What causes vomiting in babies/kids?
NEONATES AND YOUNG INFANTS:
Gastroesophageal reflux disease:
Seen in minority of kids. Most kids are “happy spitters”; they effortless regurgitate mild amounts of milk. In actually GERD, infants tend to have recurrent fussiness or irritability and feeding aversion.
Milk protein induced enteritis:
Intolerance of dietary proteins (most commonly milk protein) typically presents with bloody stools. However, in some infants, they may have vomiting.
Occurs in approximately 3 in 1,000 live births, more commonly in males. The classic presentation of is a three-to six-week-old baby who develops immediate non-bilious, often projectile vomiting after eating and demands to be re-fed soon afterwards (a “hungry vomiter”).
Frequently causes bile staining in the vomit.
Causes of infant intestinal obstruction:
Malrotation – anomaly of fetal intestinal development
Hirschsprung disease – bilious vomit, abdominal distension, and failure to pass stool
OLDER INFANTS AND CHILDREN:
Usually is viral.
Condition of impaired emptying of gastric contents. May cause vomiting after meals; usually occurs many hours after ingestion of food.
Most common cause of intestinal obstruction in infants between 6 and 36 months of age. Patients typically develop the sudden onset of intermittent, severe, crampy, progressive abdominal pain, accompanied by inconsolable crying and drawing up of the legs toward the abdomen. Vomiting may follow.