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Forum Name: Pediatric Topics

Question: vomiting/spitting up?


 Archiebald - Sun Sep 09, 2007 3:51 pm

My daugher wiill be 3 mnths next week, the last few weeks she has started to vomit 1 -2 times a week, it will happen 3 times in a few seconds, it comes out her mouth and nose, she is happy before it happens and after does not seem to bother her, is this something that need to be evaluated by dr or just normal?
 Dr. Chan Lowe - Sun Sep 09, 2007 9:46 pm

User avatar Hi Archiebald,

There are a few possibilities. Most commonly, this will be due to reflux. All babies reflux to some degree. Some will be more severe than others. Doing things like keeping her upright for about 30 minutes after eating, frequent burping during feedings and elevating the head of her bed when she sleeps can help this. In some cases the reflux can be severe enough to require medications.

This time of year is also viral gastroenteritis season (stomach flu). If she also has diarrhea or a slight fever she may have a virus causing her to throw up more.

One other thing that doesn't sound like it fits as well but should be kept in mind is a condition called pyloric stenosis where the muscle of the stomach outlet (the pylorus) becomes swollen and blocks of the ability of the food to exit the stomach normally. When this occurs it classically produces projectile vomiting where it appears that the baby vomits and it shoots across the room.

If the vomiting gets worse she should be evaluated by her doctor.

Best wishes.

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