How does the child vomit?

Not long ago, I saw a Chinese medicine doctor on Weibo, This paper introduces the treatment methods of spitting milk in children, Said dip your finger in ice boron powder (editor’s note: Click on the drug to check the adverse reactions. Search for the drug on the client to see the safety warning information for careful use), and press the tongue root [Huoding]. Regardless of whether the drug is poisonous or not, it is not hygienic. Healthy children may cause vomiting and aspiration if they stimulate their throats in this way. Such misleading makes people feel strange.

Vomiting is actually a very common symptom. From birth to adulthood, almost every child will experience vomiting. When vomiting, the child looks very painful. Parents often worry about whether the child has serious what problems and will be very nervous. Moreover, they do not know that how can help the child, so they give some people the opportunity to mislead.

However, there are many reasons for vomiting, and the reasons are also very different at different ages. The reasons are different, and the treatment methods will naturally be different. It is definitely unscientific to treat all vomiting with one method.

1. Physiological vomiting of infants

For newborns, although there are many causes of vomiting, most of them are physiological and need not worry too much.

During the newborn period, the volume of the child’s gastric cavity is very small, and the stomach is transverse, with uncoordinated nerve control or relatively relaxed muscles at the end of esophagus. When you feed too much, or eat too much gas, or the child moves too violently after feeding milk, it may lead to spitting milk. This kind of spitting milk child often does not have what’s painful expression, as long as it is not too frequent, it basically does not affect development.

For this kind of spitting milk, we can improve the feeding method, such as feeding a small amount of times to prevent the child from being fed again when he is very hungry, or we can stand up and pat his back after feeding, so that the child can belch and expel the gas from his stomach (see the figure below for the method), and hold him vertically more, all of which can reduce the spitting milk of the child.

With the growth of the child, the volume of the gastric cavity gradually increases, the stomach gradually becomes more erect, and the pressure of the lower esophageal sphincter increases. When the child will sit still, the milk will be vomited less and less.

2. Pathological vomiting in infants

However, there are also some vomiting caused by some troublesome and serious diseases, and some still need surgical treatment. If there are any of the following conditions, you must see a doctor.

A. Vomiting foam frequently as soon as you are born, vomiting and choking cough as soon as you are nursing, be careful whether there is esophageal atresia.

B. Frequent vomiting on the day of birth or within a few days, especially yellow or green vomitus, indicates that the child may have congenital malformations, such as intestinal malrotation, intestinal stenosis, intestinal atresia, etc.

C. Vomiting is bloody or brown, indicating that the child may have gastrointestinal hemorrhage.

D. Vomiting is accompanied by abdominal distension, which also requires vigilance against intestinal obstruction. If defecation is difficult at the same time, vigilance should be given to Hirschsprung’s disease. If hernia occurs, attention should also be paid to whether the output value is stuck.

E. Vomiting is accompanied by bloody stool. If diarrhea occurs at the same time, it may be common enteritis, but we should also guard against dangerous diseases such as intussusception, necrotizing enteritis and volvulus.

F. Vomiting is accompanied by fever, which requires vigilance against infectious diseases, including digestive tract infection, intracranial infection, otitis media, and some systemic systemic infections.

G. Children vomit soon after eating milk, and vomit more and more frequently, especially for children between 2 weeks and 4 months, be careful of pyloric hypertrophic stenosis.

H. If the child’s vomiting lasts for a long time and does not relieve, it is also necessary to be alert for hereditary diseases or gastroesophageal reflux requiring surgical treatment.

3. Older children

For older children, gastroenteritis is the most common cause of vomiting, such as eating unclean things, virus or bacterial enteritis. Such children are often accompanied by diarrhea and need to be alert for dehydration.

If you have stomachache at the same time, you should be on guard against appendicitis. Vomiting after head trauma, we should also be alert for concussion, intracranial injury, hemorrhage, etc. Intracranial tumors are relatively rare. Such children are often accompanied by abnormal mental reactions, and some vomiting is caused by fulminant myocarditis, which is rare but occasionally encountered.

In short, in the face of vomiting of unknown causes, if parents are not sure, they should still find a doctor for examination and diagnosis.