Vomiting

Practice Gap Clinicians must be cognizant of the common, more benign but often treatable causes of vomiting as well as the less common but life-threatening surgical, metabolic and infectious disorders of which vomiting is a symptom. Practitioners should stay abreast of evolving recommendations on newer, effective anti-emetic therapies for treating chemotherapy patients and others with non-cancerous disorders. Objectives After completing this article, readers should be able to: 1. Know the causes of vomiting in children of different age groups. 2. Distinguish between nonorganic and organic causes of vomiting. 3. Diagnose and treat eosinophilic esophagitis (EE). 4. Develop an initial management plan for a child with intestinal obstruction. 5. Evaluate and manage rumination syndrome and cyclic vomiting syndrome (CVS) in children. 6. Understand the role of various antiemetic medications in the treatment of vomiting in children.