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Vomiting Children: It's Not Always Gastroenteritis

Madeline Mier, Amanda Nelson, Leah Finkel

    Pediatric Annals
    |May 16, 2020
    PubMed

    Insights

    Pediatric emesis without diarrhea requires careful diagnosis. Consider trauma, increased intracranial pressure, obstruction, or diabetic ketoacidosis for persistent vomiting in children.

    Area of Science:

    • Pediatric Gastroenterology
    • Pediatric Emergency Medicine

    Background:

    • Emesis is a frequent pediatric symptom.
    • Vomiting without diarrhea in children warrants thorough evaluation, especially if prolonged beyond 24 hours.

    Purpose of the Study:

    • To outline the differential diagnosis of pediatric emesis without diarrhea.
    • To emphasize the importance of prompt recognition and management.

    Main Methods:

    • This review synthesizes information on the diagnostic considerations for pediatric emesis.
    • It highlights key conditions that must be ruled out.

    Main Results:

    • Differential diagnoses include trauma, elevated intracranial pressure, and intestinal obstruction.
    • Metabolic disturbances, such as diabetic ketoacidosis, are also critical considerations.

    Conclusions:

    • Prompt identification and management of the underlying cause of pediatric emesis are essential.
    • A broad differential diagnosis approach is crucial for effective treatment.

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