What doctor for a not-pregnant kid with "morning sickness"?

[Anonymous]

My DS, now 15, has always been super-sensitive to motion. It was about 50/50 whether he was going to throw up on any car trip. My DH was somewhat like this growing up but I think not nearly as extreme. We convinced our pediatrician to prescribe Zofran, and now give him Dramamine and Zofran for any long-haul trip, which mostly works but he still feels somewhat nauseous even with that cocktail. He also often feels sick in the morning but, for some reason, he's okay if he gets up a tiny bit later. It's not unusual for him to throw up at the house before school, on the way to the bus stop, or after getting to school on the bus. Nothing about the circumstances suggests it's psychological (he's pretty fine with all of it and just moves on) but it seems not normal to me. We've gone to an ENT doctor a few times and she didn't want to explore further. Should I keep digging? Is an ENT the right doctor? Endocrinologist, or neurologist, or something else? Thanks for any thoughts!

[Anonymous]

I'd look for a gastroenterologist.

[Anonymous]

I was similar as a kid and for me it’s blood sugar related. Does having a protein snack before bed help? Does he eat small frequent meals?

I think there is some GI thing involved, in the sense that I throw up easily, but hunger/blood sugar is the trigger.

[Anonymous]

I also had this growing up, and like the PP mine was definitely blood sugar related. I was raised on junk food and a lot of gluten. I think once I stopped eating gluten and more protein, I was almost instantly better. I used to need to eat as soon as I woke up and continuously throughout the day to feel normal.

[Anonymous]

If it's blood sugar, endocrinologist? Or gi

[Anonymous]

I have a friend with this, hers is from low blood pressure in the morning.

With your ds though, I'm with other pp's and wonder if a snack with protein before bed makes a difference.

[Anonymous]

1. Weird title. "What doctor for son who throws up in the morning" would have done just fine.

2. You need to ask for a gastro referral. When they've ruled out all kinds of serious disease, they can refer you to an endocrinologist. But you can ask now for extensive bloodwork, including things related to diabetes. They can measure the level of A1C, for example, and see if it's elevated.

3. You need to push for doctors to take him seriously. I was glad my daughter's specialists took her diarrhea seriously, because it ended up being lupus, a serious autoimmune disease (and not one usually associated with that symptom - we spent months doing all sorts of exploratory exams and surgeries).

[Anonymous]

GI

[Anonymous]

Could be anxiety?

[Anonymous]

Neurologist

[Anonymous]

This was me as a teen. Turned out to be a blood sugar issue. My pcp had me do blood tests to test for hypoglycemia.

[Anonymous]

I'm not a doctor, but I would also make a neurology appointment. Nausea and vomiting in the morning can be associated with brain tumors. Of course, it's unlikely to be that, but having a professional weigh in could be helpful.

[Anonymous]

Happened to my sister and usually in the morning. She didn’t get a diagnosis until her early 20s. It turned out to be she was lactose intolerant. She also has a husky voice from the damage it did. She has been seen before and they didn’t find evidence of allergies before or the lactose intolerance- took a different doctor. And the mornings she usually had the most milk

[Anonymous]

Anonymous wrote:Could be anxiety?

+1. This was basically my life and I wouldn’t have necessarily said I was incredibly anxious.

[Anonymous]

So no other odd symptoms - weught loss, fainting, dizzy, headache?

The vomitting triggered by motion is sort of understandable especially if dh was similar as a teen, BUT the vomiting and naseau daily(!) is not normal. Does it happen only during the school year?