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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Infant Has Frequent Vomiting Since Birth, Seems To Have Weight Loss. Ultrasound Results Normal. Remedy?

Hey, my son will be 4 months on Friday. He has been puking since birth. He was breast fed till 3 weeks then ran out of milk so has been on good start formula ever since but still puking. Our family dr has tried him on 2 types of medicine and has had a ultrasound done and they ain t working, and ultrasound came back fine. He started losing weight about 3 weeks ago (not to sure his weight at this moment) but he should not be puking this much. Usually the whole bottle comes up either right away, or even hours after? What should I do????
Wed, 9 Jan 2013
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Pediatrician,  's  Response
Hi
Thank you for your query on Healthcare Magic,
In infants the common cause of puking is Gastroesophageal reflux which is due to lax lower esophageal sphincter.
As age increase this problem will subside, in 80 percent by 6 months and in 90 percent by 1 year.
Nothing to worry as the ultrasound is normal and your doctor examine your child.
Documentation of weight is important as to compare the present one with the previous one.
As the age increases the weight will increase, but the rate of weight gain decreases. In the initial 2 months the daily weight gain is 30 grams per day and from 3 months of age it is 20-25 grams per day.
Try to give small feeds frequently and burp the child after every feed and before burping hold the child in vertical position for 5 to 10 minutes.
Prokinetic drugs like domperidone or metoclopramide can be give to decrease the vomitings after consulting your Pediatrician.
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Infant Has Frequent Vomiting Since Birth, Seems To Have Weight Loss. Ultrasound Results Normal. Remedy?

Hi Thank you for your query on Healthcare Magic, In infants the common cause of puking is Gastroesophageal reflux which is due to lax lower esophageal sphincter. As age increase this problem will subside, in 80 percent by 6 months and in 90 percent by 1 year. Nothing to worry as the ultrasound is normal and your doctor examine your child. Documentation of weight is important as to compare the present one with the previous one. As the age increases the weight will increase, but the rate of weight gain decreases. In the initial 2 months the daily weight gain is 30 grams per day and from 3 months of age it is 20-25 grams per day. Try to give small feeds frequently and burp the child after every feed and before burping hold the child in vertical position for 5 to 10 minutes. Prokinetic drugs like domperidone or metoclopramide can be give to decrease the vomitings after consulting your Pediatrician.