she vomits dark red color substance and greenish substance, which could be dead blood and bile. In addition, she also vomits lots of phlegm. She is exhausted, crying and screaming. These lasted 3-4 days. Soon after the vomit is over, her urine has the oil like substance for the first 3-4 days.

Then she became an ordinary 3 years girl - playing, singing and fighting with her elder brother. That will be for 2 weeks until her next episode continues.

Her parent had been to various hospitals, in Miri, Sibu, Kuching and Kuala Lumpur for diagnosis and treatment. All tests failed to identify possible cause or problem. In the last visit, the doctors concluded her having CVS in their diagnosis report. They also resorted to Chinese medicine, which also did not improve the situation. In desperate, they resorted to Chinese and Malay shamans. All sort of things they did but still no sign of improvement.

I emailed paediatric expert in Singapore and CVS experts in UK and USA for advice.

The last vomit episodes started on 7th Jan. On 11th Jan, she consulted a homeopathy doctor. It was based on Michael's experience on www.cvsa.org.uk. She was not given phosphorous as in Michael's case, instead she was given homeopathy stomach ulcer tablets plus some diet change - no cow milk product, soft rice instead of porridge, not so much fruits, more rest and family consulting advise. It has been more than 2 weeks since, and she has not shown (hopefully forever) any sign of vomit.

I suspect she may has cow milk allergy - looking at the changes that led to her improvement. It is yet to be established. Nevertheless, I would give the credit to homeopathy for her improvement.

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7 Comments:

Blogger Bolaking said...

Hope she will get well soon. Actually I heard about it from your wife d(which is my jie jie)
xP
update more !

4:57 PM  
Blogger honfui said...

Xun, thanks.

Today is 4th Feb, and she has not develop any sign of re-occuring. Only once a while she complained abdomen pain.

1:17 PM  
Blogger honfui said...

Today is 12th Feb. She is doing fine. It is a record that she has not has vomiting for 1 month. The family went to Sibu for CNY.

I will suggest to the parent to test milk allergy next week.

8:06 AM  
Blogger honfui said...

Cow milk allergy references... http://www.recipeland.com/ara/article/933/
http://www.kidshealth.org/parent/medical/allergies/milk_allergy.html

Few similar symptoms noticed:-
1. Vomit
2. Extreme fussiness
3. Low or no weight gain
4. Gassiness

The 2nd type of allergy, "slower onset" may not shown any symptom until 7 to 10 days after consuming the cow's milk protein. This fit her vomit cycle quite well. She could be having this type.

In addition, CNN reported that milk allergy may take more many more years to overcome http://edition.cnn.com/2007/HEALTH/conditions/11/12/milk.allergy/index.html

4:34 PM  
Blogger honfui said...

18th Feb
Still no sign of re-occur... good. Her parent decide not to test milk allergy by giving her cow milk. Meanwhile, she is still taking the homeopathy ulcer tablets. Once the tablets finishes (few more days), her condition will be observed for 2-3 weeks. If vomit does not re-occur, then we can assume that cow milk allergy MIGHT be the cause of her problem.

11:45 AM  
Blogger honfui said...

7th Apr
She is doing fine. No sign of the re-occur. She still on homeopathy medication, but much lower dosage.

8:01 AM  
Blogger honfui said...

5th May
No symptom. I think she no longer taking homeopathy tablets.

8:00 AM  

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