Question

A 4-year-old female patient. She had been coughing and taking azithromycin and cough medicine for a week ago, stopping the medication for 4-5 days. The child vomited projectile twice last night. In the morning, she ate porridge and eggs, and in the afternoon, she drank some water before going to sleep. After waking up, she vomited again. For dinner, she ate three dumplings and drank milk before going to bed, but soon vomited again. What help do we need? Should we go to the hospital for a check-up? What kind of treatment should we do?

Answer

The current projectile vomiting symptoms in the child are first considered to be related to medication. Since azithromycin is a macrolide antibiotic (formerly known as a polyene antibiotic), this class of drugs has a well-known side effect of gastrointestinal stimulation, which can lead to symptoms such as nausea, vomiting, and abdominal pain. Therefore, it is not recommended to use this medication if the child does not have a confirmed infection with Mycoplasma pneumoniae. This is the advice for the question “What Conditions Can Cause Projectile Vomiting?” I hope it is helpful to you, and I wish you good health!