My 2 year old (28 mos) daughter has been vomiting
sporadically for 6 days, very little food intake, fair to good fluid intake. She is sleeping quite a lot more than normal, but when she is awake, she is not lethargic. She seems happy and often playful, even surprisingly exuberant at times, though she has a marked decrease in overall energy (The first two days, she mostly just sat or slept on the chaise). If I have to wake her from sleep, though, she is extremely weepy and inconsolable for at least half an hour.
On day 1, it started with spontaneous vomiting (after suddenly gagging out of nowhere on nothing) one afternoon, approx. 5 hrs after lunch. I did note foods from lunch in the vomitus, along with what seemed to be large amounts of saliva--if it contained true mucus, it was clear. Vomited 4 or 5 times in the first hour, after that it was only after consuming anything (even fluids--and often even just swallowing saliva) for the next few hours. Within 4 or 5 hrs she was taking fluids again, mostly water
or enhanced water with electrolytes.
It has pretty much maintained this course ever since. Decrease in hunger, but when she is hungry or asks for something, she can't keep it down, still throwing up what seems to be a large amount of saliva. I'm giving her watered down white grape juice now, and she tolerated some orange juice today. Over the course of 6 days, she has successfully held down, in total: approx. 2 whole graham crackers (about an eighth of a cracker at a time), 8 saltines, 1.5 cups of honey Kix cereal, 2 cups of cinnamon applesauce, a slice and a half of american cheese, and about one 4oz "pouch" of apple(+veggies)sauce. Most food is rejected within seconds of it passing her lips, the nausea
and gagging starting before she can even chew. I've noticed that proteins are rejected fastest (any and all meats, eggs, etc). She has tolerated the cheese only in very very small pinches. Gummy vitamins (tried giving a half of one, then a quarter of one) are thrown up within a minute or two. Now she refuses them entirely. The only food she can consistently keep down are small "sips" of applesauce.
As for bowel activity, no bm on days 1 and 2, a normal consistency (though a bit smaller than usual) bm on day 3. No bm on days 4 or 5. Now on day 6, bm x 3 but all very loose (almost diarrheal but opaque, somewhat muddy), decreasing volume with each one. Noted that the second one was almost "grainy". Bm's did not occur until she was given fruit juice (white grape, watered down). In order to increase caloric intake, I strengthened the juice today (day 6--approx half and half). This could explain the increase in bowel activity as well as the loosening of the stool, but not the graininess---i've never seen that before, even at full strength juice. Urine output is sufficient, but not quite as much as normal (she is potty trained and goes in an empty standalone training potty, so I can monitor her outs).
She normally eats heartily, drinks like a fish, and has bowel movements
daily. She has suffered constipation
issues in the past but she has been regular (via white grape juice daily) for 6 months now. If it matters, when her constipation issues began, her ped at the time ordered her off all dairy products until it was resolved (she was a 24+ oz a day milk drinker). It took almost two weeks and she has not liked milk ever since, will only drink it rarely now; giving calcium and vit d supplementation via orange juice, a daily Tums, etc.
She has a low-grade fever
today only after having to wake her (twice--pick up brother from school and make a run to the store for more juice and applesauce in the evening). Other than that she has had no fever. At first, it looked like the rotavirus or norovirus (her brother and I have both had it in the past), or possibly something she swallowed that her body was trying to reject (a lego or perhaps a piece of dog food or something). But the way it's playing out, this does not seem to be either issue.
She is not complaining of any pain, stomach or otherwise, except for when food is in her mouth---she cringes and then starts crying--sometimes a minute or two after swallowing, sometimes while it's still in her mouth.
I'm not a rush-off-to-the-doctor/freak-out-at-every-sniffle kind of person, I know how to keep her hydrated, replace salts, creatively get more calories into her, wait it out, etc... but this progression is perplexing and I honestly am concerned now--because she hasn't begun to improve, I worry that whatever is wrong could be getting worse.
I have not taken her to the doctor yet, was expecting her to start bouncing back, but she threw up again at the store tonight, and then again at home before bed. What on earth could be causing this??
Please forgive me for such a long "question", just wanted to provide all possible info to give an accurate picture.