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Vomiting in Children

WHAT YOU SHOULD KNOW

Vomiting or ""throwing up'' is very common in children. There is no immediate cause for concern.

Causes

Often, the child has simply eaten something that does not agree with him or her. The vomiting could also be a sign of infection.

Signs/Symptoms

If your child has an infection such as the flu, the vomiting may be accompanied by fever, stomach or muscle pain, and diarrhea. It should stop in 6 to 24 hours. If the vomiting continues, the child may lose too much water and become dehydrated. This can be a serious problem.

WHAT YOU SHOULD DO

  • The child should rest in bed until he or she feels better or there has been no vomiting for 24 hours.
  • Let the child's stomach rest for 1 hour after vomiting, then give sips of liquids every 10 to 15 minutes. Gradually increase the amount of liquid you offer.
  • Encourage but do not force your child to drink. If vomiting starts again, give the liquids a teaspoonful at a time.
  • Give only clear liquids for the first 24 hours. The following liquids are usually well tolerated:
    • Crushed ice.
    • Gelatin water: Add 1 package of instant gelatin to a quart of water. Remember that red gelatin may stain stools and be mistaken for blood.
    • Flat carbonated liquids such as ginger ale or cola. Let the beverage stand at room temperature with the cap off or put a teaspoon of sugar or warm water into the drink to make it flat. Gas in your child's stomach can cause more vomiting.
    • Frozen juices
    • Clear beef broth, chicken broth, or bouillon cubes. If the cubes are spicy, dilute with twice as much water as you would usually use.
    • Sports beverages
  • If the child wants food, start with saltine crackers. Do not give milk or solid foods for at least 24 hours.
  • After 24 hours, try diluted skim milk, refined rice or cereal, bananas, or applesauce, then work toward a normal diet.
  • Do not give your child fresh fruit with peels, raw vegetables, or coarse cereals until recovery is complete.
  • Medicines are usually not needed to stop the vomiting, although your doctor may prescribe an antibiotic if the child has a bacterial infection. Do not give your child any medicine without first asking your doctor.

Call Your Doctor If...

  • Vomiting is not better in 24 hours.

Seek Care Immediately If...

  • Your child is overly drowsy or confused.
  • You child has sharp or constant abdominal pain, painful or frequent urination, labored breathing, fever that doesn't go away, a high temperature, or a severe cough.



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