This does sound like it could be a blockage, although there is some overlap of symptoms with other GI problems such as virus. Not to be alarmist, but blockages can be serious. Since he is vomiting and has passed very little stool in the last 10 hours, if you cannot reach his doctor, you may want to go to the ER.

As an adult I know when it is time to go to ER but when you are dealing with a kid I think that prudence is the best way to go...do not take any risks...if there is severe cramping, if he cannot keep anything down and/or if he vomits up even the smallest sip of water then he has a full blown blockage...take him to ER.

If on the other hand he can still sip water, keep down ice chips and take meds then I would keep him up and walking around, as active as he can be under the circumstances (at least standing up regularly and rolling around a bit on the floor) and wait and see...hot liquids help as do heating pads.

Good luck and keep us posted

Sharon

Thanks we are waiting for x-ray at ER

My general rule since I've gotten my J-Pouch is any time vomiting is involved, I go to the acute care (it's 2 minutes from my house so very convenient).   Even if it's not a blockage and ends up being viral or something else, it's very hard for me (and probably many pouchers) to rehydrate with just oral liquids.  The sooner that I can get IV fluids, the quicker I'm able to recover.  I've also been through A LOT of blockage and it's horrible...I get on IV fuids, anti-nauseas, and pain meds as soon as possible.  They will likely offer Dilaudid for the pain, which is amazing, but don't keep on it more than a dose or two if you can get your son switched to IV Tylenol and Toradol.  It will just make the gut slow down and take longer to recover.

Thanks for everyones advice- still at hospital- they put him on iv fluids, morphine, anti nasea meds. Started passing some watery stool- he is feeling better. They are going to put him under anesthesia and check for stricture.

glad he is feeling better. curious was he bloated at all?

to my mind, there are several things that indicate a blockage. first it starts without passing stool or gas. since I like to believe my superpower is pooping on demand this in and of itself is alarming. after all who wants to lose their superpower? second I begin to bloat as things back up. then peristalsis insistent beast that it is, starts creating waves of pain coincident with peristalsis trying to make its way through. and finally sometimes I vomit, and this is a curious instance because sometimes that violence actually shakes loose the obstruction, other times, it reminds me how miserable I am and that I now have the sign that I need to lace up my shoes and get to the ER. my surgeon used to advise, vomiting dark bile like substances for sure is an emergent situation.

as you peruse the subject of obstructions or blockages on here you will discern there are various explanations from food intake, to adhesions/strictures. good to see if you can ferret out the underlying cause as candidly they have to amongst the most miserable things that our bodies can endure.