Patient's question:
[Condition Description: Shuijun has been vomiting, and the time has lasted from morning to afternoon. Treatment history and effectiveness: After a few hours, the pain significantly decreased. What kind of help do you want: Can you give some good treatment suggestions?Doctor's answer:
1. Etiological TreatmentFirst, exclude surgical vomiting to avoid delaying the surgical window, and then treat the underlying cause, such as proper feeding, infection control, and intracranial pressure reduction.
2. Symptomatic Treatment
Mild cases generally do not require special treatment, while severe cases need attention to correcting dehydration, electrolyte disorders, maintaining acid-base balance, and avoiding aspiration.
3. NPO (Nil Per Os)
Severely vomiting patients should be kept NPO before diagnosis and receive parenteral nutrition to ensure energy and fluid intake.
4. Positioning
Children with medical vomiting (gastroesophageal reflux) can be positioned with the head elevated 30°, in prone or left lateral decubitus.
5. Gastric Lavage
For aspiration syndrome, gastric lavage can be performed using warm normal saline or 1% sodium bicarbonate.
6. Spasmolytic and Antiemetic Treatment
For pyloric spasm, atropine (1:1000–2000 dilution) can be administered 15–20 minutes before each feeding, with dosage adjusted as needed. Additionally, erythromycin and domperidone can promote gastrointestinal motility, though large-scale studies are lacking.
7. Gastric Decompression
In cases of frequent vomiting with severe abdominal distension, continuous gastric decompression may be provided.