small amount of blood in 12mo vomit - wwyd?

[dontbitemytoes]

hello, dd is a very sicky baby, often sick and often ill (but not necessarily together iyswim) so i am used to the mopping up process.

today she went to PIL whilst i worked, and i came out of work early to pick her up and take her home as she was being sick constantly, and really wasn't herself (she's normally bubbly and fine, even when poorly)

she was sick when she got home, after a bit of her bedtime bottle and then she went to bed, she was asleep in bed by 6pm (normally 7) and has been sick twice in her cot (never done before) she is also lethargic and rather "vacant" (ie lying in her bed staring when we put her back to bed) although i accept this could just be tiredness as she isusually in a deep sleep now.

she doesnt feel overly hot, although i haven't taken her temperature.

she has just been sick again and when i changed the sheets, there were small spots of mucousy blood in her vomit (which was otherwise white/clear, sory if TMI)

there were about 4 or 5 small spots of blood about the size of a knob on the side of a atch (sorry i cant think of anything else that size!) - i have checked inside her mouth to make sure its not a tooth coming through and i cant see anything.

what would you do? would you be worried? even before i saw the blood i was going to post because of the letharg, she really is not like herself at all, although when she was awake earlier she did have moments of lucidity...

please help, she is my PFB....

[avenanap]

She's probably been sick so much she's made her throat sore. Has she been wetting her nappies? She sounds dehydrated if she's been vomiting this much. I would get her seen by the out of hours doctor really. Has she been able to keep anything down? Water?

[MatNanPlus]

I would take her to A&E will probably be quicker than the OOH dr, she sounds possibly dehydrated and it could be something brewing, please do take her temp tho they often spike in the night.

[dontbitemytoes]

her last nappy was dry - although it had only been on for 2 hours (and would usually be damp, but not wet) - without disturbing her again now i can't tell ifher nappy is wet.

she kept her bottle down (or most of it) for around 2 hours before she was sick, so hopefully she might have taken some fluids from that?

otherwise, no she is keeping nothing down.

as i think i mentioned before she is often sick, so the being sick/dehydration doesnt overly worry me because she's been sick before and i usually manage to get some fluids into her, even if its in the middle of the night [yawn]

But the blood and lethargy are worrying me a little. You could be right avenanap, i hadnt thought that sickness might have caused her throat to bleed...she is retching terribly

[dontbitemytoes]

oh my goodness MNP, i might have to panic!!! but thank you for making me realise this could be serious, i have phoned the ooh dr for advice and will do whatever he suggests, as well as keep close eye on dd all night.

[avenanap]

Give her little bits of fluid often. Start off with 5 ml and build it up. Do you have any rehydration fluid? When was the last time you had a wet nappy?
She would have been keeping little bits of fluid down before vomiting the rest. Are her eyes ok or a bit sunken. Is her mouth wet or dry?

[Guadalupe]

Ds2 had this at around 12 months and the doctor said small amounts of blood in the vomit are almost always a broken blood vessel. There would need to be a lot of blood in the vomit for them to worry. I was amazed as I was convinced it was something awful.

Having said that, I would always consult a doctor if I saw it, and like avenanap says, keep an eye on her getting dehydrated. Hope she feels better soon.

[dontbitemytoes]

mouth wet, and eyes ok, but will keep an eye on it. I really don't know when her last wet nappy was as PIL have had her all day, but i am confident they would have reported any dry nappies to me.

i have diarolyte (sp?) cranberry flavour, i bought it for myself when i was ill a couple of months ago but it was too vile to drink - is this the same thing or is there somethign special for babies?

how would i give it to her, in a syringe?

[avenanap]

Check the packet, I think it's ok, it just replaces the electrolyted that are lost when you have vomiting or diarrhoea. Mix it in her bottle with the right amount of water. Give her little bits at a time, every 10 mins or something like that, this way if she vomits then she's still had some fluid. Wet mouth and normal eyes is good. I would take her to A&E if her eyes were sunken and dry mouth.
I would take her to the GP tomorrow for a check over, please contact NHS direct if you are concerned or if anything changes though.

I hope she's feeling better. Keep checking her temp, if it goes above 37.4 then call NHS direct. Check for rashes too.

[dontbitemytoes]

tahnks avenanap, she's just been sick again but no blood this time. out of hours doctor helpful, but not as helpful as you

no temperature at moment, but lethargy still there.

have given her water for now, will try diarolyte when checked packet in a minute.

i'm guessing you are a doctor?!

[avenanap]

No. I used to be a student paediatric nurse (did 2 years) until I caught glandular fever. I'm starting a radiography course in 2 weeks (less hours and no shifts). I may do medicine after.

I hope she's feeling better soon. Keep an eye on the lethargy. It's hard at this time of night though, she should stir when you give her a drink. About 5-10 mls for an hour, then increase the amount to 20 mls and see how she goes. What did the out of hours say? Proably gastroenteritis?

[dontbitemytoes]

ooh, enjoy your course avenanap, and thank you for your help yesterday. DD woke up this morning still being sick but not one bit of lethargy!! she seemed perfectly fine in herself so i left her with mum whilst i went to work (as is usual on a friday), they took her to doctors at lunchtime as she was still vomiting. doctor said she looked fine, but her nappies were dry so he was worried about dehydration, although no toher signs. he said if she was still dry nappied by 7pm tonight (an hour ater i got home) to take her to a&e and a bed would be waiting Thankfully she perked up and ate and drank loads by 4pm, and was tucked up in bed exhausted but happy at 7pm.

thanks for all your help. x

[avenanap]

You are welcome. I'm so pleased she's feeling better.