Final answer:
The first-line treatment for cyclic vomiting syndrome in children under 5 is intravenous fluids and antiemetics (option a), which is aligned with acute gastroenteritis management practices that focus on rehydration and symptomatic relief.
Step-by-step explanation:
The first-line treatment for cyclic vomiting syndrome in children 5 years or younger is: a) Intravenous fluids and antiemetics. This approach is commonly used in the management of acute gastroenteritis among children, focusing on the crucial aspect of rehydration to replace lost fluids. Oral rehydration solutions may be beneficial in less severe cases, but in severe cases or when oral intake is not possible, intravenous fluids become necessary.
Antiemetic medication helps to control the vomiting, providing symptomatic relief and preventing further dehydration. This treatment strategy is consistent with the guidelines for managing gastroenteritis, which emphasize fluid replacement and supportive care rather than procedures like surgical intervention or radiation therapy, which are not appropriate for this condition.