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Suggest Treatment For Persistent Vomiting In A Child

Posted on Thu, 15 Jun 2017

Question: my two year old son is vomitting, vomit smells like alcohol or fermented food, refusing to take food, vomit is triggered when start to take food, Dr suggested ondansetron but didnt help, kindly suggest

Answered by Dr. Arun (10 minutes later)

Brief Answer:
Needs probiotics and follow-up

Detailed Answer:
Hi
Thanks for writing to us.
Based on your history and description it looks like viral or toxic enteritis.
Vomiting could have been caused by virus or toxins in food or water.
I usually advice probiotics like bifilac one XXXXXXX twice daily to help in digestion.
Another tip is to avoid milk and oily foods to help in digestion. Give bland foods only.
If vomiting persists consult your doctor again to rule out other causes like intestinal obstruction etc I hope the blood reports come normal.
Wishing your child speedy recovery.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Arun (16 hours later)

Thank you Doctor , today i got the blood test and US scaning results for my son, i have attached those files with this question, i couldnt get sporolac sachets in shillong medical halls, Dr here sugvested that he may have mild infection but my son is dudnt get any fever, today vomutting is slightly in control but had loose motions in the morning ,
Sir kindly suggest

Answered by Dr. Arun (8 hours later)

Brief Answer:
Should settle soon. Nothing to worry

Detailed Answer:
I have seen the reports.
Nothing alarming. Just mild viral infection.
Loose stools will settle in few days.
Try bifilac or enterogermina or econorm . I am sure any one of these will be available in your area.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Arun (1 hour later)

Thank you Doctor for your kind suggestion and prompt reply, we are happy that our child is recovering fast, your timely recomendations helped us.
Just one more query that my child has poor absorption , whenever he takes food it is not absorbed properly , He passes stool within half an hour after his meal, even small pieces of vegetables are seen in the stool and he is not gaining weight , his weight is 10 kgs at present and he is 26 months now.
Your reply will help us and relieve our wories about our child health, Thanking you Sir

Answered by Dr. Arun (12 hours later)

Brief Answer:
Try iron supplements

Detailed Answer:
It is normal to see some pieces of vegetables in stools at this age
You can try iron supplements like hemsi or trifer or dexorange 5 ml once daily for 3 months. This will help in increasing weight and immunity .
Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Arun (11 hours later)

Sir, my son in his earlier reports and present reports showing elevated levels of alkaline phosphatase enzyme, what is the implication of these elevated levels ?
How can we bring these levels to normal?
if we want to meet you directly where can we meet you ?
Thank you for all your answers sir

Answered by Dr. Arun (11 hours later)

Brief Answer:
Will settle on own not very high

Detailed Answer:
Usually alkaline phosphatase is not considered high unless it is 3 to 4 times the upper limit.
Any mild viral infection can result in raised value.
In your child it is slightly high but not abnormal.
No need to worry. No treatment required.
Am based in XXXXXXX only.
Regards

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Above answer was peer-reviewed by : Dr. Kampana