still vomitting

[ShanJakson]

Hi my 6 month old son has been vomitting since birth. We have tried so many different things to stop the vomitting but nothing has helped. He has had test after test and does not have relflux. A barium swallow confirmed this as well as 2 USS.
Anyway we have tried infant gaviscon, thickner before a breastfeed, during a feed and after a feed. Have tried Caro's mixture. positioning, you name it we have tried it. He started to lose weight and ended up in hospital twice. So we needed to do something. It was no longer just a laundry problem.
I have recently started expressing for him and putting karicare thickner in a bottle and he is much better, but still vomits small amounts. He is also on solids 3 times a day. He vomits more of the solids than the milk now.
Any other suggestions?? He is not on any meds now because he doesn't have reflux. He is not in any pain at all, just the vomitting.
Will this ever end??
Please any tips

[Mikenzees mum]

hey


the barium swallow is next to use less to determine reflux as they need to actualy reflux in the 15 minutes they are xraying to get a positive result KWIM

The fact that he is not in pain is a good thing, it sound to me like he may have issues with gastric emotying like thing moveing to slowly out of his tummy, have they ever done a gastric emptying study, if not it may be a good idea, if it is that they can may try him on a med called domperadone it helps with the tummy emptying there fore reduces the puking

good luck

[ShanJakson]

hi thanks for your reply. we have tried domperidone and he was on it for a month with no success.
yeah agree about the barium, but he also had 2 ultrasounds and yep had a gastric study done.
out of ideas. just want it to end if you know what i mean? have been trying to stop him vomitting since birth and he is over 6 months now. im exhausted!

[Mikenzees mum]

Could he have intoleracne to any of the food either in the breast milk or in his formular or what he eats anything like that

My dd is 17 months old she has had an operation to stop her from vomiting and she stil does on ocasion, we too have tried everything and stil are, she is 100 percent tube fed on a contious feed and stil refluxes all day it drives us nuts, she also intolerace to protein and gluten and she has malabsroption thats why i thought about the food thing, at the moment kenz is fed into her tummy but we are looking at her getting a new tube into her intestines as she is stil refluxing and stil not gaining weight

I know what you mean by being exausted, i wont say it gets any easier cause it doesnt always and i dont want to lie but you do get used to it in a way,

sorry your having a rough time hope she gets better soon

does she poo regulary , what are her poos like

[scarlet121]

Any persistant vomiting that you are describing is reflux, it is because the lower oesophegeal sphincter is loose and allows stomach contents to go upwards, unless your child is refluxing at the time of the barium swallow then it is not a conclusive test for reflux, and I know many babies who have had a clear barium swallow and still have reflux.

That being said if your baby is not in any pain, then there is no need to medicate, it is then classified happy spitter (well not so happy for you) but basically it is the same as normal reflux and hopefully by 12 months the sphincter will have strengthened enough to keep stuff down.

If your bub has been hospitalised for it, then I would think though that you should get the acid levels checked and ask about a pH probe. I know first hand about how doctors can misdiagnose this and it can get to a stage where there is no weight gain and food aversions from it.

Thickeners may help keep it down, you could try changing the formula to a hypoallergenic one, like the Nan HA, or get a script for Neocate. He could have an intolerence to milk, so the more hypoallergenic ones digest quicker so there is less in his tummy to vomit.

The other thing to rule out if it is definately not reflux is a milk allergy or an emptying problem, there is a test called a gastric emptying study and this determines how fast the food goes through their system, some kids digest really slow, so if they vomit it will come up hours later, there is medication, domperidone that can help move the food through quicker.

I suppose that is everything, good luck, it is really hard when they are loosing weight and sick and no one can give you a postive answer, if in doubt ask to see a peadiatric gastroenterologist they generally have a lot of suggestions.