How to deal with a 2-year-old's dry heaving

Patient's question:

On December 31st, the symptoms appeared with vomiting and high fever that wouldn't subside. After a doctor's examination, it was diagnosed as gastroenteritis. The patient received intravenous drips for 6 days and was discharged after recovery. In the following days, the patient experienced constipation, dry stools, and poor appetite. On January 10th, vomiting returned, and on January 11th, the patient had a poor appetite and abdominal distension. On January 12th, vomiting occurred again, and the patient went to the hospital for further examination. The doctor diagnosed the vomiting as caused by constipation and prescribed three bottles of glycerin suppositories, as well as Multivitamin Calcium Pantothenate and Sodium Starch Solution. After using the glycerin suppositories at home, the patient had a large amount of bowel movement and the abdominal distension resolved. However, I gave the patient digestive medicine (Children's Ji Nei San) and live Bacillus subtilis capsules, but there was one episode of vomiting at night. What could be the reason for this? What should I do?

Doctor's answer:

In this case, the initial condition was intestinal inflammation, which was effectively treated, and the inflammatory disease was completely eliminated. However, due to constipation, the gastrointestinal absorption function has not fully recovered. The hospital's diagnosis is correct; nausea is indeed related to constipation, and it is directly linked to the incomplete recovery of absorption function. Constipation also arises from this. It is recommended to temporarily suppress diet, pay attention to gradually increasing food intake, reduce gastrointestinal pressure, and if nausea is severe, fasting for 24 hours to empty the accumulated stool in the gastrointestinal tract, allowing the gastrointestinal movement to gradually recover completely. Then, gradually increase food intake from small to large, and the bowel movement has already begun.

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