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The vomiting is often described as non-bile stained ("non bilious") and "projectile vomiting", because it is more forceful than the usual spitting up (gastroesophageal reflux) seen at this age. Some infants present with poor feeding and weight loss but others demonstrate normal weight gain.
It causes increased levels of amniotic fluid during pregnancy (polyhydramnios) and intestinal obstruction in newborn babies. Newborns present with bilious or non-bilous vomiting (depending on where in the duodenum the obstruction is) within the first 24 to 48 hours after birth, typically after their first oral feeding.
If the vomiting reflex continues for an extended period with no appreciable vomitus, the condition is known as non-productive emesis or "dry heaves", which can be painful and debilitating. [citation needed] Color of vomit [16] Bright red in the vomit suggests bleeding from the esophagus
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Fecal vomiting or copremesis is a kind of vomiting wherein the material vomited is of fecal origin. It is a common symptom of gastrojejunocolic fistula and intestinal obstruction in the ileum . [ 1 ] [ 2 ] Fecal vomiting is often accompanied by gastrointestinal symptoms, including abdominal pain , abdominal distension , dehydration , and diarrhea .
Unlike typical vomiting, regurgitation is typically described as effortless and unforced. [2] There is seldom nausea preceding the expulsion, and the undigested food lacks the bitter taste and odour of stomach acid and bile. [2] Symptoms can begin to manifest at any point from the ingestion of the meal to two hours thereafter. [3]
The most prominent symptom of intestinal atresia is bilious vomiting soon after birth. [1] This is most common in jejunal atresia. [2] Other features include abdominal distension and failure to pass meconium. The distension is more generalised the further down the bowel the atresia is located and is thus most prominent with ileal atresia.
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