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What Causes Persistent Vomiting From 14 Days, Abdominal Pain, And Headache In A 10 Year Old?

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Posted on Mon, 24 Sep 2018
Question: 10 year old boy. Day 1 complained with stomach and headache took him to doctor on was tested for strep -- negative (vomiting 1-2 times) (prescribed Zofran) Day 3 son was still vomiting and complaining of headache -- returned doctor visit -- tested positive for Influenza B. Went home and was keeping hydrated. (No fever since day 1). Day 7 still vomiting took to ER worried he was dehydrated. ER stated not dehydrated prescribed more Zofran (we were not taking it much -- he said he felt it made him sicker). (ER stated that it was the flu and could last upe to 11 days) Day 8 still did not hold down much. Took back to ER given IV and Phenegren. Phenegren seemed to help a little better. Blood work (CMP, CBC and urine all looked normal -- slight increase in Eosinophils and decreased Neutrophils) Called pediatrician next day to inform her of ER visit and that he was still vomiting. Pediatrician said could last up to 14 days (I have never heard of vomiting 14 days from a virus -- but tried to be a patient patient and wait it out). Made appointment with pediatrician for day 12 in the event he was still vomiting. Day 12 still vomiting 1st thing in AM and post eating/drinking. Ran additional blood tests -- all normal with a slight increase in Eos still. Chest Xray performed. Stated right ear was a little pink and X-ray looked 'slightly glassy' but was not pneumonia. Prescribed Azithromycin. Started Zantac 75mg saying it may be acid imbalance from viral infection. Day 14 -- still vomiting. Every morning when he wakes up he wakes up crying that his stomach and head hurt; then vomits. Have tried bland foods, drinks, popsicles -- he always vomits whatever he has attempted. It seems to be slightly better but still occurs. We just want to know what is wrong -- what we need to do to make is stop -- or even told he is faking for all I care I just need and answer. This is a very active 10 year old who has not done much of anything for 2 weeks. He did attempt to go outside on day 11 and got sick while he was outside. Any ideas of what is our problem? Pediatrician will hopefully call tomorrow (Monday) with next step. Of note Day 8 and Day 12 blood work did not have any major changes either and were basically with expected ranges for children (liver enzymes were normal with expectation of ALP (240's)-- which from what doctor says is normal for children due to bone growth.
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Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:

Persistent vomiting.

Detailed Answer:

Hello and welcome!

I appreciate your concern

Fundoscopy should be done to look for papilloedema that shows raised intracranial pressure and can result in vomiting. It should be ruled out if the vomiting is persistent.

Isotonic fluids, PPIs or H2 blockers, prokinetics can be advised to look for improvement.

An ultrasound abdomen should be done and upper GI endoscopy should be considered if the vomiting persists.

Hope I have answered your query.

wishing him best of health.

Regards,
Dr. Muhammad Sareer Khalil, General & Family Physician
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Causes Persistent Vomiting From 14 Days, Abdominal Pain, And Headache In A 10 Year Old?

Brief Answer: Persistent vomiting. Detailed Answer: Hello and welcome! I appreciate your concern Fundoscopy should be done to look for papilloedema that shows raised intracranial pressure and can result in vomiting. It should be ruled out if the vomiting is persistent. Isotonic fluids, PPIs or H2 blockers, prokinetics can be advised to look for improvement. An ultrasound abdomen should be done and upper GI endoscopy should be considered if the vomiting persists. Hope I have answered your query. wishing him best of health. Regards, Dr. Muhammad Sareer Khalil, General & Family Physician