Vomiting After Eating - Bronx,NY

Updated on May 16, 2010
M.M. asks from Bronx, NY
11 answers

Hi have a 15 month old baby boy who vomits up his meal at least once a day. This is only sometimes when he eats a mashed up meals ground lumpy purees (which is age appropriate for 9 to 12 months old). It appears like he makes himself throw up. He also sometimes pockets his food. Any suggestions other than a modified barium swallow study or seeing an ENT to rule out acid reflux or esophageal mobility problems? (which I have already tried to do to try to solve the problem). He has normal oral motor strength and is able to drink from a sippy cup and open cup with assistance. The good thing is his height and weight is age appropriate. Any advice would be helpful.

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answers from New York on

Once my kids had some teeth and could pick up finger foods they ate mostly small pieces of food. My second child is 16 months now and only eats a few foods by spoon (like applesauce). My approach is something from each food group at each meal. My daughter loves peas and string cheese right now.. Good luck with this.

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answers from New York on

This must be difficult and frustrating to watch this happen to your son. I'm assuming from some of the language you have used here that your child has been evaluated by birth to three services in your area. If not he would benefit from an OT and Speech Therapy eval. Both work on feeding issues but the OT is generally (not always) more focused on Sensory Issues which it sounds like may be part of the problem.
Another thing I would suggest is finding a therapist who specializes in CranioSacral Therapy and pediatrics. CST is a gentle hands-on therapy which helps release fascial restrictions so that the body can work its best. I have found that the combination of a sensory based oral motor desensitization in conjunction with hands on therapy provides the best and quickest results. You can learn more about CST and find a therapist near you at www.upledger.com. Best of luck to you both. Just know this is not terribly uncommon and it will resolve.



answers from Albany on

I am thinking food allergies may be a problem for him. My son, now 18, never ever ate eggs, and had several specific allergies as a young boy. So I never pushed too many different foods on him, and now although still a picky eater, he eats healthy salads and meats. Typical food allergies could include dairy, wheat, eggs, chocolate, and citrus. Perhaps you could try keeping a food journal and looking for trends of what he has eaten when vomiting later? Or if you suspect something try an elimination diet? Good luck!



answers from New York on

My feeling is just given him table food. Forget the puree with lumps.
That to me is very confusing. Think about it. Do you chew or just
swallow. See if just table food works before putting him thru tests.
If his weight is good just do not give him attention when it happens.
I think it will pass.



answers from New York on

Have you tried not giving him pureed meals involving meat? Although the ground, lumpy purees are appropriate for younger kids it doesn't mean that your son has to enjoy them. My son hated pureed meat of any kind and I can't say that I blame him. If your son has enough teeth to chew why not try giving him actual meat just cut into very small pieces? Fifteen months seems old enough to move away from purees. Just as you had to keep introducing new foods to him at the beginning you will have to do the same with solids. Just a thought. Good luck.



answers from Nashville on

A friend of mine took her little girl who refused to eat solids to a food physical therapist and they worked with her on learning to eat. That might be an option. But also, What if you just stop doing purees? My son hated purees by then. I was giving him softer small bites of everything I was eating at 12 months. The only puree textures in his diet were applesauce and yogurt pretty much. I couldn't give him anything that was a mixture of puree and smooshed without it bothering him. It either had to be smooth (just as smooth as storebought applesauce was fine- no big chunks) or regular food.



answers from Cincinnati on

how long has this been going on? How was he when being bottle fed? how is "tooth" brushing? Does he dislike it? After vomits does he want to continue eating? Any food allergies? Is he gagging while eating the lumpy foods?
If the vomiting occurs due to the texture of foods and you are concerned about it you may want to consider a pediatric feeding evaluation (by speech or occupational therapy). The therapist will be able to assist you with transitioning to various textures of foods.
As far as pocketing food, there are numerous reasons why a child may "pocket" food. e.g. not liking a food, low facial tone, etc.
Here are a couple of ideas on how to present foods:
1) Make sure you do NOT force feed your child
2) Try your best not to feel overwhelmed/stressed during meal time (your child will feed off your stress (i know easier said than done - I'm sure this is VERY stressful for you)
3) place a food that you are eating (that is safe for your child) on the tray (without ANY expectation that your child will eat it).
4) let your child play in food and get messy – this allows your child to learn the properties of food (smell, feeling, sight).
5) offer foods your child eats and try to expand within the same food area (e.g. if your child eats smooth fruit (no lumps) drop a cheerio or other crunchy food saying “oops!” and encourage (don’t force) him to try it – this works on encouraging more than one texture in his mouth by it is less aversive than a “soft” lump (e.g. cooked carrot)).
6) encourage your child to touch new foods to cheek/lips (WITHOUT expecting your child to eat it) – cheer/provide positive feedback when your child does this. Then encourage your child to lick it, then eventually bite it (this may take 10-20 exposures before your child bites a new food)

good luck!



answers from New York on

Go to an allergist to test for food allergies, or at a minimum ask your pediatrician to run blood tests for food allergies. My son started throwing up from food allergies at 7 mos old



answers from New York on

I agree with the othert post. I think it could be a food allergy, a friend of mine her daughter was allergies to milk, and threw up everytime she had anything with milk in it. She is now 7 and have grew out of that allergy.

Also, another friend of mine is a OT and deals with feeding evals. It's for kids that can't handle certain textures. You can get the evals done at Childrens Specialized hospital outpaitent center. (Don't let the name scare you) it's a PT / OT and speech place. 888-childrens. Tell them you need a food eval. Good luck.



answers from Dallas on

If your pediatrician isn't trying to help diagnose, then get a gastric doctor to check it out.

If it is always the texture that may make him gag or he is disgusted by it, try to eliminate that and see if he still has issues. Maybe he's pocketing it because he fears it will make him vomit or hates that texture.

Boy, did I ever hate the texture of big macaroni and cheese and worse was teh texture and smell of canned spinach. (I forget what age but some young kids try to get away with nothing but finger foods -- but you can't bend completely to that whim.



answers from Boston on

Hi there. If you avoid the foods listed in your post, does he vomit on other foods as well? Maybe it is a texture thing. The other thing you might do is take him to an allergist to see if he is intolerant to certain foods. I did it with my daughter and it is not bad. They do a scratch test on their back and she did not even feel it. We kept her side tracked with toys.
Good luck!

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