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Dr. Paul Brazzell here.
When is the last time that he vomited? Any diarrhea?
This is either acute gastritis or pancreatitis
Of course it could be other things too like metabolic disease- kidney, liver, electrolytes- or organ enlargement etc etc
But playing the odds it is likely either of the first two.
Still bright and alert? Drinking water?
Alright here is the plan:
No food till tomorrow
Water is okay. Can also offer pedialyte or gatorade
Buy some Zantac and give 1.0 mg/kg three times a day by mouth- Antacid and pro-motility drug.
Monitor for continued vomiting, lethargy, diarrhea, blood in vomit, abdominal discomfort
IF no vomiting then start with cooked hamburger and rice tomorrow AM
IF vomiting persists then he needs to be examined and his blood/urine tested and possible xrays/ultrasound of the abdomen performed
Please update me tonight at say 10:00PM
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