Is a baby with projectile vomiting to worry about?

time:2023-02-03 author:Maternal-Child Nursing
Is a baby with projectile vomiting to worry about?

Parents often describe their child's vomiting as "squirt-like", which makes doctors particularly worried at first glance, but after careful questioning, they realize that their child's vomiting is not "squirt-like", but that it appears to be spewing out when vomiting. Projectile vomiting is when the vomit comes out with high pressure and can vomit up to a distance of more than one meter. Frequent projectile vomiting requires immediate medical attention. It doesn't matter if the baby has one occasionally, but everything else is normal.

Where is projectile vomiting seen?

01 Gastroesophageal Reflux: This condition is more common in infancy because the muscles at the junction of the esophagus and stomach are not yet closed, and it gets better as the child grows. Treatment should be considered if weight gain is unsatisfactory because of frequent vomiting. 02 Pyloric stenosis: It is common in boys about two months old, manifested as jet-like vomiting several times a day, and the weight is not long. In this case, seek medical attention in time. Treatment is surgery. 03 Other intestinal problems: such as intestinal torsion or congenital developmental problems, it may also manifest as intestinal obstruction, with symptoms such as projectile vomiting and bile vomiting, and need to seek medical attention immediately. 04 Food allergies: If a child has multiple projectile vomiting immediately after eating a certain food, it may be an allergy to that food. 05 Increased intracranial pressure: Whether it is a brain injury, such as falling out of bed; or encephalitis, meningitis or intracranial tumor, it is possible to increase intracranial pressure and cause jet-like vomiting, which requires immediate medical attention.

Infant needs medical attention if projectile vomiting is accompanied by the following symptoms

  • Irritability
  • Drowsiness, bad spirit
  • Don't want to eat
  • Fever
  • li>
  • Have symptoms of dehydration, such as oliguria, etc.
  • The vomit is yellow-green
  • With diarrhea
  • The fontanelle is obviously protruding
  • Have a history of trauma, etc.


depends on the cause of projectile vomiting.
  • If it is caused by gastroesophageal reflux, you need to hold the baby upright for a while after feeding every day and then lie down. If the weight gain is not good, you should follow the doctor's advice.
  • If a food allergy is suspected, stop the food immediately; seek medical attention if accompanied by a rash, diarrhea or blood in the stool, or difficulty breathing.
  • If it is gastroenteritis, pay attention to reducing fever and replenishing electrolytes to prevent dehydration.
  • If it is intestinal stenosis, torsion, etc., surgery is needed to solve the problem.
  • If it is increased intracranial pressure, it is necessary to find out the cause and treat it.
Projective vomiting is a very serious condition for doctors. Once it is determined that the vomiting is projective, the cause should be identified as soon as possible to avoid delaying the treatment. Parents should also pay attention to the child's projectile vomiting, especially if it occurs frequently.
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