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Child has allergy/asthma cough. Vomitting yellow liquid. No other symptoms. What could it be?

I have a 4 yr old who has allergy/ asthma cough . She has been totally fine, she woke up 4 times last night and started throwing up bright yellow (last one was a bit more green) since 3 am she has thrown up at least 5 times now, she seems otherwise totally fine. No fever at all, just a cough. Her 2 yr old sister was born with Malrotation and had emergency surgery just wondering if this could be in anyway any obstruction like that since she is showing NO other signs of being sick
Asked On : Thu, 21 Mar 2013
Answers:  3 Views:  45
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Pediatrician 's  Response
Feb 2013
Thank you for your query on Healthcare Magic.
The sudden vomitings are looking like due to acute gastritis by some contamination.
But as there is bilious vomiting is there, upper intestinal obstruction has to be ruled out.
I advise you to give one dose of anti emetic like ondansetron in prescribed dosage to control vomiting.
Give sips of oral rehydration solutions like Pedialyte to prevent dehydration after giving anti emetic.
Consult your Pediatrician as early as possible to rule out the possibility of obstruction by investigating her with imaging like x-ray abdomen erect.
Hope I have answered your query.
Answered: Fri, 22 Mar 2013
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Pediatrician Dr. Y V Siva Sankara Murty's  Response

Thanks for writing to health care magic.

Cough can be associated with vomiting. A child with full stomach can vomit after a bout of cough.

But the history you are giving does not indicate that the child is vomiting after cough.

Does she have any other problem?
Does she complain of pain abdomen?
Is there any distension of abdomen?
Are there any loose stool associated?
Is the vomit projectile?

Please reply in detail so that I can help you better.
Take care
Answered: Thu, 21 Mar 2013
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General & Family Physician Dr. Jay Patel's  Response

Based on the description it seems more like to be some short of intestinal obstruction since their was "NO FEVER" and was fine but she still has some cough so it might be slight chances of some mild viral gastritis

Now here is what I think
1) viral infection (less likely based on the description)
2) Food poisoning (in such case all the person who ate same food should have similar symptoms)
2) Intussusception (More likely due to green vomit and history of malrotation in other child )

Now let me throw some light on "INTERSSUSCEPTION" it means the tube in tube like one end in intestine goes in and under the other end on intestine like the tubing as we make a joint in the water-pipe/hose.

The mostly it occurs in children under 5 yrs but its not restricted to children adult may have it too
here are some sign and symptoms of "INTERSSUSCEPTION"
1)Severe abdominal pain that may be continuous or may come and go.
2)Decrease in activity (lethargy).
3)Passing stools that contain blood or mucus.
4)Vomiting. Sometimes vomit appears as a green fluid.


CONSULT-Gastroenterologist / go for emergency (if too much abdominal pain/ increase vomiting) As soon as possible,

Answered: Thu, 21 Mar 2013
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