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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Leads To Frequent Vomiting?

Hi, my granddaughter, 26 months old, was diagnosed a with celiac disease a week ago. Her primary symptom that I am concerned about is her vomiting which has been happening on the average of 2 to 3 times a day for the last 3 to 4 weeks. We started her on a gluten free diet since four days ago. She is still vomiting, just once today, her behavior has been less irritable. I know it takes time for this gluten free diet to clean the system. I am concerned, could this be something else? Something more serious that we should be looking at? Her doctor said to verify that this is the actual diagnose we would need to get a biopsy of her small intestine. My daughter is calling her doctor tomorrow to try and schedule one ASAP. She also has been having bouts of ear infections, doctor at first that her vomiting might be happening because of the ear infection, but did further lab work and found in her blood test that she had a high count of (I m not sure about this) but I think it was PTT count??? She is scheduled to have tubes in her ear in about a month. Nevertheless, I am so scared that this could be worst than celiac disease. I understand that this disease is manageable, but it doesn t seem like it is working fast enough. Does it take some time for her gluten-free diet to work. Will her vomiting lessen. I appreciate any information you can give me to put my mind at ease. Thank you, JM
Fri, 27 Apr 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

The possible issue here for vomiting may be
- Drug induced gastritis from medicines used for ear infection.
- Gastric irritation from underlying systemic effects of infection.
- Stress related.
- Altered gut flora from intestine pathology.

Gluten free diet works within period of time depending upon the
individual’s immune response. Discuss about addition of anti-emetic and proton pump inhibitor in current drug basket. Check that she has regular smooth bowel movements. Management of stress is also a vital part in this case.

I hope I have answered your query. Let me know if you have any further questions.
Regards,
Dr. Bhagyesh V. Patel
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What Leads To Frequent Vomiting?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The possible issue here for vomiting may be - Drug induced gastritis from medicines used for ear infection. - Gastric irritation from underlying systemic effects of infection. - Stress related. - Altered gut flora from intestine pathology. Gluten free diet works within period of time depending upon the individual’s immune response. Discuss about addition of anti-emetic and proton pump inhibitor in current drug basket. Check that she has regular smooth bowel movements. Management of stress is also a vital part in this case. I hope I have answered your query. Let me know if you have any further questions. Regards, Dr. Bhagyesh V. Patel