Cyclic vomiting syndrome in a case of type II diabetes

Excerpt

A 60-year-old woman with a history of diabetes mellitus since last 8 years and hypertension since last 6 years visited our clinic in June 2011 with recurrent severe vomiting associated with pain in the epigastrium. One year back, she experienced acute onset of severe vomiting associated with mild epigastric pain for first time. She was treated with intravenous proton pump inhibitor and other antiemetic agents like ondansetron, metoclopramide, and promethazine. The symptoms lasted for about 4 to 5 days after which she was completely alright. The same episode started again next month with severe vomiting, nausea, and epigastric pain which lasted for 4 to 5 days. Management with intravenous fluid, proton pump inhibitor, and antiemetics was continued until the vomiting stopped, but it did not show any significant improvement as vomiting continued for the same duration with severity of about 15 to 20 episodes per day. …