What causes nausea, emesis odor, vomiting and abdominal tenderness?
Patient: Hello. I have 9 yr old with no chronic/significant medical problems. He was nauseous earlier this evening. He began vomiting about 2 hours ago. He has vomited 3 times, approx. 1L. Each time, the emesis smells & looks like diarrhea; very thin, watery & brown. I m an RN & in my 11 yrs of experience I have NEVER seen or smelled such foul vomit. He is not complaining of abd pain (some superpubic tenderness), intermittent nausea. Afebrile. No diarrhea. Regular BM this morning. I ve given him 5mg zofran liquid, however, he s still vomiting. Any suggestions? (Im using my phone to type this, please give me some time to reply. Thanks) Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It seems like gastritis and the brownish colour can be due to ulcer bleed. Stop spicy food. Start syrup Polypep thrice syrup Domel thrice a day and Risek sachet every night. Give him ORS after every vomit. Give banana for deficiency. If condition persists Transamine can be given after medical advice to stop bleeding.I hope I have answered your query. Let me know if you have any further questions. Regards, Dr. Hina Javed