Vomiting Without Diarrhea

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Care at Home

  • SLEEP: * Help your child go to sleep for a few hours. * Reason: Sleep often empties the stomach and removes the need to vomit. * Your child doesn't have to drink anything if his stomach feels upset.
  • FOR BOTTLEFED BABIES, GIVE ORAL REHYDRATION SOLUTION (ORS) FOR 8 HOURS: * ORS is a special fluid that can help your child stay hydrated. You can use Pedialyte or the store brand of ORS. It can be bought in food or drug stores. * If vomits once, keep on regular formula. * If more than once, offer ORS for 8 hours. If you don't have ORS, use formula. * Spoon or syringe feed small amounts. Give 1-2 teaspoons (5-10 ml) every 5 minutes. * After 4 hours without throwing up, double the amount. * RETURN TO FORMULA. After 8 hours without throwing up, go back to regular formula. * RETURN TO SOLID FOODS. If over 4 months old and after 8 hours without vomiting, add solids. Start with cereals. Then, slowly add other baby foods. * Return to normal diet in 24-48 hours.
  • FOR BREASTFED BABIES, REDUCE THE AMOUNT PER FEEDING: * If vomits once, nurse 1 side every 1 to 2 hours. * If more than once, nurse for 5 minutes every 30 to 60 minutes. After 4 hours without throwing up, return to regular nursing. * If continues to vomit, switch to ORS (such as Pedialyte). Do this for 4 hours. * Spoon or syringe feed small amounts of ORS. Give 1-2 teaspoons (5-10 ml) every 5 minutes. * After 4 hours without throwing up, return to regular feeding at the breast. Start with small feedings of 5 minutes every 30 minutes. As your baby keeps down the smaller amounts, slowly give more.
  • FOR OLDER CHILDREN (OVER 1 YEAR OLD), OFFER SMALL AMOUNTS OF CLEAR FLUIDS FOR 8 HOURS: * Water or ice chips are best for older children. (Reason: Water is easily absorbed in the stomach.) * ORS. If your child vomits water, offer ORS. ORS is a special fluid that can help your child stay hydrated. You can use Pedialyte or the store brand. It can be bought in food or drug stores. * If refuses ORS, use half-strength Gatorade. Make it by mixing equal amounts of Gatorade and water. * Give small amounts. Use 2-3 teaspoons (10-15 ml) every 5 minutes. * OTHER OPTIONS. Half-strength flat lemon-lime soda, popsicles or ORS frozen pops. * After 4 hours without throwing up, increase the amount. * After 8 hours without throwing up, return to regular fluids. * Caution: If vomits over 12 hours, switch to ORS or half-strength Gatorade. * RETURN TO SOLID FOODS. After 8 hours without throwing up, add solid food. * Limit solids to bland foods. Starchy foods are easiest to digest. * Start with crackers, bread, cereals, rice, mashed potatoes, noodles. * Return to normal diet in 24-48 hours.
  • DO NOT GIVE MEDICINES: * Stop using any drug that is over-the-counter for 8 hours. Reason: Some of these can make vomiting worse. * FEVER. Mild fevers don't need to be treated with any drugs. For higher fevers, you can use an acetaminophen (Tylenol) suppository. This is a form of the drug you put in the rectum. Ask a pharmacist for help finding this product. Do not use ibuprofen. It can upset the stomach. * CALL YOUR DOCTOR IF: Your child vomits a drug ordered by your doctor.
  • RETURN TO SCHOOL: * Your child can return to school after the vomiting and fever are gone.
  • WHAT TO EXPECT: * Vomiting from a viral illness often stops in 12 to 24 hours. * Mild vomiting and nausea may last up to 3 days.
  • CALL YOUR DOCTOR IF: * Vomits clear fluids for more than 8 hours * Vomiting lasts more than 24 hours * Signs of dehydration occur * Your child becomes worse
  • WHAT YOU SHOULD KNOW: * Most vomiting is caused by a viral infection of the stomach. Sometimes, mild food poisoning is the cause. * Vomiting is the body's way of protecting the lower gut. * The good news is that stomach illnesses last only a short time. * Here is some care advice that should help.

Disclaimer

The information contained in these topics is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition. Nothing contained in these topics is intended to be used for medical diagnosis or treatment.

  • Not a Substitute - The information and materials in Pediatric HouseCalls Symptom Checker should not be used as a substitute for the care and knowledge that your physician can provide to you.
  • Supplement - The information and materials presented here in Pediatric HouseCalls Symptom Checker are meant to supplement the information that you obtain from your physician. If there is a disagreement between the information presented herein and what your physician has told you -- it is more likely that your physician is correct. He or she has the benefit of knowing your child's medical problems.
  • Limitations - You should recognize that the information and materials presented here in Pediatric HouseCalls Symptom Checker have the following limitations, in comparison to being examined by your own physician:
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    • Your child could have an underlying medical problem that requires a physician to detect.
    • If your child is taking medications, they could influence how he experiences various symptoms.

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