A GP will take their patient's family and medical history, and a full account of their symptoms.
A child may be suspected to have CVS if the following apply:
they have had at least five vomiting episodes, or three separate episodes over six months
the episodes of nausea and vomiting last from one hour to 10 days
the episodes are similar each time
they vomit at least four times an hour for at least one hour
the vomiting is not caused by another disorder
they are well between episodes
Similarly, an adult may have CVS if they have had three or more vomiting episodes in the past year that have each been similar, with no nausea or vomiting between episodes.
The high frequency of vomiting, and the fact that it often starts at night or early morning, are clues that the cause may be CVS and not another condition.
Blood or urine tests may be carried out (to rule out infection or kidney problems), and scans such as an endoscopy or abdominal ultrasound, to see if there is an abnormality in the digestive tract.
Only after other conditions have been ruled out will a diagnosis of CVS be made. At this stage, the patient may have been referred to a gastroenterologist (specialist in digestive system disorders).