Digestive Diseases

Vomiting is a common symptom both in neonates and pediatric population. The vast majority of vomiting is related to medical, central or endocrinal cause. There is however a special type of vomiting that signifies a serious underlying surgical problem that warren urgent attention. The cardinal symptoms and signs of bowel obstruction are: Vomiting, abdominal distension colic and constipation. The most important symptom is bilious vomiting. The dictum is “any child who vomits bile should be considered as having an underlying intestinal obstruction until proved otherwise, even if he is passing regular motions, not associated with abdominal colic or abdominal distension. Mid-gut marotation presents with intermittent bilious vomiting in otherwise normal child. If not attended promptly, the bowel might twist and lead to bowel gangrene.