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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Is Vomiting, Has Fever. Any Ideas?

My baby boy is 3 months today. Was exclusively BF until 4 weeks ago when I started giving formula during the day while I m at work. He gets 2-3 bottles a day, and the rest he still nurses. Last Thurs night he vomited...on Friday he did as well, after 2 bottles. Saturday after 1 bottle he vomited again, so I continued to nurse the rest of the day because he had/has no fever and was acting fine after nursing. We thought something was wrong with formula, so we returned it and got a new kind. Sunday he vomited after formula twice. Monday (yesterday) he did not vomit after formula, but vomited after nursing. I took him to urgent care last night, and then he get blood/ urine tests at hospital. Dr. said maybe pyloric stenosis . Today he didn t vomit until 2 hours after formula. Went back to Dr...lab results were normal except slightly elevated lymphocytes. She said maybe a virus...still no fever and otherwise fine. She said to do pedialyte all night and bring him back tomorrow. I just nursed him a little (he s starving), and he had some spit up, but nothing major...yet. Any ideas what this could be? The dr today said she d probably have an upper GI ultrasound done tomorrow. He s starving though. I can t just give him pedialyte!! Any help is appreciated!!
Thu, 29 Nov 2012
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Pediatrician 's  Response
Some infants have gastroesophagial reflux and because of this they will vomit. In 80% of these infants this problem will subside by 6 months and another 10% by one year. What you can give is one prokinetic drug like domperidone in a prescribed dosage.If still vomitings persist ,activity decreases, weigt of child reducing and less urine out put is there further evaluation is required in the form of ultrasound of abdomen and other investigations after consulting your doctor
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Child Is Vomiting, Has Fever. Any Ideas?

Some infants have gastroesophagial reflux and because of this they will vomit. In 80% of these infants this problem will subside by 6 months and another 10% by one year. What you can give is one prokinetic drug like domperidone in a prescribed dosage.If still vomitings persist ,activity decreases, weigt of child reducing and less urine out put is there further evaluation is required in the form of ultrasound of abdomen and other investigations after consulting your doctor