Hi was just wondering if anyone in the community has a child with a diagnosed gastric ulcer? If so what was the treatment and (potential) outcome? DS (turns 3 in Nov) is being treated as if he had one based on symptoms he has been experiencing over the past year, but more so the past 6wks.
I am going to outline his history but bear with me am typing as it comes out of my brain.
DS had silent reflux as a baby and was medicated until almost 2.We have had several issues with his sleeping over the past year or so but was never able to put it down to anything in particular, and everything we tried worked for a while but always regressed. In January he was hopsitalised after a severe bout of vomiting (3 days) with Acute Metabolic Acidosis. After a week in hospital and interminable tests there could be nothing metabolically underlying found as a cause.
6 weeks ago he had a really bad vomiting bout, but it was very brief. Huge vomits over a couple of hours and then all over. We managed with hydrolyte and he bounce back fine. There was no diarrhea and low grade fever.
Two weeks later he had another bad vomiting episode paired with black tarry stools, it was scary how quickly he crashed and was dehydrated. We spent the night in the Mater, he had been vomiting for about 6hrs until they gave him an anti-emetic, and he spent the night re-hydrating - there was concern based on his acidotic history. No diarrhea and low grade fever.
Two weeks later (this weekend just gone) he had another violent vomiting episode. It started at 7am and continued for at least 30hrs. After 7hrs he started vomiting blood and was physically collapsing everytime he vomited. Took him to the Mater again. Based on his acidotic history we were nearing another serious systemic collapse. Sent home (tagged as an over-reacting mother but that is another story) and had to keep pushing hydrolyte in to him to maintain hydration. His urine was still dark and concentrated yesterday (at least 48 hrs after he stopped vomiting) and we were booked into paed today.
After the first episode I brushed it off as just a bug. The second, combined with the tarry poo which indicates usually blood in stools, started to set off alarm bells. The third set me over the edge.
Basically after seeing his paed today we are treating firstly that there may be the presence of a gastric ulcer. Back on Losec with follow-up to see if it is having any effect. Bloods and urine to be done if he has another episode of vomiting. Other issues to be investigated are food allergies (now keeping a food diary to see if anything may trigger the vomiting episodes) and Liver and other metabolic conditions.
Oh Nelly what a lot to be going through, poor Jake! If you need anything you know where to find me. I hope someone can come in and offer some information for you.
Nelly I am so sorry that poor little J is still having problems. I wish I knew someone so I could give you some information but I'm afraid I don't. I hope you get some answers
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Gastric Ulcer
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