Five month old baby vomiting a lot

If a 5-month-old baby vomits a lot, the first thing to consider is systemic infection such as digestive tract infection, gastritis, enteritis, appendicitis, and even respiratory tract infection. In addition, digestive tract dysfunction and esophageal spasm may all lead to massive vomiting. Parents should take their children to the hospital for examination in time and do not delay the treatment of the disease.

Pathological etiology

There are many reasons for vomiting, the most common ones are as follows:

1. Digestive tract infectious diseases such as gastritis, enteritis, appendicitis, etc.

2. Systemic infectious diseases such as respiratory tract infection, tonsillitis, etc.

3. Organic obstruction of the digestive tract such as esophageal atresia, intestinal duplication, congenital megacolon, anal atresia, intussusception, pyloric obstruction, gastric torsion, intestinal torsion, etc.

4. Digestive tract dysfunction such as functional dyspepsia, gastroesophageal reflux disease, esophageal spasm, pyloric spasm, etc.

5. Central nervous system infections such as meningitis, encephalitis, etc.

6. Intracranial tumors and cerebral vascular malformations.

7. Abnormal cerebellar or vestibular function.

8. Metabolic disorders such as metabolic acidosis, uremia, hyperammonemia, ketonemia, abnormal amino acid metabolism and adrenal hyperplasia.

9. Recurrent vomiting, psychogenic vomiting and autonomic epilepsy, etc.

10. Swallowing syndrome Newborns may vomit within 1 to 2 days after birth due to swallowing too much amniotic fluid, which is called swallowing syndrome.

Disease diagnosis

First, identify whether it is milk regurgitation or vomiting, whether it is caused by improper feeding or disease factors; secondly, identify whether it is caused by gastrointestinal disease or systemic disease factors, whether it is caused by internal medicine disease or internal and external diseases, so as to further examine, make an early diagnosis, and treat it in time.

Identification of persistent vomiting:

1. Acute gastroenteritis The most common type in children is acute simple gastritis. It may be caused by improper diet or medication. Symptoms include upper abdominal discomfort, pain, nausea, vomiting, and loss of appetite, which are generally not serious. Clinically, acute gastroenteritis is commonly caused by eating food contaminated by bacteria. The symptoms vary in severity and occur within a few hours or 24 hours after eating. Nausea, vomiting, severe abdominal pain, and watery diarrhea are often accompanied. Severe cases are accompanied by fever, dehydration, acidosis and even shock. The course of the disease is generally short, and the condition improves after 1 to 2 days of treatment.

2. Viral hepatitis: Vomiting often occurs in the early stage of the disease, and vomiting gradually subsides after jaundice appears.

3. Biliary Ascariasis This disease is characterized by paroxysmal severe colic in the right upper abdomen, accompanied by frequent vomiting, often vomiting of ascaris or bile.