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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hematemesis In A 2 Year Old And On Omeprazole And Domperidone?

My two year old son has had melena seven times in his life. Sometimes this is accompanied by hematemesis (sometimes dark brown, sometimes bright red). He has been on omeprazole and domperidone since 3 months and every time we wean him off, we have an episode. He has recently had a negative PH reflux test and therefore come off the meds, he has also tested negative for blood clotting disorder and coeliac (he has had up to seven diarrhea type stools daily for the last six months). Today, 12 days after stopping his meds, he had an episode of melena, and the GP has put him back on omeprazole. He s also had a negative test for varices.
Mon, 17 Nov 2014
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Pediatrician, Pulmonology 's  Response
HI...it could be a Meckel' s diverticulum and needs evaluation. I know you have already investigated profoundly and have mentioned everything in the history you have provided int he query. But in all that only Meckel's diverticulium is the one which hasn't been mentioned and so I thing we need to rule that out too.
Regards - Dr. Sumanth
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What Causes Hematemesis In A 2 Year Old And On Omeprazole And Domperidone?

HI...it could be a Meckel s diverticulum and needs evaluation. I know you have already investigated profoundly and have mentioned everything in the history you have provided int he query. But in all that only Meckel s diverticulium is the one which hasn t been mentioned and so I thing we need to rule that out too. Regards - Dr. Sumanth