This report presents the case history of a six year old child who was portrayed as having recurrent haemetemesis since two years by her mother. A detailed evaluation showed that the patient's history was inconsistent with the clinical findings and investigations, leading to a diagnosis of Factitious Disorder by Proxy (FDbp). The report highlights the rationale for under-diagnosis of FDbp in India and challenges the conventional approach (Parentectomy) for treating FDbp.