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Vomiting due to reflux? or nausea? Help!

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I feel stupid for asking this...but how can I tell if my 3 year old's

vomiting is due to reflux or nausea? Is there a difference?

My son has reflux and has been taking prilosec for it. His reflux

appears to have been under control lately, so I am really puzzled by

his vomiting last night. He ate moderately at dinner, and when the

night time came I gave him a bath. He sat and played with his toys in

the bathtub, and as usual I sat at his side and started offering him

a bottle of pediasure one sip at a time. He didn't resist the bottle

and took in about 6oz of pediasure in about 15 minutes. Everything

seemed ok, then a little while later he stopped playing and seemed to

be getting anxious and in discomfort. I noticed that he kept

swallowing saliva from time to time. I suddenly realized that he was

trying to fight back the urge to vomit! I got him out of the bathtub

and tried to distract him with books and stories. For a little while

it seemed like his urge to vomit had subsided. But then the

swallowing motion came back and he seemed to be in increasing

discomfort. He wondered around in the room anxiously and started

wimpering. A few minutes later he finally started vomiting violently.

He was obviously miserable from the retching as food and fluids

rushing out of his mouth and nose (sorry for gross details!). He

vomited several times until he emptyed his stomach.

I am really worried and confused. Although he has reflux, he usually

does not have it at night time, plus he usually vomits *without* any

warning signs and never appeared to be bothered by it that much. I

suspect this is unrelated to reflux, maybe an upset stomach or

nausea? But how can I tell?

Any ideas? Please help! Thanks so much!

Bo

(Mom to , IUGR/SGA, 3yos 2mons, 28lbs, 35.5 " )

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Hey Bo,

This sounds more like a stomach virus to me. Hopefully just a quick bug that

comes and goes. Keep us updated.

Pat (g-ma to , RSS, 21.5 months, 19# 5oz, 29.5 " , Prevacid, Zantac,

Singulair, GT)

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Does he have a fever?

Inga

At 05:29 PM 10/13/2003 +0000, you wrote:

>I feel stupid for asking this...but how can I tell if my 3 year old's

>vomiting is due to reflux or nausea? Is there a difference?

>

>My son has reflux and has been taking prilosec for it. His reflux

>appears to have been under control lately, so I am really puzzled by

>his vomiting last night. He ate moderately at dinner, and when the

>night time came I gave him a bath. He sat and played with his toys in

>the bathtub, and as usual I sat at his side and started offering him

>a bottle of pediasure one sip at a time. He didn't resist the bottle

>and took in about 6oz of pediasure in about 15 minutes. Everything

>seemed ok, then a little while later he stopped playing and seemed to

>be getting anxious and in discomfort. I noticed that he kept

>swallowing saliva from time to time. I suddenly realized that he was

>trying to fight back the urge to vomit! I got him out of the bathtub

>and tried to distract him with books and stories. For a little while

>it seemed like his urge to vomit had subsided. But then the

>swallowing motion came back and he seemed to be in increasing

>discomfort. He wondered around in the room anxiously and started

>wimpering. A few minutes later he finally started vomiting violently.

>He was obviously miserable from the retching as food and fluids

>rushing out of his mouth and nose (sorry for gross details!). He

>vomited several times until he emptyed his stomach.

>

>I am really worried and confused. Although he has reflux, he usually

>does not have it at night time, plus he usually vomits *without* any

>warning signs and never appeared to be bothered by it that much. I

>suspect this is unrelated to reflux, maybe an upset stomach or

>nausea? But how can I tell?

>

>Any ideas? Please help! Thanks so much!

>

>Bo

>(Mom to , IUGR/SGA, 3yos 2mons, 28lbs, 35.5 " )

>

>

>

>

>

>

>

>

>

>

>

>

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What you have just described is EXACTLY what happens with Finlay

(sometimes a couple of times a day) - we still have not got to the

bottom of why this happens - My advice for you is just to keep an eye

on it - keep a log if it starts to happen more frequently - we have

even videoed Finlay having one of these episodes to show his drs.

Have you ever noticed that has the discomfort without the

vomiting? Finlay will sometimes successfully fight the urge to

vomit.

Email me privately if you want anymore info.

All the best

(Finlay nearly 4, 90cms, 11.1kgs, G-tube, RSS)

-- In RSS-Support , " breezesunshine "

wrote:

> I feel stupid for asking this...but how can I tell if my 3 year

old's

> vomiting is due to reflux or nausea? Is there a difference?

>

> My son has reflux and has been taking prilosec for it. His reflux

> appears to have been under control lately, so I am really puzzled

by

> his vomiting last night. He ate moderately at dinner, and when the

> night time came I gave him a bath. He sat and played with his toys

in

> the bathtub, and as usual I sat at his side and started offering

him

> a bottle of pediasure one sip at a time. He didn't resist the

bottle

> and took in about 6oz of pediasure in about 15 minutes. Everything

> seemed ok, then a little while later he stopped playing and seemed

to

> be getting anxious and in discomfort. I noticed that he kept

> swallowing saliva from time to time. I suddenly realized that he

was

> trying to fight back the urge to vomit! I got him out of the

bathtub

> and tried to distract him with books and stories. For a little

while

> it seemed like his urge to vomit had subsided. But then the

> swallowing motion came back and he seemed to be in increasing

> discomfort. He wondered around in the room anxiously and started

> wimpering. A few minutes later he finally started vomiting

violently.

> He was obviously miserable from the retching as food and fluids

> rushing out of his mouth and nose (sorry for gross details!). He

> vomited several times until he emptyed his stomach.

>

> I am really worried and confused. Although he has reflux, he

usually

> does not have it at night time, plus he usually vomits *without*

any

> warning signs and never appeared to be bothered by it that much. I

> suspect this is unrelated to reflux, maybe an upset stomach or

> nausea? But how can I tell?

>

> Any ideas? Please help! Thanks so much!

>

> Bo

> (Mom to , IUGR/SGA, 3yos 2mons, 28lbs, 35.5 " )

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Bo,

Like , what you have described is exactly what Max goes

through. Fortunately, Max is older (15) and can tell us how he is

feeling and what is going on. He will eat, then start to feel

really uncomfortable - to the point where he wants to stick his

fingers down his throat to cause himself to vomit! We don't allow

that, although I must confess that I once did let him because he was

just so miserable and it had gone on for over an hour, so I let him

try to see if he got any relief.

I am not positive that this is reflux. While I do think it is a

factor, I also think that it is caused by delayed gastric emptying

and the body's need to purge itself to empty the stomach one way or

another. I'm sure you have felt this way after overeating, you

know, that awful discomfort that keeps you awake at night until your

stomach finally digests the food. But our kids can't do that and

their bodies won't let them. RSS/SGA kids are more likely to have

episodes or continuous bouts of delayed emptying - even if they have

had the pyloraplasty which is supposed to help.

I do not know what the answer is. For those with a g-tube, venting

sometimes does the trick. But not always. I hope these episodes

don't continue. They are disconcerting for everyone, especially the

child who is going through it.

Jodi

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