My daughter has repeated episodes of vomiting. I would like your opinion on this matter.

Hello doctor,

Last year my daughter decided to go on an all vegetarian diet rather drastically. A few weeks later, she got ill with vomiting which lasted for approximately two weeks, so we made three visits to the urgent care, where she was treated for gastritis and dehydration. One month later, the same thing occurred, so this time I took her to another doctor who ran blood tests, stool culture, tested for H.pylori and did an ultrasound. The blood tests were normal with the exception of a high CPK and bilirubin reading. The ultrasound results were also normal. And this happened again a couple of months back. This time a CT scan was ordered and some additional blood tests were done, all of which were normal. The only thing that appears consistent with these episodes is that they always occur approximately two weeks before her period is due, except for an episode that occurred this weekend when she did not eat on time. I am rather concerned and would like your opinion on this matter.

Hi doctor,

Thank you for the reply,

I am not aware of a test for G6PD deficiency, and I will have to inquire about the CBC. She is underweight in my estimation. I will ask about the kidney function test, but I was advised that those were normal. She does experience a burning pain in her upper abdomen just below her breasts. The vomiting relieves the pain temporarily, but I am not sure what brings it on. I am not aware of an HIDA being done. I was present for the ultrasound, and the technician looked at the gallbladder, liver, kidneys, pancreas, etc. Please see the CPK and bilirubin levels in the attached report.