DEAR DR. GOTT:
You addressed cyclic vomiting syndrome in your column and I subsequently saw a medical program on the topic. It is not caused by a gastrointestinal problem, but a neurological one and is currently being treated with daily sedatives and possible brain surgery similar to that used to treat epileptics.
DEAR READER:
The article to which you are referring was printed several months ago. In the column I clearly stated that there was no known cause of cyclic vomiting syndrome (CVS).
The information I reviewed before publishing the article (which can be found at http://digestive.niddk.nih.gov/ddiseases/pubs/cvs/index.htm) did not mention brain surgery as a remedy. It did mention that there is a possible link between CVS, migraines and abdominal migraines which points to possible neurological involvement but no firm studies have proven this.
I regret having missed the program that informed you of this process as it may have been about cutting edge or experimental treatments. But until studies have shown that this treatment works and provides lasting benefits, I would not rush into it. There are several treatments currently available including medications to stop or reduce vomiting and nausea, aid sleep and more. It is also vital to get plenty of water and electrolyte fluids to prevent dehydration.
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