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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The Symptom Of Frequent Vomiting?

My 2 1/2 year old daughter had symptoms including: vomiting 3-4 times a day x4 days, no appetite, irritability. Meanwhile afebrile and drinking adequately. When she was not vomiting, she was going to the bathroom every 1-2 minutes because she felt like she was going to throw up. Bms normal for her. On the 3rd day, urine output decreased and she began having typical uti symptoms. Still afebrile. That night, she woke up screaming that her back hurt, so we went to the ped the next morning. By this point she had voided approx 80-100 ml over 24 hrs. Vomiting had stopped, but still no appetite, c/o belly pain and constant need to vomit. Ped had negative urine culture, negative renal u/s, cbc and chem 7 unremarkable, sed rate wnl, and u/a wnl except for slight increase in ketones (lack of eating) and her urobilinogen was 4 (highest end of ref. range is 1 from the lab used). The ped (not who my daughter usually sees) said that she doesn t know what that means, and that she never understood it since med school. I m am a nurse, therefore not trained at the level of a physician. I don t know what the significance of this is, but i feel like it wouldn t be included on the u/a if it didn t serve a purpose. She s on the mend. What does this value mean, and is this something I should pursue even though she seems to be getting better? Thanks in advance!!!
Fri, 18 Jul 2014
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Pediatrician, Infectious Diseases 's  Response
BASED ON HISTORY AND OTHER INFORMATION, IT COULD BE BECAUSE OF THE EARLY LIVER INFECTION BY MOST COMMONLY HEPATITIS A VIRUS, OR ANY OTHER. NEED TO CHECK HER BLOOD SAMPLE FOR LIVER FUNCTIONS. SHE SHOULD BE IMPROVING ON BED REST, BASIC CARE OF HER HYDRATION AND HIGH PROTIEN DIET AND NO BUISCUITS. WATCH FOR ANY SIGNS OF ABNORMAL MENTAL BEHAVIOUR .
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What Causes The Symptom Of Frequent Vomiting?

BASED ON HISTORY AND OTHER INFORMATION, IT COULD BE BECAUSE OF THE EARLY LIVER INFECTION BY MOST COMMONLY HEPATITIS A VIRUS, OR ANY OTHER. NEED TO CHECK HER BLOOD SAMPLE FOR LIVER FUNCTIONS. SHE SHOULD BE IMPROVING ON BED REST, BASIC CARE OF HER HYDRATION AND HIGH PROTIEN DIET AND NO BUISCUITS. WATCH FOR ANY SIGNS OF ABNORMAL MENTAL BEHAVIOUR .