Question

Why does a child frequently find it hard to swallow and easily vomit during meals? What precautions should be taken, and what medications can be used for treatment?

Answer

Vomiting is a common symptom in a child’s life. Severe vomiting can lead to dehydration and electrolyte imbalance. There are many causes of vomiting, including but not limited to:

  1. Overfeeding or swallowing too quickly, causing air intake.
  2. Enteritis leading to intestinal dysfunction.
  3. Relaxation of the upper esophageal sphincter causing regurgitation.
  4. Infections such as encephalitis and pneumonia.
  5. Neurological diseases such as hydrocephalus, brain edema, and intracranial hemorrhage.
  6. Esophageal atresia.
  7. Hypertrophy of the lower esophageal sphincter (pylorus) causing poor downward flow of stomach contents.
  8. Intestinal obstruction, such as intussusception, small bowel stenosis or atresia, and volvulus.
  9. Hirschsprung’s disease, anal agenesis, or anal stenosis.
  10. Acute poisoning, medications, pyloric spasm, motion sickness, seasickness, etc. Some vomiting is a normal physiological phenomenon that will gradually stop with attention; however, some vomiting is caused by serious diseases and requires timely treatment. Therefore, if you find that your child…