The child vomits bile. What to do if the child vomits bile. Urgent help for poisoning

Even an increase in temperature often does not cause such a panic in young parents as vomiting in a child, especially if there are no obvious reasons in the form of malnutrition or the flu virus, the baby does not have diarrhea and abdominal pain. Why might this situation happen? What if the attacks often recur, and in what situation is surgical treatment required?

The gag reflex algorithm is based on spasm of the digestive organs, as well as the abdominal muscles. The contents of the stomach, when blocking the exit opening, rises up, where the entrance to the stomach opens, and then moves along the dilated esophagus. Mostly vomit is ejected through the mouth, but in some cases it can go through the nose. The posterior part of the brain, where the vomiting center is located, is responsible for this process.

Vomiting in children and adults can be seen at the inception stage, as it is accompanied by characteristic symptoms:

rapid swallowing;
increased secretion of saliva;
feeling of heaviness in the throat;
pain in the epigastrium (if vomiting is associated with digestive problems).

Mostly, the contents of the digestive tract come out, represented by food residues mixed with gastric juice, but it is possible that the following will be observed in the vomit:

pus;
bile;
blood.

Causes

Most of the prerequisites for the opening of vomiting are associated with the state of the digestive tract: from the ingress of a foreign body into the esophagus, which cannot be coughed up for a long time (typical for a child under one year old), to food poisoning or exacerbations of diseases of the digestive tract. It is possible to answer why the child vomited only after studying the concomitant factors and the nature of the vomit. Among the most obvious causes of a gastroenterological nature are:

acute gastritis;
bile duct dysfunction;
liver disease;
acute appendicitis.

Infectious diseases can also cause vomiting, and they may not even be accompanied by fever. The urge to cleanse the stomach is a common symptom of intoxication of any kind, so they can occur during the flu, and with helminthic invasion, and even against the background of long-term antibiotic treatment. An additional nuance is an allergy to drugs that irritate the gastric mucosa, which provokes a gag reflex.

Separately, doctors note the influence of psychogenic factors and diseases characterized by disorders of the nervous system. To provoke a sudden attack (from the standpoint of the health of the gastrointestinal tract and the "purity" of the diet - unreasonable) can:

strong excitement;
stress;
meningitis;
concussion;
increased intracranial pressure.

no temperature

If the stool is normal, there are no symptoms of a viral disease, but weakness is observed, there are complaints of headache or dizziness, neurological abnormalities are possible that provoke pressure on the back of the brain. Some of these conditions are due to congenital disorders obtained during the formation of the fetus or as a result of birth trauma. So with cerebral pathology, vomiting is observed with a fountain. If we consider acquired neurological disorders, then these can be:

head trauma, including concussion;
meningitis;
brain tumors.

No fever or diarrhea

In diseases of the nervous system, after an experienced psycho-emotional breakdown, a strong shock, a sharp jump in arterial or intracranial pressure in a small child, doctors do not deny functional vomiting. In babies, everything is often limited to profuse regurgitation, especially after feeding, since the digestive tract is not yet perfect. In older children, the cause of such a functional reaction is an unstable psyche - neurotic vomiting can occur in response to:

punishment;
compulsion;
quarrel.

Separately, doctors distinguish psychogenic vomiting, which occurs with force-feeding, when the child refuses food. In this case, there are no violations of well-being. All these cases are not symptoms of serious pathologies and they mostly resolve themselves as the nervous system develops, but can also be observed in a teenager. Treatment in such a situation should be aimed at normalizing the psycho-emotional background; a visit to a psychologist is often required.

Vomiting and diarrhea in a child without fever

Attempts by the body to cleanse the stomach, not associated with infections and viruses, may be associated with diseases of the digestive system and metabolic disorders (especially in diabetes). Often without fever, but with diarrhea, vomiting is a symptom of poisoning or an allergic reaction to certain food components: gluten, lactose, glucose. Rejection of fruits and vegetables is possible, especially in babies. Active cough during exacerbation of bronchitis also provokes the onset of the process.

Frequent vomiting

Frequent vomiting is also possible in case of:

severe poisoning;
diseases of the gastrointestinal tract in an acute form (mainly after eating);
problems with the endocrine system.

Child vomits and stomach ache, no temperature

If the attack is incessant, it may also be associated with helminthic invasion or be a sign of appendicitis (pain will appear to the right of the navel). Particularly severe causes of vomiting in children without fever, but with pain in the abdomen:

exacerbation of an ulcer;
erosive gastritis;
polyposis.

Green colour

Cholecystitis, pancreatitis, gastritis and even reflux disease are the most obvious reasons for the release of green vomit. Attacks can be frequent, and therefore the child gradually loses weight. The acquisition of a clear green tint in the released contents of the stomach can be explained not only by the presence of bile in it, but also by the recent use of spinach, dill, etc. products of a similar color.

With fever without diarrhea

If a child has caught a viral infection, which already showed a high temperature on the first day, and the next morning the condition has not improved, the nausea will be permanent and may result in an urge to cleanse the intestines. Long-term preservation of temperature during acute respiratory viral infections and acute respiratory infections is an intoxication that each organism fights in its own way. It is especially difficult to tolerate in infancy and preschool: doctors advise calling an ambulance if, against the background of an increase in temperature that lasts more than a day, vomiting opens, but the stool is normal.

Night

If the baby wakes up due to strong gag reflexes, and then the stomach is cleansed, there is a risk that the cause is a duodenal ulcer. An additional factor confirming this diagnosis is abdominal pain, which subsides after the release of masses, but for several hours. However, not every case of peptic ulcer manifests itself with a night attack, but only with excessive production of gastric juice and its increased acidity. There are no food particles and additional impurities in the vomit - this is only gastric juice.

With regard to a single urge that occurred at night, especially in a small child, we can assume:

fright;
long horizontal position with pathologies of the gastrointestinal tract;
evening overeating;
stuffiness in the apartment.

With bile

The appearance of bile in the vomit mainly indicates problems with the organs that produce it. In rare cases, this can even be characteristic of indigestion, but mainly the problem is in the work of the gallbladder, pancreas, and bile ducts. Liver disease is not excluded. It is necessary to clarify whether the child has congenital pathologies of these organs - against their background, even a slight nutritional error can provoke a gag reflex. This is especially pronounced in babies, whose diet parents begin to expand with heavy food.

Additionally, the appearance of bile is typical for:

infectious diseases that are accompanied by strong and frequent bouts of gastric emptying;
acute intestinal infections;
viral hepatitis.

After meal

If within 20-30 minutes from the moment of eating the child was noticed the appearance of urges or the emptying of the digestive tract, there is a risk that the reason lies in overeating or the quality of nutrition. Firstly, it may be a reaction of weak bile ducts to too fatty foods: heavy for the pancreas and liver. Secondly, the stomach can react similarly if a product of poor quality has entered it, or if there is a history of an ulcer or acute gastritis. Additionally, the child will complain that the stomach hurts, or the presence of heartburn.

Diagnostics

Emetology is engaged in the study of gag reflexes, however, there are no separate narrow specialists in this field yet, so if you are worried about the constant nausea in a child, even if there are no other symptoms of deterioration in well-being, you need a visit to a gastroenterologist. He will conduct an initial examination with the help of palpation of the abdomen, get acquainted with the complaints, and then he can send him to a neurologist or issue a referral to:

Ultrasound of the abdominal cavity;
FEGDS (probe insertion through the esophagus);
x-ray of the stomach with a contrast agent;
analysis of feces, urine and blood.

What to do

Before deciding how to treat vomiting in a child, you need to find out exactly why it happened. Additionally, you should decide on its nature: periodic attacks can be easily stopped with dopamine blockers, vestibular nausea is also prevented. If, in addition, all the symptoms of digestive problems appear - indomitable diarrhea, vomit with bile impurities, abdominal pain, you need to call a pediatrician. On specific effective children's drugs, the doctor should orient.

First aid

The main thing that parents need to do is to calm their child, since an abundance of gag reflexes can provoke a panic attack, and if they are accompanied by attacks of bile release, loss of consciousness, etc., this becomes a lot of stress for the baby. After that, he may have a psychological trauma and a subconscious fear of repetition. Regarding how to help a child with vomiting, doctors give some advice:

To prevent the dangerous symptoms of dehydration, the child should be provided with plenty of fluids (only pure water), especially if multiple attacks are observed.
Give the baby a solution of Smecta (1 sachet per glass of warm water), which you need to drink very slowly. If this medicine is not available, use activated charcoal.
An infant with vomiting should be held almost vertically, an older one should be placed so that the head is much higher than the body.

Medical treatment

The use of drugs has 2 goals: to eliminate the cause that provoked vomiting, and to eliminate a particularly disturbing symptom. In the latter situation, the practice of prescribing antiemetic drugs that relieve spasm and affect the brain. The most effective and safe - Cerucal, Domperidon, Motilium. In addition to them, you can use:

Glucose-salt solutions, among which Regidron, Gastrolit, Hydrovit are especially recommended, can be taken after each vomiting attack to prevent dehydration.
Sorbents - Bifidumbacterin, Polysorb, Enterosgel are necessary if there is an abundant cleansing of the stomach due to poisoning, loose stools.
Sedatives - if the baby is restless and the gag reflex is intensified by spasms from strong crying. Mostly barbiturates are used.
Antipsychotics - make sense for drug intoxication, are recommended for the treatment of cerebral vomiting.
Antibiotics - only for intestinal infections, are prescribed by a doctor after an accurate diagnosis.

Treatment with folk remedies

Regarding what to give a child with vomiting without fever, so that it does not harm the child's body, Dr. Komarovsky advises resorting to herbs with an antispasmodic effect: mint leaves, dill seeds, and even green tea with lemon. However, they will only weaken the intensity of the urge to vomit, but will not cure the baby. A full course of therapy should be made after the diagnosis is clarified.

Therapeutic diet

Even in the absence of gastrointestinal diseases, doctors advise taking care of the baby's diet, removing heavy food from him for a month. Food is steamed or boiled, fed in small portions and removed from the menu:

juices and soda;
confectionery;
meat;
fresh vegetables, fruits;
canned food.

Prevention

In pathologies and diseases of the gastrointestinal tract, vomiting attacks can be prevented by correcting nutrition, but in relation to infectious diseases, even strengthening the immune system can be powerless. If the doctor implies a surgical pathology, a long-term observation by a specialist will be required to see how it will develop. In case of worsening of the situation, taking drugs is not enough - surgery is not excluded.

Video

Vomiting is a reflex action leading to emptying of the stomach or, less commonly, the duodenum. This process is controlled by the vomiting center located in the medulla oblongata. Vomit may vary in composition, include food debris, as well as bile, mucus, gastric juice, pus, or traces of blood.

With some diseases of the digestive system, disorders of the central nervous system, intoxication with alcohol, food or drugs, vomiting of bile may occur. Also, this condition is often observed in women in early pregnancy during the period of toxicosis. Vomiting is one of the ways of self-purification of the body from harmful substances and, as a rule, after it the human condition improves. For effective treatment and prevention of recurrence of attacks of vomiting in the future, it is important to accurately determine the cause that caused the gag reflex.

Signs of vomiting bile

Bile is one of the biological fluids of the human body, which is produced by special liver cells (hepatocytes) and accumulates in the gallbladder. It has a yellow color with a greenish or brown tint, a specific smell and a bitter taste. The main function of bile is to actively participate in the process of digestion of food.

Vomiting of bile is usually preceded by such phenomena as a feeling of nausea, increased salivation, increased respiratory rate, and involuntary swallowing movements. Vomit containing bile is distinguished by a yellow-green color and a bitter taste, the sensation of which persists for a long time in the oral cavity.

Possible Causes of Vomiting Bile

When a person vomits bile, the causes can be very different, ranging from ordinary food or alcohol poisoning to serious pathologies of the digestive system. Only a doctor can determine exactly why it happened after a complete examination of the patient. Sometimes vomiting can be triggered by high fever, nervous disorders, circulatory disorders and brain diseases.

Diseases of the digestive system

One of the symptoms of certain pathologies of the digestive system may be vomiting of bile. These include:

liver disease;
bile reflux;
diseases of the gallbladder and bile ducts (calculous cholecystitis, cholelithiasis, biliary colic);
acute pancreatitis;
cyclic vomiting syndrome;
obstruction of the small intestine.

During an attack of biliary colic, the patient has bloating, severe pain, fever, vomiting and nausea. In this case, the vomit contains bile impurities in the composition. Bouts of vomiting in biliary colic usually recur every two hours and do not bring significant relief to the person.
Exacerbation of cholecystitis is accompanied by intense gradually increasing pain in the right hypochondrium, yellowing of the skin and whites of the eyes, and itching of the skin. Attacks of vomiting of bile appear in most cases after ingestion of fatty or fried foods, recur frequently and are characterized by a certain periodicity. A similar clinical picture is observed in liver diseases.

The cause of vomiting of bile can also be bile reflux, which develops against the background of gastric ulcer, duodenal ulcer or as a result of surgical interventions in this area. This is a condition in which bile from the duodenum enters the higher sections of the digestive tract - the stomach, esophagus, and sometimes the oral cavity. Large amounts of bile in the stomach provoke heartburn, nausea and gag reflex.

Abdominal pain and vomiting can be symptoms of a serious illness.

Cyclic vomiting syndrome, accompanied by the release of bile from the body, is a condition in which bouts of vomiting occur for no apparent reason, even if the person is completely healthy, and last up to 10 days in a row. Frequent vomiting irritates the walls of the stomach and stimulates an increase in the production of bile, which the body is trying to get rid of.

Intestinal obstruction is another reason that causes vomiting of bile. With this pathology, food cannot move down the intestines, which causes its reverse movement along the gastrointestinal tract and, as a result, vomiting. This disease occurs most often due to congenital defects in the structure of the intestine. Simultaneously with vomiting, patients experience severe abdominal pain and constipation. Intestinal obstruction can also be caused by duodenal stenosis, appendicitis, duodenostasis and other pathologies.

Pancreatitis includes a number of inflammatory diseases of the pancreas. One of its symptoms is severe profuse vomiting with an admixture of bile, as well as severe pain in the upper right side of the abdomen, aggravated by standing or sitting and ameliorated by lying down.

Important: Attacks of vomiting of bile in the morning indicate in most cases that a person has diseases of the liver or biliary tract. If this symptom is detected, it is imperative to contact a gastroenterologist and undergo an examination in order to avoid aggravation of the condition and the development of serious complications.

Body intoxication

Intoxication of the body, which is almost always accompanied by bouts of vomiting, can be caused by:

alcoholic drinks;
drugs (eufillin, opiate analgesics, cytostatics);
chemicals;
poor quality food.

Alcohol abuse is a fairly common cause of nausea and subsequent vomiting. With the constant intake of large amounts of alcohol, irritation of the gastric mucosa occurs, which inevitably provokes a gag reflex. This is a defensive reaction of the body, which thus tries to remove the poisons and toxins that have entered it. If, after drinking drinks containing alcohol, a person vomits over time, then this is a sign of the development of serious health problems, in particular with the digestive tract.

When taking large doses of alcohol, vomiting of bile often occurs afterwards.

Important: Alcohol intoxication is a very dangerous condition for the body, in which there is a violation of coordination of movements, memory and speech, intestinal disorders, headaches and muscle pains, weakness, nausea and vomiting.

Pregnancy

Vomiting of bile during early pregnancy is a fairly common phenomenon due to toxicosis. In this case, vomiting often occurs in a woman as soon as she wakes up in the morning and gets out of bed. The reason for this condition is hormonal changes in the body of the expectant mother. If, with toxicosis, vomiting does not happen very often (up to 5 times a day) and does not cause much concern, then it is not necessary to treat it. This period lasts, as a rule, up to 20 weeks and you just need to go through it.

However, vomiting of bile during pregnancy is associated not only with toxicosis, but also with exacerbation of chronic diseases of the digestive system (pancreatitis, duodenitis, cholecystitis, etc.). During the period of bearing a child, the load on all the internal organs of a woman, including the liver, intestines, pancreas, and stomach, increases significantly.

During pregnancy, an exacerbation of chronic diseases of the digestive tract can occur, one of the symptoms of which is vomiting.

Treatment of vomiting with an admixture of bile

How to stop vomiting bile? It is very important to first determine the cause of this phenomenon. With a single attack of vomiting without subsequent relapses, not accompanied by other symptoms, no special treatment is needed. Diet and adequate fluid intake are recommended. Otherwise, you should consult a doctor who will prescribe the necessary tests, examinations and, based on their results, will be able to make a diagnosis and choose a treatment. If vomiting is a consequence of pathologies of the digestive tract, then its elimination is possible only if the underlying disease is cured. In certain cases, the doctor may prescribe special antiemetic drugs.

In case of intoxication of the body with alcohol or other substances, it is necessary to perform a gastric lavage if vomiting of bile occurs. What to do for this? A person is given to drink in a sitting position about 2 liters of warm water at a time, and then he should independently induce a gag reflex. In the future, after cleansing the stomach, to prevent dehydration, every 15 minutes it is necessary to drink small portions of mineral water without gas (5–20 ml each). To speed up the elimination of toxins from the body, sorbents and a strict diet are prescribed.

Important: In case of myocardial infarction, high blood pressure, cholelithiasis, gastritis or peptic ulcer, gastric lavage is contraindicated.

To prevent and treat dehydration with profuse and prolonged vomiting, you need to drink plenty of water.

After an attack of vomiting, the patient is recommended to rest and a special diet. The duration of compliance with this regimen is determined by the doctor. The diet consists in the complete rejection of fatty, spicy and fried foods, smoked meats, pickles, caffeine, carbonated drinks.

What to do if the child vomits bile? Only a pediatrician can answer this question. Problems with the stomach and digestive system are among the most common in childhood. Toddlers pull everything into their mouths, they can react negatively to various types of food. Most often it is spicy, salty and fatty foods. Therefore, the child may experience vomiting of bile, although sometimes this can be a sign of the development of serious diseases.

Why can a child vomit bile?

Recognizing vomiting is easy, the main symptoms of this condition can be:

stomach urge;
contraction of the esophagus;
nausea;
all content will be released last.

Vomiting bile in a child indicates that the following organs are affected in the baby:

pancreas;
liver;
bile ducts.

Bile has a yellow-green color, and a bitter taste is constantly felt in the mouth, which cannot be interrupted and eliminated. Therefore, if the kids begin to vomit bile, you need to find out the cause of this condition in order to adequately respond to it. It is better not to self-medicate, but to call a doctor, especially if vomiting does not go away for a long time. Only a specialist is able to determine what to do if vomiting occurs.

Causes of vomiting

First of all, parents should calm down in order to correctly determine the cause of the appearance of bile. The main reasons include the following.

The use of the so-called "adult" food, which usually includes foods that are inappropriate for age, fatty and spicy foods. For example, chips, snacks, crackers, etc. Parents, wanting to transfer babies to a more adult diet, do not take into account the characteristics of each age and the body's ability to digest enzymes. For some products, the enzyme system in the body may not be sufficiently developed, so as early as eight or nine years old, a child may experience vomiting, accompanied by bile.

Disease of the gallbladder. It can be cholecystitis or cholelithiasis, which are provoked by improper functioning of the stomach. The release of a large amount of bile into the stomach can provoke a gag reflex, nausea and an attack of vomiting.

The presence of viral hepatitis in the acute stage. That is why the baby vomits bile, the stool is disturbed, the liver and bile ducts are damaged. This is due to the virus that enters the body, begins to act actively in the body of children.

Children often have indigestion due to intestinal infections caused by bacteria and viruses. Due to intoxication, the body puts up a protective barrier and begins to react to the presence of irritants with the help of vomiting. With repeated emptying of the stomach, bile begins to flow into it, which begins to come out with repeated vomiting.

Foods that the child's body cannot digest enter the stomach. Therefore, food begins to gradually accumulate, linger in the body. As a result, leftover food can ferment and rot, and the body must get rid of these toxins. The consequence of such processes is vomiting with the release of bile.

Sometimes vomiting is a symptom of more serious diseases, when the body has been poisoned, a viral and bacterial attack is observed. In such cases, only doctors can provide qualified assistance, who without fail wash the stomach in various ways.

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It is believed that the sudden appearance in a child of such pathological symptoms as vomiting with bile without fever is one of the signs of toxic damage to the organs of the gastrointestinal tract, which has arisen under the influence of internal or external environmental factors. In addition, it is not excluded that the baby has congenital or acquired diseases of the liver and the gallbladder itself, which provoke constant or periodic nausea. With the normal functioning of the digestive system, bile plays an important role in the digestion and breakdown of fats that enter the human body along with food. The appearance of an excess amount of bile in the stomach is always the first signal about the health problems of the child, which must be urgently eliminated with the help of therapeutic effects.

Given the physiological features of the structure and functioning of the internal organs of the gastrointestinal tract in young children, a large number of causative factors are distinguished, the presence of which directly or indirectly, but affects the appearance of yellow vomiting in a child. They may be as follows:
food poisoning resulting from the use of low-quality food products, the constituent components of which have no biological value, or the temperature regime of their storage has been violated;

indigestion due to overeating, saturation of the diet with dishes with a high concentration of animal fats;

metabolic disorders, when most of the proteins, carbohydrates and fats are simply not absorbed by the gastrointestinal tract due to its painful condition, the presence of secondary pathologies of the liver and gallbladder;

disorder of the central nervous system (is a congenital neurological disease, the course of which is associated with the receipt of chaotic signals from the cerebral cortex, which are responsible for the stable production of bile and the regulation of muscles that contract at the time of the formation of the gag reflex);

inflammatory processes in the tissues of the pancreas, which in turn provokes a deficiency of digestive enzymes responsible for the function of cooking food;

intestinal obstruction, when food entering the stomach is digested, moves into the duodenum, but is not able to overcome the large intestine (the brain cannot understand why food stagnates and continues to send a signal about the production of bile, although its excess is already beginning to affect the child's body toxic effect and provokes vomiting);

the ingress of a foreign body into the cavity of the stomach or intestines, which caused the blocking of the functionality of these organs with a gradual deterioration in the child's well-being;

inflammatory processes of the stomach, intestines, duodenum, which do not allow other organs of the gastrointestinal tract to stably digest food and provoke a malfunction of the entire system;

acute or chronic cholecystitis, covering both the walls of the gallbladder themselves and its individual ducts.

Quite often, a newborn child vomits with a yellow liquid, after the cessation of lactation with mother's milk, which receives the first complementary foods with artificial mixtures or pre-prepared mashed foods, according to the age limit of the baby.

What to do if a child vomits with bile without fever?

If an admixture of green bile is found in the vomitus of a small child without signs of a violation of the temperature regime, it is necessary to remain calm and not panic. It is also strictly forbidden to engage in self-treatment of a child, since it is initially necessary to establish the cause of the pathology. You need to call an ambulance and wait for the arrival of the pediatrician on duty.

Put the child on its side so that in the event of another attack of vomiting, the secreted masses freely go beyond the oral cavity. This will prevent possible ingress of fluid into the respiratory tract. If a similar problem arose in a baby who is not yet able to hold his head on his own, then in this case he should be held in his arms slightly tilted forward.

After each case of bile secretion, it is imperative to clean the child's mouth. Older children can rinse their mouths on their own.

Stop feeding the baby during bouts of gag reflex. The only exceptions are children who are in infancy, when the need for mother's milk is very high and literally scheduled by the clock.

Give the child a drink of clean water at room temperature, which is slightly salted. This is necessary to restore the acid-salt balance, disturbed as a result of vomiting. It is best to drink in fractional portions of 100-150 grams every 5-10 minutes.

It is important to remember that only a doctor can determine what kind of pathology is present in the baby's digestive system, provoking the pathological state of an attack of vomiting.

Based on this, a decision is made on the hospitalization of the child in the inpatient department of pediatric therapy, or assistance will be provided at home upon the arrival of an ambulance. It is important to remember that even if a child vomits bile without fever, this does not mean that there is no inflammatory process in the internal organ.

Prevention of vomiting of bile

In order to minimize the chances of the baby developing this kind of symptomatology. Parents need to adhere to the following simple but very effective rules aimed at preventing pathological changes in the gallbladder and the occurrence of bouts of vomiting of bile without signs of temperature:

properly organize the child's diet, avoid overeating or long breaks between meals;

firmly attach the baby to the chest so that there is sufficient fixation of his lips with the surface of the nipple (this will not allow him to swallow air, the presence of which causes indigestion);

control the amount of food eaten;

if the child is older, then it is necessary to saturate his diet with foods that are moderately fat;

give the baby only purified or boiled water to drink, avoiding even the slightest chance of infectious microorganisms entering along with the raw liquid.

It is also very important to ensure that the child goes to the toilet regularly, constipation does not occur, since feces can have a toxic effect on the baby's body and provoke intoxication with vomiting of bile masses. Especially if there were cases of hereditary transmission of diseases of the gastrointestinal tract in the family.

Nausea combined with vomiting is an alarming signal of health problems. And if a child vomits bile, parents always have cause for concern, since the condition is associated with pain in the abdomen, a bitter taste in the mouth and an increase in body temperature. Gastric masses are yellow, green or yellow-green in color. They cannot be left unattended. The child needs to be given all possible assistance, and then consult a doctor.
Why does a child vomit bile
Before taking any action, parents should know exactly what they are dealing with. Yellow vomit has several serious causes.
Diseases of the gallbladder. With cholecystitis, biliary dyskinesia and cholelithiasis, the organ functions poorly. If bile enters the stomach, the child first feels sick, and then vomiting opens.
Intestinal infections. Vomiting in this case acts as a kind of protection of the body against bacterial damage. Repeated emptying of the stomach leads to a re-entry of bile, and the circulation continues.
Viral hepatitis. Damage to the liver and bile ducts entails vomiting with the release of bile. The baby has a broken stool and a stomach ache. It's all due to viruses.

If the child vomited in the morning, this indicates an overeating of fatty, spicy or fried foods consumed during dinner. In adolescence, a yellow gastric mass can stand out against the background of severe alcohol intoxication. In newborns, regurgitation of bile is a symptom of intestinal obstruction or pylorospasm.

Among these reasons, pediatrician Komarovsky considers the most common diseases of the gallbladder and the early transfer of the child to a common family table. The enzyme system under 7 years of age in children is still poorly developed, so the adult diet is not suitable for them. Also, vomiting with bile can be a harbinger of appendicitis.

Neurogenic factors can provoke a gag reflex with the release of bile in children. These are abnormal blood circulation of the brain, acute emotional disorders, psychosomatic diseases. Gastric masses with strange impurities can be excreted in renal pathologies and sexual disorders. In childhood, the described case occurs with diseases of the pharynx, pharynx, root of the tongue.
How to alleviate the condition of the child
What should parents do when such a nuisance happens as vomiting of bile in a child? First, do not panic yourself and calm the frightened child. Perform the following steps according to the diagram below:

Induce a gag reflex by first giving the child 2 to 3 glasses of boiled water to drink.
Reduce intoxication with Smecta or Activated charcoal. Smecta's solution is prepared at the rate of 1 sachet per 1 glass of water. From coal tablets, you can make a suspension, guided by the ratio of 1 tab. x 10 kg of the child's weight.
Put the patient to bed so that the head is placed higher, and preferably on its side.
If the child is concerned not only with vomiting, but also with temperature, it is necessary to eliminate the fever. Have the patient take Ibufen or Paracetamol.

And here is a short list of activities that experts strongly advise parents not to do.
Until the doctor arrives, leave the patient unattended.
Arrange gastric lavage with a solution of potassium permanganate.
Attempt to do flushing in the unconscious state of the baby.
Give plenty of food or water to a child who has recently vomited bile.

Principles of pathology therapy
If vomiting of bile was single, you can do nothing - the condition stabilizes on its own. But if the attacks become more frequent, it is necessary to visit a doctor and go through the recommended examinations with the child. According to their answers, the specialist diagnoses a functional disorder of the digestive organ. For treatment, the child will be prescribed suitable choleretic medications:

Holaflux;
Flamin;
Holagogum;
Berberine and others.

From folk remedies, children are recommended to make herbal teas, the components of which have choleretic properties. Immortelle, mint or angelica should be taken in the amount of 1 tsp, pour 200 ml of boiling water and cover for 15 minutes. Means water the child 4 r. a day before meals. Single dosage - ½ cup. Course - 10 days.
How else can you help a child? Nutritionists advise giving the patient cool lime and cranberry juices. With frequent episodes of bilious vomiting, tea with ginger and cinnamon is useful. Foods with caffeine during the period of therapy should not be fed to the baby. It is also necessary to refrain from tomatoes and citrus fruits - they irritate the gastric mucosa.
Daily meals should be portioned, that is, the child should eat little and often. You can’t have dinner just before bedtime, drink black tea, soda, coffee - too. It is important to eliminate spices from the diet. Sleep preferably on your side.

The child vomits bile. This is one of the signs of intoxication of the body. An attack of vomiting is a way to get rid of poisons in the shortest possible time. Bile itself is a set of toxins. It performs digestive and disinfecting functions in the intestines. However, the secret should not penetrate into the blood, stomach, esophagus. There, bile acids have a corrosive, irritating effect, poison the cells.

Why does he vomit bile? The child turns pale, complains of nausea. The reason is food. We are talking about inedible low-quality, heavy for the stomach products. Bile in vomit is determined by green and yellow colors.

In addition to food, seizures provoke diseases of the digestive system.

At the same time, there are:

pain in the abdominal cavity;

bowel disorder;

increase in body temperature;

chills.

Symptoms are due to:

Infections that have entered and develop in the intestines.

Violations of the gallbladder.

Disorders of the neuromuscular apparatus of the stomach.

Acute manifestations of appendicitis.

Poor intestinal patency.

Paroxysmal severe pain in the abdomen.

Food poisoning.

Congenital pathologies of the digestive system.

Blockage of blood vessels in the intestines.

Damage to some parts of the brain.

In childhood, there are several more reasons that provoke vomiting:

too active games;

If the child is healthy, these reasons provoke vomiting in exceptional cases.

Vomiting in infancy

Did the child throw up bile or feel sick in infancy? The situation may be normal. Newborns tend to spit up. This is a "side effect" of the still not well-established digestive system. However, vomiting and regurgitation are two different things. Bile particles may be present in both cases. However, regurgitation is not accompanied by nausea, weakness, heartburn.

Babies may spit up in the following situations:

In case of improper capture of the nipple of the breast.

A large amount of milk eaten.

When an infant overeats, vomiting of bile indicates the active production of liver secretions.

A newborn child may show disruptions in the work of the digestive organs that provoke frequent regurgitation of bile, for example, a violation of intestinal motility or its obstruction, mechanical damage.

Additional causes of the disease are:

Damage to the junction of the intestines and stomach. The gap between them is small. It is difficult for food to pass into the intestines. Prompt intervention is needed.

Spasm or untimely relaxation of the sphincter located in the stomach. The coincidence of failure with food intake provokes vomiting. In this case, bile is thrown from the gallbladder higher. It is necessary to follow certain rules for feeding the baby. Portions should be small. Accordingly, you need to feed often.

Intestinal diseases. They are indicated by the blood in the feces of the newborn and the yellow tint of the masses during regurgitation.

If a newborn vomits, it is necessary to consult a doctor. Throwing up shouldn't be a concern. Vomiting not only indicates the pathology of internal organs and their systems, but is also fraught with dehydration.

In childhood

If the child vomits bile in the morning, while the temperature rises, two options are possible. The first is inflammation of the digestive system. The second option is the combination of pathologies with a virus, for example, influenza.

When vomiting bile in children, characteristic symptoms are observed:

stomach ache;

bitter taste in the mouth;

yellow-green color of vomit.

The child will need urgent help. If the patient's condition is serious, call an ambulance. You can try to slightly alleviate the condition of the child before the arrival of the brigade.

Need to:

Provoke vomiting by first drinking boiled water or a weak solution of potassium permanganate. This will help clear your stomach. In parallel, you need to monitor the temperature. If the fever grows, give Ibuprofen or Paracetamol, Nurofen.

Smecta, activated charcoal will help relieve nausea. They are given according to the instructions.

Lay the child on its side so that the head is higher than the legs.

Don't leave the child alone.

Drink plenty of water to prevent dehydration.

With frequent bouts of vomiting, an examination is required. Having determined the cause, the doctor will prescribe treatment. These can be drugs that will improve the passage of bile and a special diet.

In adolescence

Why can there be vomiting of bile in children, but there is no temperature?

In adolescence, the main causes of vomiting of bile are:

Diseases of the digestive system. Children gain excess weight, or vice versa, lose weight dramatically.

Disorders of the central nervous system. Vomiting is accompanied by fluctuations in intracranial pressure. In this case, there is a characteristic symptom ─ tremor (cramp) of the chin.

Infections. Accompanied by lethargy, belching, pallor of the skin.

Inflammatory process in the lungs. The area of the mouth and nose becomes cyanotic.

Diseases of the gallbladder and biliary tract. The hepatic secret penetrates the stomach, causing nausea, vomiting.

Intestinal infections. Bacteria provoke improper functioning of the stomach, the flow of bile into it.

Hepatitis developed against the background of a virus. In this case, the work of the liver and gallbladder is disrupted.

Improper nutrition and consumption of large amounts of fatty, spicy, fried foods, especially at night.

Alcohol intoxication in adolescence almost always provokes vomiting. In this case, bile can enter the masses. No temperature. The child vomits bile. Then comes relief.

When vomiting of bile occurs in children in adolescence, you need to seek help from a doctor.

Treatment of vomiting of bile in children

Vomiting bile in a child is treated in different ways. Therapy depends on the causes that prompted the spasms. Therefore, any treatment begins with a diagnosis.

After appoint:

Medical therapy.

Surgical intervention.

Folk methods of treatment.

Physiotherapy.

Gymnastics.

Hello dear parents. Today we will consider such a condition as vomiting of bile in a child. You will find out what symptoms may accompany this phenomenon. Find out the possible factors influencing the occurrence of vomiting. Let's talk about ways to help the baby, as well as possible treatment in the presence of such vomiting.

Why does
The reason may lie in the problems of the functioning of the gallbladder

Many reasons can influence the occurrence in a child, in particular, bile. It should be borne in mind that this process in itself is not a disease. This is a symptom that indicates the presence of some kind of disease in the child's body.

Allocate groups of factors influencing the occurrence of such a state.

Central, which affect the brain:

epilepsy;

Toxic:

result of poisoning;

infection;

violation of metabolic processes in the body.

Diseases of the gastrointestinal tract:

cholecystitis;

ulcer;

peritonitis;

intestinal obstruction;

appendicitis.

Additional symptoms

Bouts of vomiting may be accompanied by severe abdominal pain

Based on what disease provokes vomiting, the type and nature of the vomit may differ.
In the presence of a disease associated with the brain, vomiting will have a poor appearance, there will be no dependence on food intake, while almost always accompanied by pain in the head. It is also worth considering that in this case, vomiting occurs suddenly, without nausea and does not bring relief.

With pathologies of the digestive tract. Mostly appears after eating, brings relief, accompanied by pain in the abdomen. If there is chronic gastritis, then vomiting may occur in the morning.

Exacerbation of peptic ulcer disease - vomiting is profuse, the smell is sour.

Inflammation of the gallbladder, dyskinesia. Pain occurs in the right hypochondrium, can be given under the shoulder blade and in the shoulder.

Pancreatitis is characterized by the presence of repeated vomiting that does not bring relief. Girdle pain is present.

Diseases of the biliary tract, the presence of a duodenal ulcer is accompanied by prolonged vomiting. The color of the vomit is green or yellow, there may be a white foam.

It is worth considering such characteristic symptoms as the presence of fever, diarrhea or repeated vomiting. These signs can narrow the range of possible pathologies.

If this condition is repeated many times, this may indicate both the presence of an intestinal infection and gastritis. But most often the case is in the syndrome of cyclic vomiting, which develops mainly with physical overwork, stress, or an infectious disease.

If vomiting with fever, this is most likely a sign of an infection in the body, an inflammatory process, or intestinal poisoning. There may be appendicitis, pancreatitis, and peritonitis. If you have these symptoms, you should immediately consult a doctor or call an ambulance. If there is vomiting and fever, and severe headaches are present, meningitis may occur.

If vomiting is without fever, then, most likely, poisoning or a viral infection can be excluded. But it is also worth considering the likelihood of weakened immunity, in which the temperature will not rise, even if there is an intestinal infection. In most cases, this condition is observed with helminthiasis, liver diseases, gastritis.

If, in addition to the actual vomiting of bile, diarrhea is present, then there may also be several options that provoke this condition:

gastritis, accompanied by pain in the abdomen and general weakness;

, more often develops if antibiotics were preceded;

pancreatitis, in this condition, the remnants of undigested food are noticeable in the feces.

If vomiting and diarrhea are also accompanied by high fever, then there is an intestinal infection or serious poisoning, for example, as a result of eating fatty foods. Diarrhea and vomiting at the same time contribute to the removal of toxins to the outside. Parents should understand that in such a situation it is extremely important to replenish the water-salt balance in order to prevent the development of dehydration.

If the condition is accompanied by pain in the abdomen, problems with the gallbladder are not excluded, namely, the inflammatory process or difficulties with the patency of the ducts. When bile is released into the stomach, a state of nausea initially occurs, then vomiting follows, attacks begin to recur, a new portion of bile comes out, and the patient's health deteriorates. In addition to problems with the gallbladder, it can also indicate the presence of:

blockage of the intestines, in particular observed in newborns;

gastritis.

These symptoms can also be observed in preschoolers if there is no normal diet. That is why children before the age of seven are not recommended to consume foods such as canned food, smoked sausages, spices, spicy foods.

When to urgently call a doctor

There are a number of conditions in which calling a medic is vital. Parents should look out for these warning signs:
complaints of very severe pain in the abdomen;

a strong increase in temperature;

repeated vomiting, which was preceded by the use of spoiled food or medication;

accompanying vomiting with diarrhea;

the appearance of signs of dehydration (dryness of the tongue, skin, mucous membranes, crying without tears, no urine for more than six hours);

blood is found in the vomit.

First aid

The child should be given to drink, but in small portions

First of all, you need to think about the importance of maintaining complete calm. You must make sure that the baby also calms down, because vomiting attacks will cause him considerable anxiety.

Call the doctor. While you are waiting, do not leave your child for a moment.

It is important that the little one does not lie on its back, otherwise you risk that vomit will enter the respiratory tract. It is recommended to maintain a vertical body position or that the baby lies on its side, or at least the head is turned to one side.

It is important that if you vomit, be sure to give a drink to prevent dehydration. In such a situation, solutions of salts and glucose are recommended, which can be prepared at home using pharmaceutical preparations in powder form. Also, such a tool can be made at home from salt, sugar and soda. It is important that the drink is given in small portions, but often.

Before the examination is carried out by a specialist, it is unacceptable to give the child any medications, including antiemetics.

Methods of treatment

Based on the diagnosis, the type of therapy will differ. The following groups of drugs are most often used.

Prokinetics. Such drugs are prescribed to coordinate the work of the digestive system. It can be Motilak, Cerucal, Motilium.

Receptor blocking drugs. For example, Dramin, No-spasm.

Antispasmodics. Medicines that can reduce contraction and reduce the tone of the smooth muscles of the digestive tract, for example, Drotaverine, Spazmol or No-shpa.

A sedative to calm the condition, such as Persen.

Sorbents, allowing to accelerate the removal of toxic substances from the body.

In the presence of an intestinal infection - antibiotics.

Regidron can be used to restore the water balance.

Antiemetics such as Motilium.

Surgery may be used. Only in situations where conservative therapy is powerless, in particular, with cholelithiasis, if the duct is clogged, with abnormal development of the biliary tract, peritonitis or appendicitis.

Diet Features

Probably every parent knows that after such a failure in the body, it is necessary to follow a certain diet.

After such vomiting, you need to feed only when he asks and in small portions.

Prohibited is the use of:

cold food;

soda;

salty;

fatty foods;

smoked;

fried foods;

conservation;

food that is unpleasant for the child.

The diet should include:

rice decoction;

boiled vegetables;

Rye bread;

lean meats;

lean fish.

Folk remedies

You can also alleviate the condition of the child using traditional medicine.

Beet juice. Boil the beets until half cooked, rub, squeeze the juice out of it. The child is given a teaspoon three times a day.

Peppermint infusion. The plant is crushed, poured with hot water, boiling water, left to infuse for two hours. Apply a tablespoon three times a day.

A decoction of dill seeds. A teaspoon of seeds is taken, poured with water (one glass), brought to a boil. After cooling, give a tablespoon three times a day.

Freshly squeezed potato or carrot juice.

Despite the fact that folk remedies are natural and do not pose any threat, it is still not recommended to use them without consulting a doctor. Do not forget about possible serious conditions that may be indicated by vomiting of bile, perhaps the child needs emergency help.

Precautionary measures

Particular attention should be paid to the nutrition of the child

In order for parents to take care of preventing possible vomiting in a child, special importance must be given to proper nutrition of the little one.

You can't force feed your baby.

Meals should include only high-quality and fresh products.

In the presence of chronic pathologies of the digestive system, in particular, diseases associated with the gallbladder and biliary tract, it is necessary to take medication regularly.

After the child eats, it is not recommended to get up abruptly or immediately go to bed. You need to sit upright for at least half an hour.

It is important that the last meal occurs no less than three hours before going to bed.

The baby, as well as the newborn, after feeding must be kept in a vertical position for about 20 minutes.

It is important to take care of a favorable climate in the family, minimize the impact of stress, and not overstrain the child.

You need to think about general strengthening activities, hardening procedures, gymnastics, regular walks in the fresh air.

It is important to observe the prevention of infectious and viral diseases, in particular, through timely vaccination.

Now you know for what reasons vomiting of bile may appear, what treatment can be in this case. As you can see, serious health problems are often to blame. Therefore, you can not hesitate, try to do something on your own. It is better to immediately seek help from a specialist, and not waste precious time.