my 8 month old daughter is vomiting a lot since 15 days even after taking medicines it is not stopping what shall I do

A. Prolonged vomiting in an 8-month-old baby is a serious concern and warrants immediate medical attention, especially if it has persisted for 16 days despite medication. Here are the steps you should take: ### Immediate Actions: 1. **Revisit the Pediatrician:** - Schedule an urgent follow-up appointment with your pediatrician. They may need to reassess the situation, perform additional tests, or refer you to a specialist. 2. **Monitor for Dehydration:** - Signs of dehydration include decreased urination, dry mouth, lack of tears when crying, sunken eyes, and lethargy. If you notice any of these signs, seek medical attention immediately. 3. **Keep a Record:** - Document the frequency, timing, and nature of the vomiting (e.g., projectile, after feeding) and any other symptoms such as fever, diarrhea, or irritability. This information can help the doctor make a more accurate diagnosis. ### Possible Causes to Explore: 1. **Gastrointestinal Issues:** - Conditions like gastroesophageal reflux disease (GERD), pyloric stenosis, or a gastrointestinal obstruction can cause persistent vomiting. 2. **Infections:** - Viral or bacterial infections can lead to prolonged vomiting. Ensure that infections have been properly ruled out or treated. 3. **Allergies or Intolerances:** - Food allergies or intolerances, such as to cow's milk protein, can cause vomiting. 4. **Neurological Issues:** - Less commonly, issues related to the brain such as increased intracranial pressure could cause vomiting. 5. **Other Medical Conditions:** - Metabolic disorders, kidney issues, or other systemic conditions could be contributing to the problem. ### Additional Tests and Evaluations: - Your doctor may recommend further diagnostic tests such as blood tests, ultrasound, or an upper GI series to identify the underlying cause. ### Care and Management: 1. **Hydration:** - Ensure your baby stays hydrated. Offer small amounts of an oral rehydration solution (ORS) frequently. - Breastfeeding or formula feeding should continue if possible, but in small, frequent amounts. 2. **Dietary Adjustments:** - Introduce easily digestible foods and avoid potential allergens. - Avoid solid foods that might irritate the stomach until the vomiting subsides. 3. **Medications:** - Continue medications as prescribed but inform your doctor if they do not seem to be effective. Do not give over-the-counter medications without consulting a healthcare provider. 4. **Comfort Measures:** - Keep your baby in an upright position after feeding to help prevent reflux. - Ensure a calm feeding environment and avoid overfeeding. ### Seek Emergency Care: - If your baby shows any of the following signs, seek emergency medical attention: - Signs of severe dehydration - Vomiting blood or bile (green or yellow substance) - Lethargy or unresponsiveness - High fever - Severe abdominal pain ### Conclusion: Persistent vomiting in an infant requires thorough evaluation and prompt treatment. Follow up closely with your healthcare provider to determine the cause and appropriate treatment. Your baby's health and well-being are the top priorities, and persistent symptoms need to be addressed by medical professionals.