Suggest Treatment For Recurrent Nausea In A Child
Please answer my questions for me to guide you better
Detailed Answer:
Hi.... I understand your concern. But I need more information regarding your child to help you better.
Please answer my questions.
Questions -
1. Is there only nausea or is there vomiting also?
2. How frequently do the symptoms occur? I need you to say whether weekly how many times or monthly how many times like that.
3. Is there any family history of gastritis of peptic ulcer or gastro-oesophageal Reflux or Pancreatitis?
4. Is nausea associated with headache?
5. Is there any pain abdomen associated with nausea?
6. If he has vomiting is it bilious vomiting or green coloured vomiting?
7. Is the nausea associated with fever or loose motions of diarrhoea or constipation?
Please get back to me with answers.
Regards - Dr. Sumanth
Could be 2-4 times per week
No family history
No headaches
No abdo pain
No fever loose stools etc
It could be gastroesophageal reflux
Detailed Answer:
Hi....by what you quote I feel that the kid is having GER (gastroesophageal reflux).
Your kid will need -
1. Evaluation and proper physical examination keeping in mind gastro-oesophageal reflux.
2. Antireflux therapy - Proton pump inhibitors + antiemetics
3. Always make the kid lie down in a propped up position - as in the car seat. The kid should not be sleeping completely flatly.
4. Avoid heavy feeding and feeding more times and in small aliquots.
Your kid needs expert gastroenterology consultation.
Regards - Dr. Sumanth