A Five-Month-Old Baby Continues to Vomit Without Being Able to Disgorge Any Material

Question

Why is a five-month-old baby continuously vomiting, feeling like throwing up but unable to expel anything, with no vomit present? The baby has a bit of coughing. I gave him some medicine prescribed by the doctor at noon. Could this be a drug reaction, or could it be because I also took some cough medicine? Is it serious? What could be the cause? Do we need to take the baby to the hospital? Previous treatment history and outcomes: There have been similar episodes before, but not as frequent. What kind of assistance is needed: Is it serious? What could be the cause? Do we need to take the baby to the hospital?

Answer

Disease Analysis: Hello, based on the medical history you provided, there may be several reasons: 1. Dyspepsia or gastrointestinal dysfunction, which usually includes nausea, vomiting, and diarrhea, and may initially present as dry heaves. 2. Coughing and expectoration can reflexively stimulate the recurrent laryngeal nerve, causing vomiting. 3. Drug side effects; certain medications can have a stimulating effect on the gastrointestinal tract, such as azithromycin. 4. Infectious brain disease, which is relatively rare and usually manifests as projectile vomiting. Suggestions: 1. Please carefully read the medication instructions for your baby’s medicine. If there are gastrointestinal side effects, change it promptly. 2. Pay attention to any changes in your baby’s condition, especially whether the vomiting is projectile, the appearance of stool, and urine output. 3. You can give oral digestive aids such as Mamylove or Simida. If symptoms do not improve, it is recommended that you take your baby to see a doctor promptly to prevent any delays in treatment.