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My Son Is 4

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Posted on Sun, 30 Sep 2018
Question: my son is 4 &1/2 years old. he is 35 kg now.his weight is over since his birth.he is healthy and tall boy. we are facing problem since many months when he eat some things after 10 to 15 mns he vomit. no other symptoms. some time this issue resolve automatically and he don't vomit for 2 3 months. in last April he was facing this problem especially in morning.Dr suggest him Domperidone one teaspoon before meal but it looks not working very effectively. After April now from last week of October we are facing same problem. not always he vomit but once or twice a daily. for example yesterday he vomit in morning but after coming from school he had lunch and dinner but didn't vomit.now today when he take his breakfast of egg,bread after 10 minutes he vomited. No other symptoms. stool is normal. pls help in this regard
doctor
Answered by Dr. Diptanshu Das (2 hours later)
Brief Answer:
Possibly due to gastritis

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone very carefully through your query. Your child's problem seems to be due to gastritis. A 7 hour long overnight gap between meals would essentially lead to accumulation of stomach acids (which are meant to help in digestion but the food simply does not come). The excess acids thereby collect and irritate the stomach walls and could lead to throwing up.

In order to provide relief, you need to ask for the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Give Lanzol Junior tablet (lansoprazole) 30/Nexium (esomeprazole) XXXXXXX once daily before breakfast.
* Give plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase the dietary fiber intake.
* Regular playing or exercise for at 1 hour a day to keep the bowel movements proper.
* Give curd or yogurt on daily basis. It contains beneficial bacteria and should help.

Hope that helps.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Diptanshu Das (25 hours later)
since i am in Pakistan than both brands un available here..pls let me know dosage strength of both medicine.... dosage in mg?
doctor
Answered by Dr. Diptanshu Das (4 hours later)
Brief Answer:
Generic names mentioned

Detailed Answer:
Lansoprazole 30 mg one tablet once daily before breakfast. Alternatively esomeprazole XXXXXXX can be given once or twice a day.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Diptanshu Das (13 hours later)
can we give omeprazol? because it's only available in XXXXXXX shape and my son couldn't eat tablet or capsule. XXXXXXX image attached
doctor
Answered by Dr. Diptanshu Das (8 hours later)
Brief Answer:
Yes

Detailed Answer:
Yes, you can surely give omeprazole.
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. Prasad
doctor
Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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My Son Is 4

Brief Answer: Possibly due to gastritis Detailed Answer: Thanks for using the Ask a Doctor service. I have gone very carefully through your query. Your child's problem seems to be due to gastritis. A 7 hour long overnight gap between meals would essentially lead to accumulation of stomach acids (which are meant to help in digestion but the food simply does not come). The excess acids thereby collect and irritate the stomach walls and could lead to throwing up. In order to provide relief, you need to ask for the following: * Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals. * Give Lanzol Junior tablet (lansoprazole) 30/Nexium (esomeprazole) XXXXXXX once daily before breakfast. * Give plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase the dietary fiber intake. * Regular playing or exercise for at 1 hour a day to keep the bowel movements proper. * Give curd or yogurt on daily basis. It contains beneficial bacteria and should help. Hope that helps. Let me know if I could help further. Regards