A child is vomiting bile - causes, treatment tactics. A child is vomiting bile: there is cause for concern. Why is a 4-year-old child vomiting bile?

The appearance of vomiting with bile in a baby causes concern among parents. To help a child, you need to understand the causes of the disease.

Causes

What should you do if your baby suffers from regular vomiting that contains a large amount of bile? First, understand the causes of this pathology.

The gag reflex may be associated with the presence of cholecystitis. This disease is accompanied by disruption of the gallbladder. Bile enters the stomach and the baby develops a gag reflex.

Advice from the chief gastroenterologist!

Vomiting can be caused by infection with viral hepatitis. In humans, the liver and bile duct are affected.

Intestinal infections pose a particular danger to the baby. A child may be poisoned by food containing pathogenic bacteria. After eating expired foods, vomiting begins. The protective reflex leads to repeated emptying of the stomach. In this way, the body tries to get rid of toxic components.

Vomiting with bile may occur due to proper nutrition. This may be due to eating food that is not suitable for the child.

Don’t rush to switch your baby to adult food. The body needs time to adapt to the new menu.

A child under 9 years of age has not yet developed a digestive system. Enzyme deficiency leads to the appearance of poorly digested food in the stool. The processes of rotting and fermentation begin in the intestines. With the help of the gag reflex, the body tries to get rid of the contents of the stomach. In this case, a large amount of bile is released.

Gastroenterologist Vazhenov: “I beg you, if you start to worry about abdominal pain, heartburn, nausea, gas, do not do it under any circumstances...”

What should parents do if their baby is vomiting bile?

Most parents do not know how to act correctly when their child has vomiting attacks. First you need to calm the baby. Try not to worry because emotional stress can be passed on to the child.

Perform gastric lavage with boiled water. To do this, give your child 2 glasses of water and induce vomiting.

NOTE!

The presence of symptoms such as:

Diarrhea or constipation
Belching and bad breath
Heartburn or increased gas formation(flatulence)
Feeling of heaviness and pain in the abdomen

If you have at least 2 of these symptoms, then this indicates a developing gastritis or ulcer. These diseases are dangerous due to the development of serious complications (penetration, gastric bleeding, etc.), many of which can lead to FATAL. Treatment must begin immediately! Read the article on how to get rid of these symptoms and defeat the root cause using folk remedies.

Adsorbents help with poisoning. Dissolve a sachet of Smecta in a glass of water. Do not exceed the dose indicated in the instructions.

Place your baby on a bed with a high pillow. For high temperatures, you can give a Paracetamol tablet.

Constant bouts of vomiting deprive the baby’s body of fluids and microelements necessary for normal functioning body.

Lack of fluid causes dehydration. If signs of dehydration appear, it is necessary to give the baby rehydration solutions (Oralit, Hydrolyte).

Look out for the following signs:

IMPORTANT TO KNOW! Stomach pain? Gastritis? Ulcer? To prevent a stomach ulcer from turning into cancer, drink a glass...

a child suffering from dehydration has sunken eyes;
the baby loses interest in toys;
The child's skin loses elasticity and becomes dry.

Do not force your child to drink the solution in large sips. This will only make the vomiting worse. It is better to feed the baby from a spoon. This way you can control the amount of the drug that the newborn drank.

What should not be done if a child is vomiting?

Under no circumstances should you rinse your stomach with a solution of potassium permanganate.
Washing while unconscious can have serious consequences.
Do not leave your baby unattended until the doctor arrives.

Treatment

Treatment methods depend on the cause of vomiting. In case of poisoning and infection with intestinal infections, it is necessary to give the baby adsorbents (Smecta, Polysorb). They will help remove toxins from the body.

In case of diseases of the digestive organs, the baby is sent for examination. Experts study the composition of vomit, its color and consistency.

Thanks to ultrasound, you can obtain information about the condition of internal organs. If necessary, the baby is prescribed gastrofibroscopy.

Vomiting may be a consequence birth trauma. If damage is suspected, the baby is referred to a neurologist. To improve food digestion, the doctor prescribes medications containing enzymes (Mezim, Festal).

Many people gag due to motion sickness. To avoid motion sickness, you should not feed your baby before the trip. Pay attention to your child's diet.

If you experience constant motion sickness during a trip, you will have to give up fatty foods, which take a long time to digest in the stomach. An effective remedy Dramamine, which can be given to children up to one year old, is considered to combat motion sickness. However, your baby may become drowsy after taking this drug.

Features of the diet for vomiting

There are several important nutritional principles that must be followed during vomiting:

Cope with constant vomiting It is possible if you reduce the portions.
Food that is too hot or cold makes digestion difficult
Grinded food is absorbed faster in the body.
Instead of goulash, it is better to feed your baby meatballs or cutlets. It is recommended to boil or stew all dishes.
Fried food is prohibited as it creates additional load on the digestive organs.
Do not give your baby large pieces of vegetables and fruits. They need to be crushed in a blender. Therapeutic fasting is unlikely to help a child get rid of vomiting. A hungry baby may eat too much food in one meal.
Be sure to include it on the menu dairy products.
To prepare dishes, you need to use lean varieties of meat and fish.

During attacks of vomiting, the baby should not be given:

wheat bread;
fresh fruits and vegetables;
canned food and sweets.

Traditional methods

When treating with herbs, one must take into account the possibility of allergic reaction. If a rash or redness of the skin appears, you should immediately stop using the product.

You can get rid of regular bouts of vomiting if you use proven folk recipes:

Place a crushed spoon peppermint into a container and pour a glass of boiling water. Pass the broth through a piece of gauze to remove pieces of leaves. The product should be given to the baby 3 times a day.

You can cope with attacks of nausea and vomiting with the help of lemon balm. Brew tbsp. a spoonful of crushed leaves in a glass of boiling water. The product should be taken before meals 3-4 times a day.

Dill seeds help normalize the functioning of the digestive system. The decoction will help eliminate vomiting and nausea.

Bile poisoning

Most large organ inside a person is the liver, its responsibilities include cleansing the blood of poisons, accumulating necessary substances for further use by the body, producing proteins and fats. The liver produces bile, which helps digest food. Bile accumulates in the bile ducts. During the digestion of food, it passes from the gallbladder to duodenum, where, thanks to acids and enzymes, the work of proenzymes stops and fats combine. But if bile for some reason enters the blood (obstruction of the ducts due to the presence of tumors, growths, foreign bodies), this can lead to large-scale poisoning of the body, which is dangerous for a person’s future life.

The reflex can occur in various gastrointestinal diseases.

Causes of vomiting with bile

The presence of bile in vomit can occur for various reasons:

For pancreatitis, Crohn's disease, cholecystitis, intestinal adhesions, volvulus or peritonitis, other diseases with intestinal obstruction.
With pyloric stenosis, which is characterized by vomiting in the morning. This disease is characterized by the inability of food to pass from the stomach to the intestines, which leads to gastric stagnation. The person begins to feel sick and vomit, which gradually begins to intensify. In this case, the patient requires first aid and emergency treatment. Otherwise, cancer or an ulcer of an internal organ may occur, which can lead to death.
Due to exposure medications on the human body.
For diseases of the stomach, pancreas, bile ducts. Acute or chronic form Pancreatitis can provoke vomiting with the presence of bile. Involuntary eruption of stomach contents through oral cavity occurs at 30 minute intervals. Vomiting in the morning indicates gastritis.
Gallstone disease is accompanied by vomiting attacks due to excessive consumption of fatty, fried foods, which overload the esophagus. Vomiting with the presence of bile may indicate that the patient has biliary colic, which is a symptom of cholecystitis or cholelithiasis. The interval between attacks reaches two hours.

An important reason for the presence of bile inclusions in vomit is psychosomatics, which includes brain diseases and emotional disorders. In addition, bile can occur during vomiting due to poisoning, burns, diseases of the female genital organs, kidneys, and intoxication. Intoxication is mainly associated with excessive consumption alcohol-containing drinks. Bile may also appear in the vomit during pregnancy in the first months, which indicates toxicosis.

The occurrence of vomiting with bile in children

In children, a gag reflex mixed with bile occurs when the gallbladder is not functioning properly.

The child may also see bile in the vomit, which occurs when the gallbladder ceases to function normally. The baby is prescribed strict diet which excludes the consumption of fatty, spicy, fried foods, and does not allow eating before bed.

Poisoning with toxic substances causes poisoning, and as a result, a vomiting attack on a constant basis, until first aid is provided to him. Appendicitis also poses a great threat to little man Therefore, at the first symptoms of this disease, you should immediately contact a medical facility or call an ambulance.

Vomiting of bile and diarrhea

Disorders of intestinal activity and vomiting attacks, in which bile is present, are more common in diseases gastrointestinal tract. This is caused by eating low quality food and drinking too much alcohol. Constantly eating foods that do not benefit, but only harm, can provoke bile inclusions in vomiting attacks, which are a consequence of disruption of the digestive system.

Poisoning with low-quality products leads to nausea, weak stools, vomiting and is accompanied by painful sensations aching in the abdominal area. In addition, the patient may experience increased body temperature, weakness and deterioration general condition. All these symptoms indicate dysfunction of the gastrointestinal tract, which requires prompt examination and immediate treatment. Under no circumstances should you self-medicate, so as not to aggravate the situation even further.

Treatment

After gastric lavage you can restore acid-base balance patient with rosehip infusion.

Nausea, vomiting attacks with the presence of bile require urgent action. First of all, the patient needs to rinse the stomach with plenty of liquid. The patient should take a sitting position and drink 1.5-2 liters of preheated water in one gulp. You need to swallow the liquid as quickly as possible and not take long pauses. This procedure is allowed for people who do not have cholelithiasis, ulcer and gastritis.

When gastric lavage is done, the acid-base balance should be restored and dehydration should be prevented. The patient is given a rosehip decoction or mineral water without gas. In this case, you need to drink the liquid in small sips.

At alcohol poisoning Toxins should be removed by taking activated carbon or another sorbent. When the patient's condition has more or less returned to normal, he should be provided with rest. After sleep, he is given freshly prepared broth from lean meat to drink and gradually begins to expand the menu, excluding fried, salty and fatty foods.

Meals should be taken in small portions and five times a day, excluding meals before bed. The patient's diet should not consist of alcoholic beverages, tea and strong coffee.

If vomiting attacks occur once, there is no need to take any special measures, but if vomiting occurs repeatedly, you should urgently consult a doctor who will examine the patient and write out directions for necessary tests and based on their results, prescribe therapy.

Drug therapy for vomiting attacks with bile is based on eliminating the primary disease. You can get rid of vomiting by eliminating the underlying disease, which must be identified by a specialist. But to alleviate the patient’s condition, you can drink teas with a choleretic effect, which reduce the level of pain during involuntary eruption of stomach contents through the mouth and promote the removal of excess bile. Don't forget that medicines have side effects, so it is important to consult a doctor before use.

Prevention

Preventive actions are based on eliminating vomiting attacks with bile by adjusting nutrition and getting rid of bad habits. Before you start drinking alcoholic drinks, you need to take activated charcoal. It is important to monitor your diet and eat only fresh foods. You should not buy vegetables and fruits out of season, as they contain many nitrates, which are destructive to healthy organs of the digestive system.

Enterocolitis in an infant

Baby's stool is one of the important indicators his health, proper nutrition and well-being. That is why mothers study the contents of diapers or the potty with trepidation. How to recognize dangerous symptoms from the digestive system in an infant?

Causes of intestinal inflammation in newborns

Enterocolitis – inflammatory process large and small intestines - is a fairly broad concept, since inflammation of the intestinal mucosa can be caused by a variety of causes.

Bacterial flora – staphylococcus, streptococcus, Klebsiela, coli are the most common pathogens of intestinal infections in children. “Adult” pathogens such as salmonella and shigella can also occur in infants, but much less frequently.

Viruses with selective damage to the intestines - a group of rotaviruses and enteroviruses.

Allergy. Most often, infants experience episodes of allergy to cow's milk proteins from infant formula or when consumed by the mother large quantity whole cow's milk.

Enzyme deficiency. The most common manifestation of a deficiency in the digestive systems in children is a deficiency of the enzyme lactase, which is responsible for the breakdown and absorption of the sugar in breast and cow's milk - lactose. This phenomenon is called “lactase deficiency.” Its importance in modern pediatrics is clearly exaggerated. Congenital or genetically programmed lactase deficiency is very, very rare. Most often, pediatricians deal with secondary enzyme deficiency, for example, due to overfeeding of a child, incorrect dosing of formula, or after an intestinal infection of any other etiology.

Toxic enterocolitis associated with the intake of toxic substances in infants is rare, which cannot be said about older children (about a year), who, while learning about the world, actively reach out to various means household chemicals, vinegar essence and other household poisons. Toxic enterocolitis in infants can be caused by an overdose of drugs, for example, antibiotics or antipyretics.

Necrotizing enterocolitis in newborns, or NEC, is a separate group of intestinal lesions. This type of inflammation occurs in premature babies or newborns who have suffered intrauterine or birth hypoxia or oxygen starvation. The reason for the destruction of the intestinal mucosa here is ischemic, that is, against the background oxygen starvation sections of the intestinal mucosa die off - necrosis occurs. And joining pathogenic flora occurs secondarily. Necrotizing enterocolitis in newborns is very dangerous situation, requiring intensive care, since among premature babies the mortality rate reaches 80%. Fortunately, premature or hypoxic babies are in the intensive care unit under the watchful supervision of neonatologists.

It is important to know!

Newborn babies on breastfeeding rarely suffer from intestinal infections, that is, enterocolitis caused specifically by bacterial flora or viruses. Mother's milk is sterile in most cases, always desired temperature and consistency, and is also rich in various immune defense factors. This fact may become another argument in support of natural feeding.

Children on artificial feeding more often they become infected with intestinal infections due to insufficient treatment of bottles, nipples and other attributes for the preparation of mixtures.

The main share of infectious enterocolitis occurs in the period from 6 months to a year. This is due to three main factors. Firstly, during this period various complementary foods are actively introduced, which, if improperly stored or prepared, can become infected with microbes. Secondly, by this age most women have completed or significantly reduced breastfeeding, and at breast milk immune defense factors disappear. Thirdly, a child of this age very actively explores the world and puts various objects into his mouth.

Symptoms of enterocolitis in infants

Regardless of the causes of intestinal inflammation, enterocolitis in infants will be accompanied by a number of common symptoms:

Abnormal bowel movements, often diarrhea. Here I would like to make a small remark: the stool of breastfed children can have a completely different color, frequency and consistency. In the absence of other complaints and the child’s normal well-being and development, “unusual” stool in a baby is not a reason to sound the alarm!

We list the most significant threatening symptoms that should concern the mother:

Foamy stool.
A large amount of mucus, streaks of blood.
Foul smell.
The color and frequency of stool in breastfed babies are not the most significant indicators, but in “artificial” babies they will differ significantly from the usual ones.

Vomiting or frequent, profuse regurgitation.
Increased body temperature above 37.5 degrees. Young children have an imperfect thermoregulation system, so lower temperature numbers are usually not indicative.
Weakness, lethargy of the child. This symptom is one of the key ones not only when intestinal disorders, but also for any other disease. If a child becomes lethargic, drowsy, does not want to eat or play, this should concern parents, regardless of any other symptoms.
Loss of body weight. Weight loss occurs as a result of poor absorption nutrients, and against the background of dehydration.
Dehydration or dehydration is very dangerous phenomenon for young children, which most often accompanies acute enterocolitis in children. It is characterized by severe dryness of the skin and mucous membranes, lethargy, increased body temperature, retraction of the fontanel and convulsions.

Treatment of enterocolitis in children

Only a doctor should treat enterocolitis in an infant! Under no circumstances should you engage in any self-medication such as enemas, giving your baby herbal decoctions, rice water and other folk methods. Without proper professional treatment, infants very quickly become severely dehydrated and intoxicated, which can cause kidney and liver failure, seizures and coma.

Before prescribing treatment, the doctor must understand the cause of enterocolitis. Most often, of course, in the case acute process It's a matter of infection. Therefore, it is important to take a bacteriological analysis of stool to identify the pathogen and its sensitivity to antibiotics.

Allergies or enzyme deficiencies rarely produce active clinical picture, however, characteristics of a particular child are always possible. If there is any suspicion of similar reasons carry out allergy testing, stool analysis for acidity, enzymes and other indicators.

What should you do before seeing a doctor?

The only thing that parents can and should do on their own before the doctor arrives or hospitalization is to endlessly water the child. To replenish fluid losses, you can use ordinary boiled warm water. The ideal option would be to use special pharmaceuticals for oral rehydration such as Regidron, Orolite, Gastrolit and others.

Of course, it is very difficult to imagine how you can force an infant to drink. In most cases, inevitable violence must be used. In a good way To force a small child to drink is to use a regular syringe without a needle, which is inserted into the baby’s cheek.

Vomiting is an unpleasant condition for any person. And its appearance in a child makes parents worry and worry about the baby. There are many reasons for the occurrence of vomiting with bile: from harmless functional disorders to serious illnesses, sometimes requiring emergency medical care. It may be accompanied by fever, diarrhea, or, on the contrary, these symptoms are absent. Understanding what triggered the eruption of the baby’s stomach contents, you can provide him with timely help.

What is vomiting of bile?

Vomiting is a complex reflex process aimed at removing gastric contents out. This condition usually occurs involuntarily. It is not difficult to understand the mechanism by which these symptoms appear.

Vomiting in a child can be caused by various factors.

The center of vomiting is located in the medulla oblongata. His irritation is caused by impulses.

The latter are most often provoked by the following factors:

Impact of toxins on sensitive area in the area of the bottom of the 4th ventricle of the brain.
Irritation of the balance organ (labyrinth of the inner ear).
Effect on the digestive system (in case of overdistension of the stomach, from the peritoneum, pancreas, bile ducts).
Irritation of the retroperitoneal organs (kidneys) and chest cavity.
The effect of psychogenic provocateurs (type of food, unpleasant odor).

When the vomiting center is irritated, signals from the brain are sent to the muscles abdominal wall, stomach, small intestine, diaphragm. Such impulses cause tissue contraction. The contents of the stomach, duodenum and the initial part of the small intestine are released. This is why vomit contains food fragments, bile, gastric juice, sometimes blood.

Emergency care for poisoning from Dr. Komarovsky - video

Causes and development factors

Vomiting is not an independent disease, but only a manifestation of some pathology.

Causes this symptom, depending on the mechanism of its development, can be divided into the following groups:

Central (with direct effect on the brain):
- meningitis;
- epilepsy;
- migraine;
- motion sickness, seasickness;
- increased blood pressure;
- traumatic brain injury;
- cerebral circulatory disorders.
Toxic (effect of toxins on the vomiting center):
- poisoning (drugs, alcohol, household chemicals, etc.);
- infectious diseases;
- metabolic disease:
  - diabetes;
  - thyroid pathology;
  - chronic kidney and adrenal insufficiency.
Digestive diseases:
- gastritis, peptic ulcer of the stomach and duodenum;
- biliary dyskinesia;
- cholecystitis;
- pancreatitis;
- acute conditions (obstruction, peritonitis, appendicitis).

Vomiting can be caused by motion sickness in transport

Severe pain of any origin, as well as coughing, can cause an attack of vomiting.

Vomiting with bile can occur in any of the above conditions as a result of the reflux of bitter contents from the duodenum. But the most common reasons such impurities are dysfunction of the biliary tract and gallbladder, cholecystitis, pancreatitis, duodenal anomalies.

Features of the symptom

Vomiting in a child can be accompanied by various clinical manifestations. They depend on the source that provoked the unpleasant condition.

An increase in body temperature accompanies vomiting in acute infectious diseases and inflammatory pathologies of organs abdominal cavity(appendicitis, cholecystitis, pancreatitis, peritonitis). Such conditions require mandatory medical treatment.
A combination of the following symptoms is quite dangerous: vomiting, fever, headache, drowsiness, photophobia, tension in the neck muscles. These clinical manifestations may indicate meningitis (inflammation of the lining of the brain) and require emergency medical attention.
Abnormal bowel movements (diarrhea) may be associated with vomiting. Typically, such symptoms indicate intestinal infections. At the same time, the child's temperature may rise. Repeated vomiting and diarrhea syndrome - characteristic features rotavirus infection.

Sometimes vomiting may be accompanied by an increase in temperature

It is important to pay attention not only to clinical manifestations. The consistency and shade of vomit may indicate a pathology occurring in the child’s body.

So, depending on the disease, vomiting has the following distinctive features:

Pathologies of central origin. Vomiting is scanty, it does not depend on food intake and is often accompanied by headache. The unpleasant symptom is not preceded by nausea. And vomiting itself does not bring relief.
Stomach diseases. Usually, painful symptoms occurs after eating. Vomiting brings relief and is usually associated with abdominal pain. With chronic gastritis, the child experiences morning vomiting.
Esophageal disorders. In this case, the masses contain little changed food mixed with saliva. Such vomiting is not accompanied by nausea or contractions of the abdominal muscles.
Exacerbation peptic ulcer. This pathology is indicated by profuse vomiting with a sour odor.
Dyskinesia, inflammation of the gallbladder. Vomit contains bile. The child experiences cramping pain in the right hypochondrium, radiating to the shoulder and under the shoulder blade.
Pancreatitis. The pathology is characterized by repeated vomiting. It is exhausting and does not bring relief. An unpleasant symptom is accompanied by girdle pain.
Pathologies of the biliary tract, duodenal ulcer. In this case, the child suffers from persistent, prolonged vomiting of bile. In this case, the masses have a yellow or green may be accompanied by white foam.

With pancreatitis, vomiting is accompanied by girdle pain

Treatment

If a child is suffering from vomiting, the fight against it must begin by consulting a doctor. After all, quite serious pathologies can underlie the painful condition.

First aid

Do not feed the child.
Drink actively and plentifully, preferably with solutions for oral rehydration: Regidron, water with soda. The temperature of the drink is close to 36.6 C.
Since overdistension of the stomach provokes vomiting, you should offer to drink frequently, but in small portions.
If your body temperature rises (even slightly), give an antipyretic: Paracetamol, Ibuprofen.

The child needs drinking plenty of fluids to avoid causing dehydration

Severe cases

You should immediately consult a doctor in situations where:

the child cannot be given something to drink;
there is an admixture of blood in the vomit;
the main symptom is combined with high fever, headache, rashes, signs of dehydration (dry tongue, mucous membranes, skin, lack of urine for 6 hours, crying without tears).

Drug therapy

If vomiting is not associated with a situation where the child needs emergency help, then the following means are used to stop it:

Prokinetics. Medicines that promote the coordinated functioning of the digestive system: Domperidone, Motilak, Motilium, Gastrosil, Cerucal.
Receptor blocking agents. These medications are used for motion sickness: Aviomarin, No-spasm, Riabal, Dramamine.
Antispasmodics. Drugs that reduce the contraction and tone of smooth muscles of the digestive tract: Spasmol, Drotaverine, No-shpa.
Sedatives. They have a calming effect: Persen, Valerian, Fitosed.

Drug therapy - gallery

Physiotherapy

Physiotherapeutic methods are used to improve the contractile activity of the bile ducts, stomach and intestines.

For this use:

Applications with paraffin and ozokerite. This heat treatment activates blood circulation, eliminates inflammation, and relieves spasms. In addition, exposure to paraffin and ozokerite helps strengthen the immune system.
Inductothermy. The method is based on treatment with a high-frequency magnetic field. This procedure normalizes the functioning of the digestive, nervous system, improves metabolism, stimulates the functioning of the endocrine glands.
Electrophoresis with Papaverine, Platyphylline, Magnesium. Under influence electric field deep penetration of medications into tissues is achieved. The procedure allows you to relieve spasms and pain.
The baths are fresh and pine. Hydrotherapy has a beneficial effect on the functioning of the nervous and digestive systems. Such activities relieve spasms, eliminate pain syndrome, promotes activation of metabolism.
UHF currents. With the help of an ultra-high-frequency electric field affecting the body, they provide an anti-inflammatory and antispastic effect. The procedure enhances lymph flow and stimulates blood circulation.
Magnetotherapy. Action magnetic field allows you to relieve pain, eliminate inflammation, and activate blood circulation. The procedure enhances the synthesis of enzymes, stimulates the process of tissue restoration and nutrition.
Treatment with mud. During the thermal procedure, beneficial substances enter the body, which can significantly reduce inflammatory reactions and activate metabolism.
Balneotherapy. For this treatment, heated alkaline waters of low mineralization are used.

Taking medicinal baths is very beneficial

After vomiting with bile, the child should be fed in small portions, and only according to appetite.

Reception is prohibited:

cold food;
carbonated, tonic drinks;
fatty, salty, fried, smoked and canned;
food that disgusts the child.

After the attack ends, you can offer rice water, dried fruit compote (raisins, dried apricots, prunes).

Surgery

This method is used only in extreme situations when drug therapy is powerless to bring relief.

As a rule, surgical treatment is indicated in cases of:

abnormal development biliary tract;
cholelithiasis;
acute surgical conditions(appendicitis, peritonitis).

Surgical treatment is indicated only in special cases

Folk remedies

Recipes traditional medicine Quite widely used for vomiting bile. But anyone is welcome herbal remedy must initially be agreed with your doctor. Especially when it comes to young children.

For vomiting with bile, you can use:

Dill seeds. Dry raw materials (1 tsp) must be poured with a glass of boiling water. Boil the mixture for 5 minutes. Then you need to strain it. The drink is recommended for use in case of nausea. At severe vomiting They give you 1 tsp to drink, but often.
Peppermint leaf. Grass (1 tbsp) is poured hot water(1 tbsp.). The product must be infused for 2 hours. Take 1 tbsp. l. 3 times a day.
Fresh potato juice. This remedy is very useful for nausea and vomiting. It is necessary to chop the potatoes and squeeze out the juice. Take it 1 tsp. before every meal.
Apple juice (natural) with honey. This medicine perfectly eliminates nausea and is very popular with children. Freshly squeezed apple juice (1 tbsp), mixed with honey (1 tbsp). It is recommended to take the drink 0.5 cups 4 times a day.
Rose hip decoction. Fruits, dried and crushed, in the amount of 1 tbsp. l., pour boiling water (1 tbsp.). Boil the mixture for 3 minutes. Then the drink is infused in a thermos for about half an hour. It is recommended to drink 1 tbsp. l. 3 times a day, maybe with honey.

Folk remedies - gallery

Treatment prognosis

It is quite difficult to predict what vomiting will lead to. The prognosis of treatment depends on what caused the painful symptom:

If vomiting is provoked acute illness, then it is necessary to take into account the neglect of the process and the amount of assistance provided. As a rule, the unpleasant phenomenon goes away after the underlying pathology is cured.
In chronic diseases of the biliary tract, vomiting occurs during an exacerbation or in case of a diet violation. But if the pathology is under control and all recommendations are followed, then the attacks pass very quickly.

Consequences of vomiting

Complications of a painful symptom may include conditions such as:

Dehydration. This pathology leads to disruption of the cardiovascular system.
Pneumonia. It is extremely dangerous for vomit to get into Airways with their blockage. This can cause severe pneumonia or cause breathing to stop completely.
Mallory-Weiss syndrome. Dangerous condition, in which a tear in the mucous membrane of the esophagus and stomach with the development of bleeding is diagnosed.
Boerhaave's syndrome. Pathology characterized by rupture of the esophagus.
Loss of body weight. With regular vomiting, the child experiences weight loss.

Prevention

In order to prevent the occurrence of vomiting in the future, you need to know the reason that provokes the unpleasant symptom. That is why, if a child develops a painful condition, it is recommended to visit a doctor and undergo the entire range of prescribed examinations.

You can't force feed a child

In addition, it is important to adhere preventive measures, aimed at preventing vomiting:

Feeding the child only fresh and high-quality products.
In the presence of chronic diseases organs of the gastrointestinal tract, in particular the biliary tract, regular intake of prescribed medications.
If you plan to travel by land or sea, you must take medications in advance to relieve your child from motion sickness.
After eating, you should not immediately lie down or get up suddenly. It is advisable to sit at the table for half an hour.
The last meal should occur at least 3 hours before bedtime.
Newborns and infants should be kept in a column position for at least 20 minutes after feeding.
The head of the bed should be raised 30 degrees.
Babies benefit from massage and tummy time.
Children of any age should be fed only according to appetite and in small portions.
Reducing stressful situations.
General strengthening activities (gymnastics, hardening, regular walks).
Prevention infectious diseases(including vaccination).

Features in premature and infants

Newborns, including premature ones, have features in the structure of the digestive tract that predispose them to vomiting:

the baby's stomach is located almost horizontally;
the cardiac sphincter (the transition from the esophagus to the stomach) is poorly developed;
and the pyloric region (exit from the stomach into small intestine) on the contrary, strongly.

Such features lead to easy release of stomach contents.

In newborns, vomiting may occur as a result of imperfections in the digestive system.

In infants, in addition to anatomical features, one more thing predisposes to vomiting. The nervous regulation system has not fully matured, and the vomiting center is very excitable. For babies under 7 months, periodic regurgitation in small volumes is a physiological process.

It is important to be able to distinguish vomiting from regurgitation. Vomiting is characterized by the release of stomach contents under high pressure (“fountain”) and this condition occurs in the intervals between feedings. In this case, there is a high level of anxiety in the baby caused by muscle spasms.

In the newborn period, vomiting may indicate such pathological conditions, How:

promotion intracranial pressure;
meningitis;
pyloric stenosis;
in the presence of bile in the vomit, intestinal obstruction;
congenital malformations.

If your baby is vomiting, you should immediately consult a doctor.. Self-treatment Absolutely forbidden.

It is important to learn to distinguish regurgitation from vomiting

The occurrence of vomiting in a child always causes concern among parents. In order to understand how to help in such a situation, you need to determine the causes of the pathology. A consultation with a doctor will help with this, who will prescribe an examination and, based on its results, determine the right tactics treatment.

Vomiting is a protective function of the body that allows you to remove foreign bodies from the stomach or harmful substances ingested with food. Initially, the patient feels nausea, then spasms begin in the stomach, and the esophagus expands. The most dangerous is vomiting with bile. Such a symptom may indicate the development of serious disorders. If problems begin in a child, you should respond immediately.

Mechanism of vomiting

Vomiting is one of the manifestations of motor activity of the gastrointestinal tract. In the brain of every person there is a vomiting center, which gives the command to contract the muscles of the stomach. As a result of negative factors (poisoning, infection, foreign object entering the body, impaired peristalsis), food products are pushed into the oral cavity. In some cases, the bolus of food is mixed with bile. The vomit acquires a characteristic yellow tint.

Bile is a liquid that is produced by the liver and is involved in digestion.

Nausea and vomiting in a child - alarming symptom

Normally, bile should not be in the intestines. Problems arise when the gastrointestinal tract is disrupted. The sphincter does not contract, so the fluid produced by the liver freely enters the duodenum. The presence of bile in a child’s vomit is an alarming symptom that requires a thorough examination of the little patient.

Causes of vomiting with bile in children

Regurgitation in the first months of life is normal. This is due to the immaturity of the baby’s gastrointestinal tract. You can reduce the amount of regurgitation by holding your baby upright after each feeding. This procedure allows you to release excess air that enters the stomach when the bottle or breast is not grasped correctly.

You should be wary if the baby often spits up like a fountain, and the color of the vomit has a yellowish or greenish tint. Such symptoms may indicate serious problems.

Pyloric stenosis

The disease develops due to a narrowing of one of the sections of the stomach. As a result, it becomes difficult for food to pass through small intestine. Pathology often develops in the first months of a baby’s life due to intrauterine infections. Provoking factors are also endocrine diseases mothers, taking certain medications by a pregnant woman.

If a child continuously cries or spits up like a fountain, this may indicate the development of pyloric stenosis.

As the disease progresses, gastric obstruction worsens. Over time, the organ loses contractility. The baby is vomiting and loses a large amount of fluid. Pyloric stenosis is a dangerous pathology that threatens the life of an infant.

Pylorospasm

Spasm of the pylorus (the muscle at the outlet of the stomach) can lead to disturbances in the child’s digestive processes. As a result, the baby regurgitates a sufficient amount of food (more than a tablespoon) even an hour after feeding. Bile is often present in the vomit.

The pathology is often observed in premature infants, as well as in cases where the mother was often overworked or in stressful situations during pregnancy.

Pylorospasm is quite rare in older children.

Intestinal obstruction

Pathology can develop in both infants and older children. The main reason is eating disorders. If we are talking about an infant, then the mother’s diet should be reconsidered. Some food elements in milk can lead to constipation. As a result feces accumulate in the intestines, obstruction develops.

Infants (usually boys) may develop intussusception. This is a pathological process in which one part of the intestine invades another. Pathology develops due to excessive mobility of the cecum. The disease can also be caused by adenovirus infection. Obstructions can develop due to polyps and tumors in the intestines.

Acute abdominal pain may indicate inflammation of the appendix

If a child complains of a bitter taste in the mouth, and the vomit has acquired a green tint, this may indicate the following pathological processes:

diseases of the gallbladder or pancreas;
liver diseases;
gastric pathologies;
poisoning with alcoholic beverages or chemicals;
acute intestinal infections;
appendicitis.
bend of the gallbladder

Pancreatitis - dangerous disease, characterized by inflammation of the pancreas. Vomiting with bile is one of the symptoms of the pathology. In children, diseases can develop due to poor nutrition, abuse of carbonated drinks, fast food, fatty and fried foods.

Fever, diarrhea and other associated symptoms

Vomiting of bile may occur when various pathologies. A specialist will be able to make a preliminary diagnosis by studying the accompanying symptoms.

Based on the symptoms described, a specialist can only guess what kind of disease he was faced with. Additionally, the child will have to undergo a urine and blood test. For differential diagnosis A consultation with a surgeon may be necessary.

Treatment

The treatment of the described diseases differs significantly. In any case, the doctor must choose the treatment method. Therefore, if unpleasant symptoms appear in a child, parents should immediately seek medical help. To alleviate the child’s condition before the doctor arrives, you must adhere to the following rules:

The small patient must remain in bed. Parents need to monitor the position of the child - he should lie on his side. This measure will help prevent vomit from entering the respiratory tract.
To prevent dehydration, the child must be given more clean water to drink.
Food and medicine should not be given to the child until the ambulance arrives.

After setting the reason pathological process Your doctor may prescribe medications from the following groups:

Sorbents. These drugs help remove from the body harmful substances and toxins. You can use classic Activated carbon. Good results Enterosgel, Atoxil, Smecta are shown.
Antispasmodics. Drugs from this group relieve pain caused by spasm of smooth muscles. Children may be prescribed medications No-shpa, Drotaverine.
Antibiotics. Medicines from this group are prescribed for intestinal infections. Shows good results antibacterial agents broad spectrum of action such as Cefixime, Azithromycin.
Rehydration drugs. Therapy using these drugs is carried out to restore water balance body. Regidron shows good results.
Antiemetic drugs. Children can be prescribed Cerucal and Motilium.

You cannot use any medications without making an accurate diagnosis. So, antispasmodics intestinal obstruction will lead to the development of complications. And antiemetic drugs in case of poisoning will prevent the removal of toxins from the child’s body.

Medicines for bilious vomiting in children - photo gallery

Nutritional Features

For a baby who is breastfed, mother's milk is the best product. Feeding should be continued even when the child feels unwell. If the baby takes the breast, then the milk will not harm him.

More difficulties arise if vomiting with bile occurs in older children who have been eating familiar “adult” food for a long time. In the acute period, when nausea is present, it is better to avoid any foods altogether. All you need to do is drink as much fluid as possible. Regular mint relieves nausea well. Therefore, a child over 3 years old can be offered herbal tea.

After vomiting, it is important to maintain proper drinking regimen

After cupping acute period diseases, it is necessary to start giving the child food. After vomiting with bile, a special diet is required. At first, you can feed your baby boiled rice. You will have to give up spicy and salty foods, fried and fatty foods, sweets. The child's diet for several weeks after vomiting should contain:

boiled vegetables;
vegetable broths;
crackers;
baked apples;
dried fruits compote;

Gradually it is necessary to return to your usual diet, add fermented milk products, lean meat, fresh vegetables and fruits.

Physiotherapeutic techniques

In combination with drug treatment of certain gastrointestinal pathologies in children, physiotherapeutic techniques can be used to relieve spasm of smooth muscles. The following procedures are considered the most effective:

electrophoresis using antispasmodics;
heat therapy (paraffin or ozokerite applications).

Such techniques are especially effective for pyloric spasms. Additionally, the child may be prescribed a course breathing exercises, massage, physical therapy.

Surgical intervention

Some pathologies that lead to vomiting with bile impurities require immediate surgical treatment. Surgical intervention carried out for diseases such as:

acute appendicitis;
pyloric stenosis;
intestinal obstruction (intussusception).

Any surgical intervention is performed under general anesthesia . In case of pyloric stenosis, the doctor dissects the narrowed pylorus and corrects the opening. If the operation is performed correctly, the intervention does not affect the child’s future life.

Surgery is performed under general anesthesia

When intussusception occurs through an incision in the child’s abdominal cavity, the doctor straightens the intestine and assesses the condition of the strangulated tissues. If peritonitis begins, the damaged areas are removed and washed.

Pneumoirrigoscopy is an effective method for treating intussusception. Air is introduced into the child’s intestines using a special device, which straightens the bent areas. The technique is used on early stages diseases.

Removal of the inflamed appendix is also performed through an incision in the abdominal cavity. The operation is not complicated and is completed in 20–30 minutes. After the intervention begins recovery period. The child must remain in bed and eat only liquid food.

Traditional recipes for vomiting bile

Any of the methods given below has its own indications and contraindications. Therefore use folk recipes Treatment of a child should be done after consultation with a doctor.

Beet juice

The product helps eliminate bile stagnation and improve well-being after vomiting. The beets must be boiled until half cooked, then grated on a coarse grater and squeezed. It is recommended to take the resulting juice three times a day before meals.

Pumpkin seeds

The product also helps normalize bile production. Children over 3 years old are recommended to give 5 seeds daily after meals. This treatment will also help to cope with worms.

Peppermint

A tablespoon of crushed raw materials must be poured with a glass of boiling water and left for at least 2 hours. If you take a tablespoon of the product three times a day, you will be able to cope with nausea and vomiting.

Dill seeds

Pour a teaspoon of seeds into a glass of water and bring to a boil. For nausea, take a tablespoon of the product three times a day. This medicine also perfectly relieves intestinal colic.

Vegetable juices

Flax seeds

The product allows you to normalize digestive function and improve the functioning of the pancreas. Recommended consumption decoction. 80 g of seeds are poured into a liter of water and simmered over low heat for about an hour. The finished product is filtered and consumed every morning on an empty stomach (a teaspoon).

Traditional medicine recipes - photo gallery

Treatment prognosis and prevention

If you respond promptly to the appearance of unpleasant symptoms, the prognosis for the treatment of any disease accompanied by vomiting is favorable. In most cases, therapy for children is carried out in a hospital setting. Infants and premature babies should be under medical supervision around the clock.

The lack of proper treatment can lead to the development of serious inflammatory processes, in particular peritonitis. Dehydration is also dangerous for babies. If adequate therapy is not started in a timely manner, death is possible.

Proper nutrition is the main measure for the prevention of any diseases of the gastrointestinal tract

Prevention of diseases accompanied by vomiting is proper nutrition of children, refusal harmful products. Parents of infants are advised to regularly visit the pediatrician for examinations and report changes in the baby's behavior.

Video: intestinal infections - school of Dr. Komarovsky

Vomiting with bile - dangerous symptom, requiring immediate medical intervention. Under no circumstances should you start therapy on your own. Wrong actions can lead to irreversible consequences.

Good afternoon My name is Elena. I am 29 years old.

The child is vomiting 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. The bile itself is a collection of toxins. It performs digestive and disinfecting functions in the intestines. However, the secretion should not penetrate the blood, stomach, or esophagus. There bile acids have a corrosive, irritating effect, poison cells.

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

In addition to food, attacks are provoked by diseases of the digestive system.

In this case, the following are observed:

pain in the abdominal area;
intestinal disorder;
increase in body temperature;
chills.

Symptoms result from:

Infections that enter and develop in the intestines.
Biliary dysfunction.
Disorders of the neuromuscular apparatus of the stomach.
Manifestations of appendicitis in acute form.
Poor intestinal permeability.
Paroxysmal severe pain in the abdominal area.
Food poisoning.
Congenital pathologies of the digestive organs.
Blockages of blood vessels in the intestines.
Damages to certain areas of the brain.

IN childhood There are several other 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 vomit bile or feel sick in infancy? The situation may be normal. It is common for newborns to burp. This " by-effect» a digestive system that has not yet been adjusted. However, vomiting and regurgitation are different phenomena. Bile particles may be present in both cases. However, regurgitation is not accompanied by nausea, weakness, or heartburn.

Breastfed babies may spit up following situations:

Incorrect nipple latching.
Large quantities of milk eaten.

When a baby overeats, vomiting bile indicates the active production of liver secretions.

A newborn baby may experience disruptions in the functioning of the digestive organs that provoke frequent regurgitation of bile, for example, impaired intestinal motility or obstruction, mechanical damage.

Additional reasons illnesses become:

Damage to the connection between the intestines and stomach. The hole between them is small. It is difficult for food to pass into the intestines. Prompt intervention is required.
Spasm or untimely relaxation of the sphincter located in the stomach. The coincidence of a malfunction with food intake provokes vomiting. In this case, bile is thrown higher from the gallbladder. Must be observed certain rules feeding the baby. Portions should be small. Accordingly, you need to feed often.
Intestinal diseases. They are indicated by blood in the feces of a newborn and a yellow tint of the masses during regurgitation.

If vomiting occurs in a newborn, you should consult a doctor. Regurgitation should not be a concern. Vomiting not only indicates pathologies of internal organs and their systems, but is also fraught with dehydration.

In childhood

If a child vomits bile in the morning and the temperature rises, there are two options. The first is inflammation of the digestive system. The second option is a 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 alleviate the child’s condition a little before the team arrives.

Need to:

Induce vomiting by giving something to drink first boiled water or a weak solution of potassium permanganate. This will help clear your stomach. At the same time, you need to monitor the temperature. If the fever increases, give Ibuprofen or Paracetamol, Nurofen.
Smecta and activated carbon will help relieve nausea. They are given in accordance with the instructions.
Lay the child on his side so that his head is higher than his feet.
Don't leave the child alone.
Drink plenty of water to prevent dehydration.

Frequent episodes of vomiting require examination. Having determined the cause, the doctor will prescribe treatment. These may be means that improve the passage of bile and a special diet.

During adolescence

Why can children vomit bile but not have a fever?

In adolescence, the main causes of bile vomiting are:

Diseases of the digestive system. Children gain excess weight, or, on the contrary, lose weight sharply.
Disorders of the central nervous system. Vomiting is accompanied by fluctuations in intracranial pressure. At the same time there is characteristic symptom─ tremor (cramp) of the chin.
Infections. Accompanied by lethargy, belching, pallor skin.
Inflammatory process in the lungs. The area of the mouth and nose becomes bluish.
Diseases of the gallbladder and biliary tract. Liver secretions penetrate the stomach, causing nausea and vomiting.
Intestinal infections. Bacteria provoke improper functioning of the stomach and the flow of bile into it.
Hepatitis that developed against the background of a virus. This disrupts the functioning of the liver and bile.
Poor 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 get into the masses. No temperature. The child is vomiting bile. Then relief comes.

If vomiting of bile occurs in children during adolescence, you should seek help from a doctor.

Treatment of bile vomiting in children

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

Afterwards they prescribe:

Drug therapy.
Surgical intervention.
Traditional methods treatment.
Physiotherapy.
Gymnastics.

Nausea and vomiting are reflex defensive reactions the body, helping to cleanse the digestive tract of substances hazardous to health. A person may experience an attack of nausea, even if the toxic substances entered the body not through the digestive tract, but, for example, through the lungs.

Vomiting can also be a symptom of many diseases - gastritis, cholecystitis, gastropoiesis, etc. Regardless of the reasons that caused the child to vomit, you should immediately consult a doctor, especially if you cannot determine exactly what caused the attack or if the child is severely nauseous, vomits bile, or has a fever. An experienced physician can determine the range possible reasons by the nature of the vomit, so it is advisable for parents to pay attention to them.

For example, if a child is vomiting bile, the vomit will be yellow or green in color and taste bitter. Often, severe abdominal pain is observed, and sometimes the temperature rises.

Helping your child vomit

Let's consider a general algorithm for what to do if a child vomits bile:

consult a doctor, describe the child’s condition in detail;
calm the child, yourself and your family;
normalize body temperature;
do gastric lavage. Lavage is done until the stomach is free of all contents. If the child loses consciousness or is constantly unconscious, rinsing should not be done;
give a couple of glasses of water and activated carbon (or other absorbent drug) to drink;
provide the child with peace, put him to bed;
if after some time the attack recurs, you can give water with added salt (0.5 tsp per glass of water) or soda (on the tip of a knife per glass of water);
after a child vomits bile, he is not given food for an average of 6-12 hours (or as recommended by doctors);
Under no circumstances should a child be left alone, unattended.

Causes of vomiting bile in a child

Let's look at the reasons why a child vomits bile. Most often, children experience attacks of nausea and vomiting after consuming fatty, spicy and fried foods (especially at night). Vomiting of bile most often has causes in children such as biliary dyskinesia, blockage of the bile ducts or other pathologies of the gallbladder and biliary tract. Also, a child may vomit bile due to appendicitis and various types of poisoning.

To prevent bilious vomiting in children, the following should be observed: preventive measures: receive qualified training in a timely manner medical care and care for any disease, follow healthy image life, do not miss scheduled preventive medical examinations, eat a nutritious and varied diet, observe hygiene rules, hardening the body, etc.

What to do if a child vomits bile? Only a pediatrician can answer this question. Stomach problems and digestive system- one of the most common in childhood. Babies put everything in their mouth and may react negatively to Various types food. Most often these are spicy, salty and fatty foods. Therefore, bile, although sometimes this can be a sign of development serious illnesses.

1 Why might a child vomit bile?

Vomiting is easy to recognize; the main symptoms of this condition may be:

stomach urges;
contractions of the esophagus;
nausea;
all content will be released last.

It says that the baby’s following organs are affected:

pancreas;
liver;
bile ducts.

Bile has a yellow-green color, and there is a constant bitter taste in the mouth that cannot be interrupted and eliminated. Therefore, if babies 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 can determine what to do if vomiting occurs.

2 Causes of vomiting

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

Eating so-called “adult” food, which usually includes foods inappropriate for age, fatty and spicy foods. For example, chips, snacks, crackers, etc. Parents, wanting to transfer their children to more adult food, do not take into account the characteristics of each age and the body’s ability to digest enzymes. For some foods, the enzyme system in the body may not be sufficiently developed, so as early as eight to nine years old, a child may experience vomiting accompanied by bile.

Gallbladder disease. This may be cholecystitis or cholelithiasis, which are caused 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.

Availability viral hepatitis V acute stage. This is why the baby vomits bile, stools are disrupted, and damage to the liver and bile ducts occurs. This is due to a virus that penetrates the body and begins to actively act in the body of children.

Children often experience stomach upset 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 by 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 and 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 is poisoned, a viral and bacterial attack is observed. Only doctors can provide qualified assistance in such cases, and they must rinse the stomach in various ways.

3 What needs to be done?

Children whose bodies are affected by infections, bacteria, toxins or other substances that cause vomiting and bile secretion should receive first aid. First, parents must call a doctor who will provide assistance, and before that the following medical measures must be taken.

You need to calm the child down, encourage him so that he stops crying. Rinse the stomach, but not with potassium permanganate. Its use is strictly prohibited. You need to heat the water, cool it and give the child two or three glasses to drink. This will trigger the gag reflex and help empty your stomach. The child should drink quickly, while in a sitting position, without doing long breaks between sips. But it is worth remembering that you can induce vomiting only when children are not diagnosed with various diseases and pathology.

Give the child smecta and activated carbon, taking into account his age and weight. Smecta needs to be dissolved in warm water and make sure that kids drink it in small sips. Activated carbon is given at the rate of one tablet per ten kilograms of weight. Place the baby on his side with a high pillow under his head. Measure the temperature, and if it is higher than normal, then give Ibufen or children's Parcetamol to drink.

In order to avoid dehydration, you need to give mineral water to drink, but always still water. It’s better to brew rosehip, which is very effective against vomiting and bile. You need to drink liquid every fifteen minutes, drink in small sips, very slowly.

Eating is prohibited for several hours after washing. It is better for the baby to fall asleep and sleep for several hours. When he wakes up, you need to give him a small portion of chicken or beef broth. The diet is expanded gradually and only with the permission of a doctor. It is strictly forbidden to eat spicy and salty foods; you should limit your consumption of sweets.

A doctor should be called if vomiting continues for a long time and does not stop. There is no need to stop a single attack of vomiting; the body copes with such situations on its own. The doctor should order tests to determine the cause of vomiting and bile secretion. If these signs are caused by a specific disease, then a course will be prescribed drug treatment.

Medicines are selected in order to eliminate vomiting, prevent the development of the disease, so that the vomiting goes away completely. Various things can help relieve attacks choleretic fees herbs

Bile is normally produced by liver cells and is collected in gallbladder, from where it enters the duodenum through the bile ducts. If a child experiences vomiting mixed with bile, this indicates its pathological movement. In this article you will learn why a child vomits bile and how to deal with it.

Vomiting is usually preceded by other dyspeptic symptoms:

nausea that gets worse over time. Moreover, a child can vomit not only immediately before vomiting, but also several hours before the incident;
Vegetative manifestations may appear in the form of increased salivation, blanching of the skin;
increased heart rate, increased respiratory movements.

If a child vomits bile due to an inflammatory or infectious process, an increase in body temperature may occur. In addition, if the cause is poisoning or acute intestinal infection, the child will complain of abdominal pain, often in the navel area.

At the same time, when a child vomits bile, the vomit that comes out of him has a specific yellow. Moreover, the shade can be different - from rich yellow to green-yellow. The fluid your baby vomits will have a bitter taste.

Vomiting rarely happens once, usually the child vomits repeatedly every hour. With an intensive process, signs of dehydration may appear:

dry skin and mucous membranes;
decrease in the amount of urine excreted (oliguria);
slowing down the straightening of the skin fold;
weight loss;
thirst.

Causes

Vomiting of bile can occur due to a violation of any organ involved in bile formation or its accumulation. The first link is liver disorders in the form of hepatitis, gallbladder disease (cholecystitis, cholecystocholangitis, cholelithiasis), damage to the stomach and duodenum. Also, the child may vomit bile in case of pancreatic diseases. Let's look at the most common reasons:

Pyloric stenosis. Congenital pathology, which is characterized by a decrease in the lumen of the pylorus of the stomach. Due to the fact that the passage of food from the stomach to the small intestine is disrupted, food masses are returned through the mouth with an admixture of bile pigments. The first symptoms usually appear in infancy.
Acute pancreatitis. Another reason why bile vomiting occurs is inflammation of the pancreas. This is due to the fact that bile duct joins the pancreatic duct before opening into the duodenum. In addition to vomiting, the disease will manifest itself as significant intoxication and severe pain enveloping character.
Acute cholecystitis, cholecystocholangitis. Inflammation of the gallbladder may involve the bile ducts in the inflammatory process. A clear sign The disease is vomiting mixed with bile. In addition, the child will be disturbed elevated temperature body, pain in the right hypochondrium, pain on palpation of the gallbladder area.

Cholelithiasis. The pathogenesis of vomiting in this disease is similar to that in cholecystitis. This pathology is rare in children. It is characterized by the presence of a calculus in the lumen of the gallbladder or duct, to which an inflammatory process can be attached. Most often, vomiting occurs in the morning after sleep.
Poisoning. If the body becomes infected with toxins or bacteria, the stomach takes over the elimination function. In this case, vomiting is a protective act of freeing the body from pathological inclusions.
Intestinal obstruction. The mechanism of development of vomiting is associated with the presence of an obstacle to the passage of food at some point in the intestine. This is a dangerous pathology, which is also accompanied by a lack of passage of stool and gas, and a sharp deterioration in well-being.

Treatment

Therapy will initially depend on the severity of the process. In the case when the child vomited once and his health does not suffer, there is no need to do anything special; intensive treatment not necessary. If vomiting is repeated, signs of dehydration appear, the baby’s condition worsens, and drug treatment is necessary. Therapy will include both general principles, which are the same for any vomiting of bile, and specific ones, which depend on the etiology of the condition.

Algorithm for the general approach:

Gastric lavage.
Rehydration therapy, which replaces fluid loss through vomiting. If the child’s condition is satisfactory, oral rehydration is carried out, he is given salted water, tea, and rosehip decoction to drink. If internal fluid intake is not possible, infusion therapy is prescribed, that is, intravenous drip administration saline solutions type saline solution or the drug "Ringer".
Purpose of sorbents that are capable of removing toxic substances and cleanse the body, for example, Enterosgel.
During an attack and even after it, it is necessary to follow a diet that is appropriate for the child’s age.

Specific treatment, which directly depends on the cause, is prescribed after full examination child and establishing a clinical diagnosis.

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