Acid Reflux Vomiting

Q: My daughter is turning 14 this summer, but she gets this weird acid reflux type thing that leads to vomiting.? My almost 14 year old daughter occasionally gets this acid reflux type thing that leads to vomiting. We talked to our doctor, and he thinks that it's either acid reflux, or her gaull bladder. He didn't want to put her on any antacids yet, one because it's not happening twice a month or anything, and two, because she's so young. I'm a nurse, and i was looking up the symptoms in a medical book of mine, and the description for either chronic erosive gastritus, or eosinophilic gastritus. Is anyone familure with this, or has it?

A:My four year old daughter has GERD (acid reflux) and will have times that she throws up because of it. She usually has an attack where she throws up a couple of times at night for two to three nights. And then she will be okay for a week or two. We did some test and ended up having her take one of the anti acid medicines like prilosic which she was on as an infant. We had insurance problems so she takes an OTC prilosic which really helps her. When she is on it, she doesn't throw up and her tummy feels much better. I would try some over the counter Prilosic or similar. Stay away from the tums as they can cause constipation if she responds to ant-acid therapy (h2 blockers or antacids) then it's likely GERD (esophageal reflux). if she has it only occasionally,

i would start with lifestyle modifications (avoiding caffeine, alcohol, spicy foods, large meals before bedtime, etc). if it still persists, then try starting an h2 blocker and see if it alelviates. eosinophilic esophagitis/gastritis is pretty rare, if it presents it is in young people in their 20s with feelings of discomfort swallowing, erosive gastritis also is inflammation of the stomach, both entities require endoscopy to diagnose. treatment for erosive gastritis is actually acid suppression or treatment for H. pylori if she has it (rare in this country). eosinophilic esophagitis is treated differently - both conditions you should consult a doctor for more information and treatment.