Why do I only vomit but not have diarrhea?

The resistance of newborn babies is still very weak, and they are easily invaded by various bacteria and fungi. For many new parents, nothing is more important than their baby's health. For babies in this period, their health will always be affected. Parents can only better cope with the situation if they know more about the causes of the disease. What happens if the baby vomits but does not have diarrhea? Let’s learn about it together.

1. What is the disease if the baby vomits but does not have diarrhea?

What disease is it that causes a baby to vomit without diarrhea? There are many reasons for a baby's sudden vomiting. The most common reason is poor digestive function. Vomiting is a pathological phenomenon, which is common in diseases such as acute enteritis, gastritis, pyloric spasm, hypertrophy, stenosis, pneumonia, meningitis, etc. When the baby vomits, do not feed the baby. Let the baby's digestive tract have a rest. You can first give the baby some light sugar salt water or light tea to drink.

If a baby occasionally vomits after feeding, it may be that he has swallowed air. The nipple should be blocked during the next feeding to prevent him from swallowing air. After sucking, you can hold the baby and pat his back gently to let the air out. Then lie on the right side with the upper body slightly raised. If the child often vomits after sucking milk but is generally in good condition, he may have pyloric spasm. Under the guidance of a doctor, the child should take some antispasmodics. When the general nutritional status is affected, pyloric hypertrophy should be prevented.

What is the disease of infant vomiting without diarrhea?

2. Common causes of vomiting in newborns:

2.1 Poor feeding

The most common clinical cause of neonatal vomiting is improper feeding. Newborns have unconditioned reflexes such as sucking and swallowing as soon as they are born. These reflexes of premature babies may not be perfect, and spitting up may often occur after feeding, especially when the amount of milk is too much. The oral cavity and pharynx of newborns are relatively small, and if they suck too much milk at one time, it may cause choking and vomiting. Newborns have a small stomach capacity, and feeding too much at one time, or laying the baby flat immediately after feeding or turning the baby too much can also cause vomiting. If the nipple hole is too small, the child may need to suck too hard, which may cause vomiting. Milk that is too hot or too cold, or a newborn sucking too deeply on the nipple and irritating the throat can all cause vomiting.

2.2 Physiological vomiting

Because the esophagus of newborns is relatively short and the beginning of the greater curvature of the stomach is horizontal, feeding too fast or too slow or holding the bottle horizontally can cause excessive swallowing of air and lead to vomiting.

2.3 Infection factors

Newborns are susceptible to infection, and vomiting may be the first symptom. Intestinal infection can cause vomiting, and extra-intestinal infections, such as upper respiratory tract infection, pneumonia, omphalitis, skin infection, meningitis, pyelonephritis, sepsis, etc., can also cause reflex digestive dysfunction and vomiting.

3. How to diagnose baby vomiting:

3.1. Diagnosis by the time and frequency of vomiting

There may be significant differences in the disease, such as a newborn baby who starts vomiting coffee-colored mucus within a few hours after birth and a 3-year-old child who repeatedly vomits coffee-colored substances for more than 2 years. Obviously, they have different causes. The former may be caused by accidental swallowing of maternal blood, while the latter is more likely to cause hiatal hernia.

3.2. Diagnosis through vomitus overflow

Milk may flow out in small amounts from the corners of a newborn's mouth; or flow back out from the mouth; or be spit out in large quantities from the mouth; or spray out from the mouth and nostrils at the same time. In the neonatal period, the former may be physiological, while the latter is more common in congenital hypertrophic pyloric stenosis.

3.3. Diagnosis by color and morphology of vomitus

Light, grayish white vomitus: This type of vomitus mostly comes from the slightly viscous secretions of the esophagus and swallowed milk, which are retained due to the obstruction of the gastric cardia at the lower end of the esophagus. This condition is common in esophageal atresia or stenosis and can also be seen in cardiac spasm. If the vomitus is mixed with milk curds and has a sour taste, it means that the vomitus comes from the stomach. The cause is probably pyloric stenosis, spasm or hypertrophy of the stomach. Yellow-green vomitus: This type of vomitus mostly comes from bile and often indicates that there is obstruction in the intestinal cavity below the ampulla of the duodenum.

How to use medicine for baby vomiting:

1. Patients with severe vomiting must fast for 4 hours. Except for gastric perforation, gastric lavage can be performed with normal saline or 1-2% sodium bicarbonate solution. Be sure to lie on your side to prevent vomit from being inhaled into the trachea.

2. After vomiting stops or is alleviated, a small amount of thick, slightly warm, easily digestible food or liquid diet such as rice soup can be given.

3. Those with dehydration or electrolyte imbalance should be given fluid and electrolyte replacement as needed. If there is peripheral circulatory failure, it should be treated as circulatory failure.

What is the disease of infant vomiting without diarrhea?

4. Those who vomit frequently should be given antiemetics and sedatives, such as Luminal, Metoclopramide suppositories, etc. Metoclopramide should be used with caution.

5. Antispasmodics, such as Solanum lycopersicum, atropine 654-2, propantheline, and 1-2% procaine (1-2 ml/year/time) can also be used according to the condition of the patient, but be careful that improper use may mask symptoms and is not conducive to a clear diagnosis.

6. Patients with intracranial hypertension and cerebral edema can be treated with dehydrating agents such as mannitol hypertonic glucose solution.