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Child with abdominal pain and yellow vomit

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Child age almost 4 (in a month). Girl. No fever. No diahrea. Complains of abdomin pains around the belly button. No appetite at all. Will drink water. Vomits when she eats which is very, very little. Mostly she just vomits bile (yellow fluid).

Category: Pediatrician

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Category: ICU/ Critical Care Specialist
 24 Doctors Online

Dear Parent,

I would like to get some more information before I can offer any useful advice regarding your daughter's health. The description fits into ACUTE GASTRITIS, except for the bile in vomitus. Bile is usually greenish in colour and leaves a bitter taste. If as per your description, the fluid is indeed yellowish, then it is most likely acute gastritis.

The following measures would help your child:
1. Avoid spicy/ saucy foods; avoid chilli flakes, etc. Avoid carbonated drinks.
2. Give her plenty of fluids ( to prevent dehydration related to vomiting) as well as to improve well-being
3. Start her on Lanzol JR sachets (Lanzoprazole - Drug name) one sachet per day
4. You can also use the drug Ondansetran (Syp Emeset - based on your child's body weight)

If the vomitus is actually bilious (greenish), you need to see a pediatrician immediately. Similarly, if her oral intake is not improving with the above measures or she continues to vomit despite these medications, take her to the nearest pediatric emergency.

Hope this helps, please feel free to discuss further.

Regards
Dr Saptharishi L G


Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
Experience: 
Senior Residency: DM,  Pediatric Critical Care, PGIMER

Residency: MD, Pediatrics, Postgraduate Medical Education & Research (PGIMER), Chandigarh, 2013

Internship: JIPMER, 2009

Medical School: MBBS, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, 2008
Dr. Saptharishi L G and 4 other Medical Specialists are ready to help you

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