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What Causes Vomiting Every Hour For The Last 5 Hours?

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Posted on Mon, 9 Feb 2015
Question: our daughter is throwing up.... she has never thrown up. we are at 9900 feet. came from NC to CO has no fever, just continues to do this every hour on the hour for the last 5 hours. we are 1.5hours away from XXXXXXX XXXXXX
doctor
Answered by Dr. Sumanth Amperayani (17 minutes later)
Brief Answer:
Could be a prodrome of viral diarrhea

Detailed Answer:
Hi....it could be a prodrome of viral diarrhea or motion sickness or a stomachflu.

Its best to give either Ondanisetron or Domperidon to abate the vomiting as of now. Diarrhea might start... If so oral rehydration solution (ORS) is indicated.

If you have any vomiting medicine with you right now, post it, I will suggest the right dose (but please do remember to mention the approximate weight of your daughter).

I have few questions -

1. Did she anything new to her or which she's known to be allergic?

2. Is there any diarrhea?

3. Does she complain of any headache OE ear pain?

4. How's her urine output - normal or decreased?

5. Does she complain of any severe stomach ache?
6. What's her current or recently checked weight?

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (15 minutes later)
no diarrhea, all we brought with us is ibuprofen. and she will not drink water or juice. which is nothing new there, she drinks milk only. we have not offered here any milk since this started tonight. she is 25 or so pounds not really sure on the weight.

she did start a runny nose two days ago.... but thats usally all that is, most of the time.

I was concerned about the altitude we are at, and altitude sickness. if its just a bug I will try and get some sleep....

she wakes up to throw up, which now is dry heaving, then after its done she goes right back to sleep.

she does not seem to have any other issues, she is not telling us anything hurts.
doctor
Answered by Dr. Sumanth Amperayani (19 minutes later)
Brief Answer:
Altitude sickness is a possibility

Detailed Answer:
Hi....I agree with you that altitude sickness is a possibility especially so when it is above 8000ft. To prevent this we need to allow one day for every 1,000 feet you travel beyond 8,000 feet.

So it depends on - how many hours it took to reach 9900 ft from 8000ft. The rapidity of ascent is more important than the actual altitude itself.

It's difficult to identify altitude sickness in kids because the symptoms are pretty nonspecific at first - showing up as early as 1-2 hours after arrival to 8-36 hours after arrival.

The earliest symptoms include - trouble in eating or sleeping/ irritability/ headache/ dizziness/ difficulty breathing/ nausea and vomiting.

My suggestions for your kid -

1. Take her to a lower altitude to help her acclimate more gradually. Symptoms usually subside in a day or two.

2. Try giving her plenty of fluids to keep her well hydrated. You can give her frequent small sips of water or an electrolyte replacement solution to prevent dehydration, especially if she's vomiting.

3. If you feel she has headache or she complains of headache, you can give her the proper dose of ibuprofen.
Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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What Causes Vomiting Every Hour For The Last 5 Hours?

Brief Answer: Could be a prodrome of viral diarrhea Detailed Answer: Hi....it could be a prodrome of viral diarrhea or motion sickness or a stomachflu. Its best to give either Ondanisetron or Domperidon to abate the vomiting as of now. Diarrhea might start... If so oral rehydration solution (ORS) is indicated. If you have any vomiting medicine with you right now, post it, I will suggest the right dose (but please do remember to mention the approximate weight of your daughter). I have few questions - 1. Did she anything new to her or which she's known to be allergic? 2. Is there any diarrhea? 3. Does she complain of any headache OE ear pain? 4. How's her urine output - normal or decreased? 5. Does she complain of any severe stomach ache? 6. What's her current or recently checked weight? Regards - Dr. Sumanth