Disabling Nausea and Cyclical Vomiting

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Key Questions
  • When is cyclic vomiting syndrome, or CVS, most commonly diagnosed?
  • Why does migraine affect the stomach at all?
  • Should CVS be viewed as a gastrointestinal or a neurological issue, and then which specialist should the patient see?
  • How often does CVS evolve into more typical migraine over time?
  • What treatments are available for CVS, and how do they differ for adults versus children?
  • What’s the youngest age at which you might see a patient with CVS, and have you seen connections with infants with colic?
  • How can patients improve their quality of life while dealing with CVS?
  • When nausea accompanies migraine, what are some medications that patients could take instead of oral treatments?
  • What can you tell us about the gut-brain connection and how it affects migraine?
  • What can you tell us about the interplay between genetics and environmental factors and pediatric headache?
Interview Notes
Amy Gelfand

Amy Gelfand, MD

Director of Pediatric Headache Program and Pediatric Headache Specialist
University of California, San Francisco

Dr. Amy Gelfand is a board-certified child neurologist and director of Pediatric Headache at UC San Francisco. She specializes in diagnosing and treating children who suffer from a variety of headache disorders, as well as children with childhood periodic syndromes, such as abdominal migraine, that may be precursors to migraine headache later in life. Her research focuses on the epidemiology and treatment of pediatric migraine and childhood periodic syndromes.

Dr. Gelfand received her medical degree from Harvard Medical School. Subsequently, she completed a residency in pediatrics and residency in child neurology at UCSF, then subspecialty fellowship training in pediatric headache at UCSF. Dr. Gelfand is a Fellow of the American Headache Society and a member of the International Headache Society and the American Academy of Neurology.

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