Question
Detailed baby’s condition and consultation purpose: The child often cries and has a bit of diarrhea, but only once every 1 or 2 days. What is most distressing is that they start vomiting within 10-20 minutes after eating, including water. Whatever they eat, they end up vomiting it all up. They are very hungry and want to eat, but as soon as they do, they vomit. The medicine given by the hospital was only taken twice and both times it was vomited up. They don’t like taking medicine and it’s forced down their throats. The doctor prescribed a syrup that they also refused to drink. I don’t know what to do anymore, and I’m very upset. Please help me see what’s wrong with him?
Answer
Hello, there are many causes of pediatric vomiting. It is recommended to still go to the hospital for further examination. On the basis of a comprehensive physical examination, pay special attention to abdominal signs and neurological examination, and perform fundus examination and rectal examination if necessary. Auxiliary examinations: 1. Stool and urine routine checks. 2. X-ray, CT or MRI examination. Treatment: (1) Treatment for the cause of the disease. (2) Symptomatic treatment. 1. For severe vomiting, fasting for 4 hours is required, except for gastric perforation, which can be treated with physiological saline or 1-2% sodium bicarbonate solution for gastric lavage. Pay attention to lying on the side to prevent aspiration of vomit into the airway. 2. After vomiting stops or decreases, give small amounts of thick, slightly warm easy-to-digest food or fluid foods such as rice gruel. 3. For those with dehydration or electrolyte imbalance, timely fluid replacement and electrolyte supply are required according to need. If there is peripheral circulatory failure, it should be treated according to peripheral circulatory failure. 4. For frequent vomiting, antiemetics such as…