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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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17 Month Old Has High Fever, Vomiting Dark Brown. Blood Work Normal. Is This Normal On Empty Stomach ?

My 17 mo old has had a high fever the past 2 days. We took him to the ER last night with a fever of 104.7. All blood work came back normal. He isn t eating/drinking now and started vomiting dark brown at 3am. Im waiting for a call from the doctors office to get him back in...just wondering if dark brown vomit on an empty stomach is normal?
Mon, 5 Nov 2012
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Pediatrician, Neonatology,  's  Response
Hi
Your child may be in danger.
Dark brown vomiting in empty stomach may be due to hemorrhage (bleeding) in gastrointestinal(GI) tract. Blood turns brown after clotting and reacting with GI acid and enzymes in stomach.

Even though the blood reports are normal (I don't know what reports you have done), refusal to eat / drink with fever is danger sign. It could be due to septicemia (infection).
Fever of 104.7 degree F is itself suggestive of underlying severe disease.

If your child is not taking food / water, he will be dehydrated soon and may need intravenous fluid therapy.

Other possibility of the dark brown colour could be due to any residue of oral medications that the child had.

Common causes of these symptoms are septicemia, malaria, typhoid fever, gastroenteritis etc. All of these needs urgent treatment. So, it would be wise to get your child examined by doctor as soon as possible and start necessary treatment. The condition of your child is serious.
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17 Month Old Has High Fever, Vomiting Dark Brown. Blood Work Normal. Is This Normal On Empty Stomach ?

Hi Your child may be in danger. Dark brown vomiting in empty stomach may be due to hemorrhage (bleeding) in gastrointestinal(GI) tract. Blood turns brown after clotting and reacting with GI acid and enzymes in stomach. Even though the blood reports are normal (I don t know what reports you have done), refusal to eat / drink with fever is danger sign. It could be due to septicemia (infection). Fever of 104.7 degree F is itself suggestive of underlying severe disease. If your child is not taking food / water, he will be dehydrated soon and may need intravenous fluid therapy. Other possibility of the dark brown colour could be due to any residue of oral medications that the child had. Common causes of these symptoms are septicemia, malaria, typhoid fever, gastroenteritis etc. All of these needs urgent treatment. So, it would be wise to get your child examined by doctor as soon as possible and start necessary treatment. The condition of your child is serious.