C.S. asks from Florham Park, NJ on March 19, 2009
4 Year Old Vomiting at Night - Milk Allergy or Something Else?
My daughter has always thrown up a little more than the average child, but it has never been that big of a problem, we just figured she had a sensitive stomach. But recently, we have had an increased problem with vomiting at night - as many as 2x per week. It always seems to strike 2-3 a.m. and she is just fine in the morning, usually begging for food. She has not had any illnesses recently and was checked out by the pediatrician. She has always loved and consumed a lot of milk, so the pediatrician suggested we try removing milk from her diet to see if it helped. We have also been doing milk-free products like soy cheese and margarine at home, but have not completely eliminated milk-related products from her diet (in moderation). This has been working well. We have had a nice 3-wk run without any overnight issues ... until tonight. I am not sure if she is truly reacting to anything with milk in it or if it could be something else. I don't know where to go from here. Should I eliminate more from her diet, seek testing, etc? I hate to put her through testing if it is not necessary. Any thoughts are much appreciated!
So What Happened?™
Thank you to everyone who responded to my quest to discover what is causing our daughter to throw up randomly at night. At this point, the doctor feels it is acid reflux and she is taking Zantac 3x per day. We have had one incident since starting the medication when she hadn't receive her mid-day dose at school. We also are taking her to a pediatric G.I. specialist next week to hopefully confirm that this is the problem. Thank you again for your insights!
Featured Answers
A.T. answers from Syracuse on March 20, 2009
In an adult, waking up at night with stomach pain and vomiting but feeling like you should eat indicates an ulcer.
She is young but maybe it could be the problem.
Eliminating suspected foods from the diet is always safe and easy and usually the answer.
We eliminated gluten and dairy from my son's diet and there has been good improvement with the problems he was having.
More Answers
K.E. answers from New York on March 20, 2009
Talk to your pediatriciation about acid reflux. They have medication that can help if that is what she has.
K.R. answers from Syracuse on March 20, 2009
well I was told by my daughter's gastro that they could even have problems with soy. i know it isn't really the same but when I breastfeed i had to eliminate soy, milk,and peanuts. She told me she could be allergic to those. I have an acid reflux toddler that would through up alot when we gave her milk. Maybe it would help calling your pediatrician and talk to a nurse about the problems she is having they might want you to see the gastro. It maybe something completely different. Hope all will be well.
N.J. answers from New York on March 19, 2009
Hi C.,
Could it be that she might be over eating on the nights she is vomiting? Sometimes that causes reflux/ heart burn causing someone to vomit. Also, try monitoring what you feed her before bed (dinner/after dinner) and see if that might upset her sensitive stomach? I know I can't eat certain foods at night time.
Hope she feels better.
N.
B.B. answers from New York on March 20, 2009
Not to get panicky or anything, but I saw something like on "Mystery Diagnosis". The little girl had been vomiting at night with no clue that she did it by the morning. It ended up that she had a seizure disorder and the vomiting was the result of a seizure. Something to keep in mind, a sleep study is non-invasive just inconvenient.
L.W. answers from Albany on March 20, 2009
My older son had a dairy/milk allergy, and would do the exact same thing - vomit the milk or cheese when he had it, and be FINE (and hungry) before we could get him cleaned up. I removed milk, cheese, yogurt, ice cream, etc. (milk products, but not butter or margarine) from his diet entirely, giving him OJ with calcium for his calcium. Around 5 years of age, he decided to try yogurt (full fat) and he managed to keep it down. Slowly, I brought it to low-fat yogurt, and then we worked on moving him from Rice Dream to non-fat milk. He can now use milk on his cereal, eat ice cream, yogurt, etc., but still says cheese makes his tummy "feel funny" but he doesn't vomit. I would try eliminating milk products entirely, wait a few weeks, and then try to reintroduce, and see what happens. Full fat products worked better for us to start, and then we gradually went back to low/non fat milk products.
HTH
L.
T.Q. answers from Albany on March 20, 2009
Hi There,
Like one of your other readers, I saw the "Mystery Diagnosis" episode where the child had the same symptoms. Fine going to bed, waking up after being asleep for several hours, vomiting, and fine the next day. It was a rare seizure disorder where the seizurse occured during sleep. Ofcourse it was pretty bizarre, so the doctors kept on diagnosing her with a stomach bug, or acid reflux etc. If everything else has been ruled out, I would bring this to the doctors attention.
K.H. answers from Utica on March 20, 2009
Hi C.
Allergies vs intolerance is always an issue. Sounds like the elimination of milk is working. That is good news. No one should be vomiting nightly, chronically, without medical diagnosis. Don't eliminate reflux however, did you by any chance feed her later, closer to bedtime? Some people can't lay down for 3 hours after they eat. Just one thought.
Is it possible that she had more milk products that day than any other recent day, which put her over her tolerance level right now. It takes about 6 weeks for an allergen to get out of your system, so it is possible that as she heals she may be able to tolerate more. Perhaps you don't realize it is like filling a glass as long as you don't reach the top, the glass doesn't spill but add another tsp and it is a spill. When allergens get to the top, you are OK but another tsp and you react.
I am lactose intolerant. I took the test, don't recommend that but since I had always tolerated ie: 8 oz, I just was not sure about change in my system being just that. I now don't tolerate the amount of milk in some commercial breads.
Milk allergy is not the end of the world. In fact, with our oldest, the allergist said I was poisoning him by giving it to him. That made me realize that although milk is good for most people it was not for him.
By the all my children are allergic to milk.
God bless you and give you wisdom
K. SAHM married 38 years--- adult children -- 37, coach; 33, lawyer, married with 7 mo.; and twins 18, in college, journalism,GPA 3.9; fine arts, GPA 3.7-- by the way-- we home schooled.
K.Z. answers from New York on March 19, 2009
Hi C.,
I don't want to scare you, but when I read your request I instantly remembered an episode of Mystery Diagnosis on the Discovery Channel that discussed a little girl who would repeatedly vomit in the middle of the night. Her parents tried everything - no dairy, eliminating other foods that may cause allergies, no food after a certain time in the evening, anti-nausea pills, etc. Nothing helped. Finally they took her to a sleep clinic and they discovered that the girl would have minor seizures at the same time in the middle of the night which would cause her to vomit. She was finally diagnosed with epilepsy and once she was on the proper medication, the vomiting completely stopped.
Like I said, I hate to scare you but I wanted to mention it because it sounded exactly like what you are experiencing with your daughter. I hope this isn't the case with your little girl, but I wanted to bring it to your attention.
My best to you!
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