Comments on: "He gets so excited he throws up"

By: RJS

RJS — Wed, 03 Oct 2007 04:56:38 +0000

Well Ativan's the only benzo that can be taken sublingually. I find it dissolves pretty quickly and doesn't taste particularly bad.

It hits quicker, in my experience, than Klonopin wafers as well, and is, for lack of a better word, smoother.

This was a *small* child. I wouldn't even know where to begin dosing a benzo for someone ~5-6 years old. :scared: I mean, sure I could look it up, but I'd rather defer to someone with actual experience in something like this rather than something I read out of a book. (Though I have called on scripts before only to be told my the physician that they had no experience with it and had looked it up in the PDR. )

Interesting thought on the gastric emptying… I hadn't considered that. (Though I did wonder if maybe some Gaviscon liquid was in order for the short term.)

By: CardioNP

CardioNP — Wed, 03 Oct 2007 01:28:53 +0000

My differential would depend on when the emesis started.
If it has been chronic and ongoing, then I would think that the kid has some sort of lower esophageal sphincter problem and needs to see a pedi GI doc. My half sister had this scenario as a child. She is now about 30 and has Barrett's due to years of undiagnosed reflux.

If it is a new onset sx, then not sure, but would think it was anxiety based. But I agree, she needs the kid to be seen by his doc.

Do they have rapidly dissolving ativan to go along with the Fentanyl pops?

By: Nate Page

Nate Page — Tue, 02 Oct 2007 16:55:25 +0000

Just wondering- Are you a pharmacist or an intern?

By: RJS

RJS — Tue, 02 Oct 2007 11:24:54 +0000

When we invented those worst superpowers, we had no idea that people would actually suffer from them.

By: Cailin Coilleach

Cailin Coilleach — Tue, 02 Oct 2007 10:45:26 +0000

I sympathize with the kid, since i have a similar affliction.

Whenever I get stressed, as you said, "my bowels are aquiver". Whenever I go on a long trip I have no idea where to find a loo. Hence, anxiety and thus more stress. Having to hold it in adds more stress, and so on. It sucks and it's all psychological.

I could very well be that for that kid it started out exactly the way it did for me: while doing big activity X he was feeling ill and seriously needed to puke (or in my case "move my bowels"). Unfortunately he didn't have a comfortable option to let it go, so he tried to keep it down. Eventually he -did- explode, which can feel rather traumatic. Luckily, I "exploded" right after finding a loo, so I was at least relatively safe.

For me, that was over six years ago and my mind+bowels haven't been the same ever since. Unfortunately there's not so much you can do: most of it would be in his head and thus it's something he (like me) needs to get over.

Maybe "taking the edge off" will help a little…