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This is an urgent surgical condition.

Assessment and when to refer

History for 2 - 8 week old babies.

• Non-bile vomiting in 2-8 week old babies.
• Frequent forceful vomits with a variable time after feeds.
• Baby is hungry for next feed - important feature distinguishing from sepsis.
• Often reduced stooling frequency.
• Always some degree of dehydration and weight loss.
  • IMMEDIATE REFERRAL via the Emergency Department for surgical opinion.(Refer to Contact Information below).
    • Please provide history and any investigations undertaken.

Resources

• Make a referral:Specialist Clinics
• Contacts
• RCH Primary Care Liaison (GP website)
• Kids Health InfoÌý(Parent information website)ÌýÌý

References and more reading

• Paediatric Handbook (2009).ÌýGastrointestinal Conditions, Chapter 24 (pp369-389) Mark Oliver and Lionel Lubitz. Eighth Edition, Blackwell Publishing. By the staff of the Royal Children's Hospital, Melbourne, Australia.

Thanks to Consultant Paediatric Surgeon Tom Clarnette for permission to adapt existing guidelines.ÌýÌýMany thanksÌýto the GPs involved in the review.ÌýÌýFirst publishedÌýDec 2007.ÌýReviewed August 2009. Please readÌýCopyright and Disclaimer.