What Does Vomiting After Each Feed By An Infant Indicate?

Posted on Wed, 5 Aug 2015

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

Wed, 5 Aug 2015 Answered on

Wed, 26 Aug 2015 Last reviewed on

Question : Hi, my 6.5 months old son is vomitting after each breastfeeding session. He has puked immediately after feeding 4 times in a row. Last He had stewed apple before this started. He has mild fever too. What should i do?

Answered by Dr. Dr. Pradeep Kumar Jain (35 minutes later)

Brief Answer:
Give some antiemetic and watch for signs of dehydration

Detailed Answer:
Hello

Thanks for the query

Fever with vomiting in this age is can be due to some viral infection causing gastritis.
As there are 4 vomiting episodes in a row,
I would like to give some antiemetic like domperidone with some acid reducing agent like esomeprazole.He may need these medications for next 3-4 days.
Please get it prescribed by your physician as these are prescription medicines.
If vomiting persists even after giving these medicines I would suggest to get him clinically examined by a pediatrician.An injectable antiemetic may be needed if he does not tolerate the medicine orally.
Continue feeding and give acetaminophen drops for fever.
I would like to know if there is any urinary difficulty as urinary tract infection can also cause fever and vomiting in this age and a urine test may be needed to rule out UTI.
Another less common causes of fever with vomiting is infection in the brain.Here baby may have abnormal behavior,excessive cry/irritability.

If vomiting persists, baby gets irritable/ lethargic or there is decreased urinary frequency get him to a pediatrician for clinical evaluation and proper management.

I hope this helps.
Please let me know if you have any more query.
Regards

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