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RoseMD
RoseMD, Doctor
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jorge please i need help my son is 2 years old and he is vomiting

Customer Question

hi my name is XXXXX XXXXX i need help my son is 2 years old and he is vomiting at least twice a day i already took him to the doctor and nothing change.
Submitted: 8 years ago.
Category: Health
Expert:  RoseMD replied 8 years ago.

hello ethan, thank you for your question. I would like to see if I could help you w/your son's vomiting. If you could please provide a few more details, I can have a better understanding of what might be happening with your son:

how long ago was his last doctor visit, and what did the doctor say your son had?any lab/blood /electrolytes work done on your son? does your son have any other symptoms:fever/cramps/pain/headaches/paleness or dry mouth/change in normal behavior or body movements/rashes/bowel movement or urination issues/color or vomit (clear/blood tinge/greenish/smell/projectile or forceful vomiting)? what time of the day does he vomit/after any foods/any anti-vomit medications help/anything that makes it come on worse? how often was he vomiting when he first started vomiting (36wks ago)? did he have any medical issues during pregnancy/birth/first 2 yrs of life?

Any information you can provide is greatly appreciated and I look forward to your reply.

Customer: replied 8 years ago.

YES WENT HE WAS BORN HE HAD SLEEP

APNEA AFTER 10 MONTHS HE WAS NORMAL

WENT HE WAS ONE YEAR AND SIX MONTHS

HE START WITH VOMITING SO HES BEING GOING ON FOR 6 MONTHS THE DOCTOR GIVE HIM RANITIDINE 75MG 2.5 ML BY MOUTH TWICE DAILY FOR GE REFLUX WHAT ELSE CAN I DO I AM VERY WORRY I ALSO DID XRAYS TO HIS STOMACH

Expert:  RoseMD replied 8 years ago.
thanks for your reply, ethan, do you know what the xrays showed? were there any other tests done, any head/brain scans, any fever?during the day, when does he vomit (night/day)? has he vomited in the last 1-2days?
Customer: replied 8 years ago.

the xray results were find they were taking at the emergency room he vomints went he eats or after he make a sound like he is going to cough but not he vomits no head injurys no fever

 

 

 

Expert:  RoseMD replied 8 years ago.

Thanks Ethan again for your reply. Here are some things I think you might want to explore with your doctor. There are two conditions that comes to mind that might be affecting your son: Cyclic Vomiting Syndrome & Epilepsy cluster of seizures. From my experience during my neurology clinical, your son may be suffering from a form of Epilepsy that manifests itself as these vomiting spells. Epilepsy is like a cluster of seizure episodes throughout a year, and you end up having more seizure episodes each year as opposed to one isolated seizure and not have any for years or ever again.

The fact that your son has been vomiting so many times over the past months without reflief from anti-vomit/ememics medications is an indication to investigate the cauase of his vomiting spells deeper than just from his stomach. A neurologist would have to order an EEG (electroencephalogram, "encephalo"~ brain), which is like an ECG (electrocardiogram) for your heart, but for your brain. It measures the brain's activity via electric brain waves. II his case, his neurologist may want to do this EEG at night while your son sleeps to record how it functions and particularly how the brain functions when his vomiting spells happen. If the brain waves record abnormally during his vomiting spells, then it will reflect a seizure during that time.

 

If no seizure is recorded during his vomiting spells, then my second thought would be CVS or cyclic vomiting syndrome. Outside of those two, vomiting in a child could arise from congenital malformations in the abdominal organs, such as what's seen in intussusception (with bloody/mucous stools, a current-jelly like appearance),others that are usually noticed at or near birth like pyloric stenosis & TE fistulas. Since you said that the only significant problem after birth was sleep apnea, his vomiting may be more in nature of the first two conditions I mentioned.

Therefore, check with his doctor to investigate CVS or Epilepsy possibilities for your son since he is still vomiting and meds are not resolving it. Is there anything abnormal about the appearance of his stomach/abdomen area, such as any thing protruding out or if his tummy is tight or distended? Have his pediatrician double check for those things. However, since your son has had such a long history of vomiting, make sure that his electrolytes,fluids, & blood pH are balanced. If he is ill-appearing/irritable/changes his normal child behavior/listless/headaches/stomach pain/blood in stool/vomit/urine, fever, problems breathing or inside his mouth is dry or diarrhea, take him to the ER to be evaluated.

I will give you links to review these situations in more detail, and again review the above possibilities with your son's pediatrician. I hope this information will help you and your son on his quest for health and wellness. I empathize with your son's plight and I hope your family will finally be able to have some options to work with. Please feel free to contact me for additional help. Thanks for posting your question and best of luck! :) ~RoseMD

http://www.meridianinstitute.com/abepilep.htm

http://www.epilepsy.com/EPILEPSY/seizure_atypicalabsence

http://digestive.niddk.nih.gov/ddiseases/pubs/cvs/index.htm

http://www.healthsquare.com/mc/fgmc0512.htm