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

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Accepted Answer

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.