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What Causes Vomiting In An Infant?

Posted on Wed, 28 May 2014

Question: Hi my 9 week old baby boy has soy and cows milk protein intolerance. He has been on an amino based formula for a week. He is doing much better but still vomiting lots and he is doing some big foul acid smelling, green poops and some are sickly sweet smelling, mustard colour with mucus in them. What could be causing this?

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer:
There is no cause for concern

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

The most commonest cause for vomiting in 9 weeks baby is Gastroesophageal reflux due to improper burping. Is the child burped well after every feeds?
The colour of stools of formula feed babies vary from yellow to green unlike typical yellow stools of exclusively breast feed babies.
There is no cause for concern if the following points are fulfilled
1. Baby accepting feeds well
3. Sleeps for 1 to 2 hours after every feeds
3. No excessive crying
4.no distension of abdomen
5. No redness in peri anal region
6. Gaining weight adequately

In case you require any further assistance, will be glad to assist you.

Take care

Best Regards
Dr Deepak Kishore
MBBS, MS, MCH
Consultant Pediatric Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (15 minutes later)

I make sure I burp him 3-4 times during a feed but he still vomits. He does have pretty bad nappy rash, it will blister and bleed at times. He does not cry as much as he used to, maybe 2hours a day but he is very hyper and will only sleep for XXXXXXX 40mins between feeds.

Answered by Dr. Deepak Kishore Kaltari (41 minutes later)

Brief Answer:
Apply Himalaya diaper rash cream

Detailed Answer:
Hi
Greetings

One of the reason why he cries is because of his nappy rash . I would suggest you the following which will definitely help
1. Give him bath twice a day , it will help remove stool residue which will be beneficial in management of diaper rash
2. Apply any of the following diaper rash cream

Himalaya Diaper rash cream
Sebamed Diaper rash cream XXXXXXX and XXXXXXX diaper rash.

I prefer Himalaya diaper rash cream
3. Change the diapers regularly: Clean it after urine as well as passing stools with baby wipes.
4. Always keep the area dry

Coming to the issue of vomiting, I would require additional information
1. Does the baby vomit the whole feeds or it is just little amount of curdled milk coming out?
2.Does he vomit after every feeds
3. Is he gaining weight adequately
4. Is his urine output adequate: Normally a 9 week child passes urine 6 to 8 times in a day

If the baby is vomiting small amount of curdled feeds it's likely to be only regurgitation. Feeding the baby in head up position or back supported with head up will be beneficial. If possible try to give breastfeeding.

Do get back to me with the detail so that I am able to assist you further.

Take care

Best Regards
Deepak

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar