Clinical Presentation & Protocol
Patient Usually Complains Of
Episodic severe vomiting (4-6 episodes/hour) lasting 1-5 days, recurring every 2-4 weeks. Migraine history.
Clinical Examination Findings
Normal between episodes. Dehydrated during attacks.
Treatment Protocol
Abortive: Sumatriptan + Ondansetron. Prophylactic: Amitriptyline, CoQ10, L-carnitine.