Vomiting

There are too many causes and include:

• Gastro-enteritis
• Food allergy
• Acid reflux
• Appendicitis
• Cyclical vomiting
• Abdominal migraine

Bile vomiting, however, indicates a surgical cause - an intestinal obstruction. The most important of these is malrotation in which patients may get loss of bowel because of a twist called volvulus.

Green or yellow vomiting, therefore, must never be ignored.

(Pressure of early diagnosis in pyloric stenosis - is overreliance on ultrasound scans leading to negative explorations. D.Misra, V.E.Boston.  Eur J Ped Surg. 7: 328-30, 1997)

Dr Devesh Misra
Consultant Paediatric Surgeon and Paediatric Urologist