Treatment vomiting children

Vomiting in children and babies

It's normal for babies and children to vomit occasionally. In most cases, it will last no longer than one to two days and isn't a sign of anything serious.

The most common cause of vomiting in children and babies is gastroenteritis. This is an infection of the gut usually caused by a virus or bacteria, which also causes diarrhoea. The symptoms can be unpleasant but your child will usually start to feel better after a few days.

However, persistent vomiting can sometimes cause your child to become severely dehydrated and occasionally it can be a sign of something more serious, such as meningitis.

This page outlines what to do if your child keeps vomiting and describes some of the common causes of vomiting in children and babies.

If your child has a high temperature, you can also read a separate page about fever in children.

What to do

If your child vomits, you should keep a close eye on them. Trust your instincts and contact your GP immediately if you're worried.

If the cause is just a tummy bug, your child should still be feeling well enough to eat, play and be their usual self. In this case, keep feeding them as normal and offer them regular drinks (see below).

But if they don't seem themself – for example, if they're floppy, irritable or less responsive – they may be seriously ill, so you should get medical help immediately.

When to get medical advice

You should contact your GP if:

your child is repeatedly vomiting and is unable to hold down fluids
you think they're dehydrated – symptoms of dehydration can include a dry mouth, crying without producing tears, urinating less or not wetting many nappies, and drowsiness
their vomit is green or contains blood
they have been vomiting for more than a day or two

Go to your nearest accident and emergency (A&E) department if your child is vomiting and develops sudden and severe tummy pain, or they're floppy, irritable or less responsive

Call 999 for an ambulance or go to your nearest A&E department immediately if they're vomiting and have a headache, stiff neck and a rash.

Looking after your child at home

In most cases, you can treat your child safely at home. The most important thing you can do is make sure they keep drinking fluids to prevent dehydration.

If your baby is vomiting, carry on breastfeeding or giving them milk feeds. If they seem dehydrated, they will need extra fluids. Ask your GP or pharmacist whether you should give your baby oral rehydration solution.

Oral rehydration solution is a special powder that you make into a drink. It contains sugar and salts to help replace the water and salts lost through vomiting and diarrhoea.

Children who are vomiting should keep taking small sips of clear fluid, such as water or clear broth. Fruit juice and fizzy drinks should be avoided until they're feeling better. If they're not dehydrated and haven't lost their appetite, it's fine for your child to eat solid foods as normal.

Again, speak to your GP or pharmacist if you're concerned about dehydration. They may recommend an oral rehydration solution for your child. Contact your GP or practice nurse if your child is unable to hold down oral rehydration solution.

If your child has diarrhoea and is vomiting, they shouldn't go to school or any other childcare facility until 48 hours after the last episode of diarrhoea or vomiting.

Read more about treating gastroenteritis in children.

Causes of vomiting in children

There are a number of possible causes of vomiting in children, which are described below.

Gastroenteritis

Gastroenteritis is an infection of the gut. It's a common cause of vomiting in children and usually lasts a few days.

Food allergy

Food allergies can cause vomiting in children, as well as other symptoms, such as a raised, red, itchy skin rash (urticaria) and swelling of the face, around the eyes, lips, tongue or the roof of the mouth.

Watch out for foods that may bring on vomiting and see your GP for a diagnosis if you think your child may have a food allergy.

Other infections

Vomiting can sometimes be a sign of an infection other than gastroenteritis, such as urinary tract infections (UTIs), middle ear infections, pneumonia or meningitis.

Contact your child's GP if they're vomiting and experiencing additional symptoms of an infection, such as a high temperature (fever) and irritability.

Appendicitis

Appendicitis is a painful swelling of the appendix, a finger-like pouch connected to the large intestine. It causes severe tummy pain that gets worse over time.

If your child has tummy pain that's gradually getting worse, contact your GP, or if they aren't open call NHS 24's 111 service immediately. You should call 999 for an ambulance if they have pain that gets worse quickly and spreads across their tummy.

In most cases of appendicitis, the appendix will need to be surgically removed as soon as possible.

Poison

Accidentally swallowing something poisonous can cause your child to vomit. If you think this is the case, contact your GP immediately or take your child to your nearest accident and emergency (A&E) department.

Causes of vomiting in babies

These include:

gastroenteritis
a food allergy or milk intolerance
gastro-oesophageal reflux – where stomach contents escape back up the gullet
too big a hole in the bottle teat, which causes your baby to swallow too much milk
accidentally swallowing something poisonous
congenital pyloric stenosis – a condition present at birth where the passage from the stomach to the bowel has narrowed, so food is unable to pass through easily; this causes projectile vomiting
a strangulated hernia – your baby will vomit frequently and cry as if they are in a lot of pain; this should be treated as a medical emergency
intussusception (where the bowel telescopes in on itself) – as well as vomiting, your baby may look pale, floppy and have symptoms of dehydration

Treating Vomiting - HealthyChildren.

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What's the best way to treat vomiting?

In most cases, vomiting will stop without specific medical treatment. The majority of cases are caused by a virus and will get better on their own. You should never use over-the-counter or prescription remedies unless they've been specifically prescribed by your pediatrician for your child and for this particular illness.

When your infant or young child is vomiting, keep her lying on her stomach or side as much as possible. Doing this will minimize the chances of her inhaling vomit into her upper airway and lungs.

Watch for Dehydration

When there is continued vomiting, you need to make certain that dehydration doesn't occur. Dehydration is a term used when the body loses so much water that it can no longer function efficiently. If allowed to reach a severe degree, it can be serious and life-threatening. To prevent this from happening, make sure your child consumes enough extra fluids to restore what has been lost through throwing up. If she vomits these fluids, notify your pediatrician.

Modify Your Child's Diet

For the first twenty-four hours or so of any illness that causes vomiting, keep your child off solid foods, and encourage her to suck or drink small amounts of electrolyte solution (ask your pediatrician which one), clear fluids such as water, sugar water (1/2 teaspoon [2.5 ml] sugar in 4 ounces [120 ml] of water), Popsicles, gelatin water (1 teaspoon [5 ml] of flavored gelatin in 4 ounces of water) instead of eating. Liquids not only help to prevent dehydration, but also are less likely than solid foods to stimulate further vomiting.

Be sure to follow your pediatrician's guidelines for giving your child fluids. Your doctor will adhere to requirements like those descibed below.

Estimated Oral Fluid and Electrolyte Requirements by Body Weight

6–7	10	16
11	15	23
22	25	40
26	28	44
33	32	51
40	38	61

1 pound = 0.45 kilograms
1 ounce = 30 ml
*NOTE: This is the smallest amount of fluid that a normal child requires. Most children drink more than this.

In most cases, your child will just need to stay at home and receive a liquid diet for twelve to twenty-four hours. Your pediatrician usually won’t prescribe a drug to treat the vomiting, but some doctors will prescribe antinausea medications to children.

If your child also has diarrhea, ask your pediatrician for instructions on giving liquids and restoring solids to her diet.

When to Call the Pediatrician

If she can’t retain any clear liquids or if the symptoms become more severe, notify your pediatrician. She will examine your child and may order blood and urine tests or X-rays to make a diagnosis. Occasionally hospital care may be necessary.

Until your child feels better, remember to keep her hydrated, and call your pediatrician right away if she shows signs of dehydration. If your child looks sick, the symptoms aren’t improving with time, or your pediatrician suspects a bacterial infection, he may perform a culture of the stool, and treat appropriately.

Last Updated: 8/1/2017

Source: Caring for Your Baby and Young Child: Birth to Age 5 (Copyright © 2009 American Academy of Pediatrics)

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

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How to stop vomiting in a child: doctors about the dangers of home treatment

Causes of vomiting in children

As Elena Grek, a pediatric gastroenterologist at the SM-Clinic in St. Petersburg, told Gazeta.Ru, children vomit for several reasons:

“Most often this is a manifestation of intestinal infections: enterovirus, adenovirus or bacterial infections. Second place is occupied by food poisoning. And in older children, vomiting can be a symptom of an exacerbation of a disease of the gastrointestinal tract, for example, gastritis. If the child vomits bile, but at the same time he feels fine, it may be a reflux of bile into the stomach.

Usually such episodes recur with a certain frequency: once a week or a month. Another cause of vomiting in children is sunstroke. When overheated, a child usually vomits only once, and there are no other signs of gastrointestinal upset. In this case, it will be enough to let the baby rest in a dark, cool room.

The doctor also noted that vomiting can begin if blood pressure rises sharply, but this is extremely rare in young children.

Most parents are unable to understand what causes vomiting in children. Moreover, sometimes it can be accompanied by loose stools and abdominal pain. It is necessary to seek medical help from a pediatrician or pediatric gastroenterologist, and in some cases, you will need to call an ambulance.

Do not forget that babies have regurgitation, and they have nothing to do with vomiting. About half of newborns under the age of three months spit up at least once a day.

How to quickly stop vomiting at home

Seeing that the child is vomiting, parents ask themselves the question “How to quickly stop vomiting at home?” Many adults hope that there is a universal drug that will immediately solve the problem.

However, Ksenia Batrak, a pediatrician at the SM-Clinic in St. Petersburg, warns that it is practically impossible to stop vomiting quickly, and most often it is not necessary and even dangerous:

“It is no coincidence that doctors do not advise giving children antiemetics. Vomiting is a protective symptom that helps the body rid itself of infection. By stopping it with the help of pills, we ourselves harm children. We also interfere with the correct diagnosis, blurring the clinical picture of the disease. So it’s not worth trying to stop vomiting at home.”

Andrey Kurenkov, pediatrician, expert of the Mama TV channel, also warns against home “treatment” of parents:

“In no case should you stop vomiting on your own, without seeing a doctor. The fact is that vomiting occurs in many diseases, some of which are mild and self-limiting, and some are deadly (intestinal obstruction, diabetic ketoacidosis, acute adrenal insufficiency, non-food poisoning, increased intracranial pressure). If vomiting is caused by these reasons, and you will try to stop it, you risk losing time.

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What can be given to a child for vomiting lemon. But the main task is to provide the child's body with a sufficient amount of fluid to prevent dehydration.

“If you vomit once, you can give dried fruit compote. But if the child continues to vomit, you need to switch to fractional drinking: take at least a few sips every 10-15 minutes. It is better to drink plain water, but boiled, ”recommends Dr. Batrak.

Does the child have dry mouth, foamy saliva or no saliva, reduced urge to urinate, small urine volume, reduced activity? These are signs of dehydration. Loose stools further accelerate fluid loss.

Vomiting and diarrhea are dangerous for a small child due to a decrease in electrolytes in the body. Together with the liquid, the child also loses biologically significant elements that support important processes in cells. Pediatrician Ksenia Batrak told how they can be replenished: “To compensate for the loss of glucose or acids, you can add a little sugar or lemon juice to ordinary water. You can also buy ready-made solutions with a verified composition of electrolytes, salt and sugar. For example, Regidron Bio. Usually, children do not really like their taste, but such solutions help to replenish the balance of nutrients. If the cause of vomiting in children is food poisoning, sorbent preparations can be taken.

Pediatrician Andrei Kurenkov explains why a drug for adults cannot be used to restore the water-salt balance (rehydration):

salt concentration, and they themselves can provoke vomiting. For children, funds with low osmolarity are needed. For adults - Regidron, for children - Regidron-Bio.

How to stop vomiting if there is nothing to vomit

There are cases when the gag reflex persists even when there is nothing left to vomit. In such a situation, parents try to find a way to stop the child from vomiting.

However, pediatric gastroenterologist Elena Grek warns that the only option is to seek medical help: “All parents can do is move the child to a cool and quiet room, dim the lights, put something cold on the head, pat on the head or tummy. In other words, try to calm down while waiting for the doctor.”

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Doctor or ambulance

How do I know if my child needs an ambulance or is it enough to wait for a doctor?

Andrey Kurenkov advises to focus on your own life experience:

“You have to solve only one question on your own: the child needs emergency or planned medical care. If, in the process of waiting for the doctor, despite your efforts to drink water, the child's condition worsens and his urination becomes less frequent, you need to call an ambulance.

The doctor emphasizes that no medication should be given until the doctor arrives, all the efforts of the parents should be devoted to feeding the child with low-osmolar oral rehydration agents, which were discussed above. This will help prevent dehydration.

What to do after a child vomits

Doctors specify that the universal remedy for vomiting in children is drinking.

Elena Grek tells what to drink and even feed a child after vomiting: “If the body perceives liquid well, then warm weak tea can be added to the water. The drink should not be made too hot. Tea can be sweetened and a little lemon can be added to restore the acid balance. Any food after vomiting should also be liquid and homogeneous in composition. Porridge or chicken broth will do. Fatty and fried foods should be avoided.