What Causes Nausea And Vomiting Along With Abdominal Pain In A Child?

Posted on Thu, 4 May 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 4 May 2017 Answered on

Thu, 25 May 2017 Last reviewed on

Question : Hi sir, my 5 years old daughter regularly complaining pain abdomen after awake in the morning and also complain of nausea with vomiting. when food given in the morning, she don't want to eat. after seeing food she always telling about pain abdomen and not ready to have a meal. she has also problem in passing stool in morning and during brushing she starts coughing and after that she vomits all. what is the best medicine to cure.

Answered by Dr. T Chandrakant (7 hours later)

Brief Answer:
We need to find the exact cause first for proper management.

Detailed Answer:
Hi.
Thanks for your query.
Noted the history about your 5 year old daughter and understood the concerns.
To recapitulate: Female/5 years - pain on waking up in the morning - nausea with vomiting - coughing and vomiting during brushing - does not want to eat food in the morning - complains of pain in the abdomen and not ready for the meal too -
problem in passing stool in the morning - wants to know the best medicine for cure.
Since your daughter is only 5 years old and has such a problem as you have mentioned she needs first a proper diagnosis.
This can be done by the following:
Clinical evaluation by a Pediatric Surgeon.
X-ray of the abdomen in standing position.
Ultrasonography of the abdomen.
Tests of stool, blood and urine.
This will give a probable diagnosis and a plan for proper management.
If there is constipation or hard stools, she may need a pediatric enema and mild laxative - the dosages as per the weight and need of the patient.
May also need a medicine for worms and infection if the stool report shows so.
The cause of the morning pain, vomiting and being not interested in the food for fear of pain in abdomen needs a very proper evaluation.
There can be appendicitis or lymph node enlargement or some congenital intestinal problems being manifested now.

I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (22 minutes later)

Thanks for your reply. Sir I have already gone through all these test 01 year back. USG abdomen- Normal scan, Stool RE/ME- NAD, Occult blood- Neg, Blood and urine routine test- normal, Hb% (02 month back)- 11.0%, No history of hard stools. I always be in touch with my paediatrician. He told that she has a gastritis problem. Last month he advised Tab Lanzol junior 30 mg for 10 days. Tab ABZ also given since last 02 month back. I just want to know that the problem regarding his nausea with vomiting and pain abdomen early morning will be cured by Syrup Arystozyme or not if given for 15 days or you advised me some other medicine.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Discuss about Domperidone with your Pediatrician.

Detailed Answer:
Thanks for your feedback.
Nice to know that some of the tests have been done and proper management already being done.
Syrup Aristozyme may help to an extent.
I hope Domperidone has been tried by your Pediatrician, please discuss and give the medications with proper prescription and dosages as per the weight of the child as advised by the Pediatrician.

Please give some details:
Since when is this problem present?
Is the weight of the child normal for her age?
Have the family noticed some intolerance to a particular food, additives, beverages, milk or milk products, ice creams etc?
Are there any days where she has no symptoms at all and that some days she has more symptoms?
Any relation to any particular incidence like going to school, study, play, relation with the family members that increase her symptoms?
Any other information that you can add - a detailed history is very important.

It is always better to take a second opinion of a Pediatric Surgeon and/or Gastroenterologist.
There has to be a reason that needs to be found out.

I hope this further helps you.
Awaiting for detailed history as asked for.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (16 hours later)

Sir thanks for your advise. As you asked details is as follows.
1. This problem is with haer since last 3-4 years. It will continuing on and off.
2. weight as per age and height is normal. wt-20 Kg.
3. Yeah she has a problem with milk and milk product early in the morning. after taking milk she has a nausea and vomiting.
4. Yeah some day she has no symptoms at all and that some days she has more symptoms.
5. Yeah it is related to particular incidence like going school in the morning around 0730 hrs. No family history. If she awake on holiday around 1000 hrs, these all symptoms not present on that particular days.

Sir yester at evening I have given syp domperidone 7.5 ml and today morning also. I also given Syp Arystozym 5 ml yesterday evening. After that around 0400 hrs in night she passes stool which is very bad smell. Also she has passed stool in the morning around 0700 hrs some watery and some solid with very bad smell.

Please advise and prescribe me some medicine to cure completely as per detailed history given by me.
Thanking you.

Answered by Dr. T Chandrakant (3 hours later)

Brief Answer:
Consult the Pediatrician for clinical evaluation and a valid prescription

Detailed Answer:
Thanks for your feedback.
Since there is new development of foul smelling and loose/watery stool please consult your Pediatrician for clinical review, tests of stool and proper management as per the findings.
Stop all the milk and milk products to see the effectiveness in a long term.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar