This document lists warning signs that may necessitate further investigation in infants and children presenting with vomiting, including bilious emesis, gastrointestinal bleeding, failure to thrive, forceful or projectile vomiting, vomiting beginning after 6 months of age, difficulty swallowing, history of food allergies, fever, diarrhea, constipation, abdominal pain, hepatosplenomegaly, lethargy, abnormal neurological findings, bulging fontanelle, anxiety or disordered eating, and suspicion of genetic or metabolic disease.
This document lists warning signs that may necessitate further investigation in infants and children presenting with vomiting, including bilious emesis, gastrointestinal bleeding, failure to thrive, forceful or projectile vomiting, vomiting beginning after 6 months of age, difficulty swallowing, history of food allergies, fever, diarrhea, constipation, abdominal pain, hepatosplenomegaly, lethargy, abnormal neurological findings, bulging fontanelle, anxiety or disordered eating, and suspicion of genetic or metabolic disease.
This document lists warning signs that may necessitate further investigation in infants and children presenting with vomiting, including bilious emesis, gastrointestinal bleeding, failure to thrive, forceful or projectile vomiting, vomiting beginning after 6 months of age, difficulty swallowing, history of food allergies, fever, diarrhea, constipation, abdominal pain, hepatosplenomegaly, lethargy, abnormal neurological findings, bulging fontanelle, anxiety or disordered eating, and suspicion of genetic or metabolic disease.
tion in Infants and Children Who Have Vomiting. • Bilious emesis • Gastrointestinal bleeding • Failure to thrive • Forceful or projectile emesis • Emesis beginning after 6 mo of age • Difficulty swallowing • History of food allergies • Fever • Diarrhea • Constipation • Abdominal pain • Hepatosplenomegaly • Lethargy • Abnormal neurologic findings • Bulging fontanelle • Anxiety or disordered eating • Suspicion of genetic or metabolic disease
Reprinted with permission from Sullivan JS, Sundaram SS. Gastroesophageal reflux. Pediatr Rev. 2012;33(6):244.