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Nausea and Vomiting Discharge Instructions, Child


About this topic


When your child feels sick to the stomach, it is called nausea. Your child may feel like throwing up. When children empty the contents of the stomach, they throw up or vomit. Your child may have only one of these signs or both at the same time. Most often, the signs will stop on their own. Feeling sick to your stomach or throwing up may be a sign of some other illness. Your child may not feel like eating or drinking. Your child may also have pain in the stomach, pass blood, or lose weight. If these signs last a while, your child may need testing to find out the cause. ‚  


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What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do to care for your child.
  • Offer your child small amounts of fluid every 15 to 30 minutes. Ice chips are good too if your child is old enough. This is often simpler than drinking a large amount at one time. Ask the doctor about the best fluids for your child. Good fluids to drink are water and oral electrolyte solutions that you can buy at most supermarkets or drugstores.
  • Avoid sharing your childs food and drinks.
  • Keep your child away from others until the throwing up has stopped.
  • Once your child feels like eating, start with crackers, toast, applesauce, or dry cereal like Cheerios. These are bland foods that break down easily. This may be a few hours after your child last threw up.
  • Avoid greasy, processed foods until your child no longer has an upset stomach.
  • Have your child eat small amounts of food more often.
  • Older children may suck on hard candy.

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your childs progress. Be sure to keep these visits. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Stop your childs vomiting
  • Lower fever
  • Help your child's upset stomach

Will physical activity be limited?


Your child may need to rest for a while. Your child may not be able to go to school or daycare until the loose stools and throwing up have stopped for 24 hours. ‚  

What problems could happen?


  • Too much fluid loss. This is dehydration.
  • Weight loss
  • Anxiety

When do I need to call the doctor?


  • Blood in stool or very bad loose stools
  • More problems with your childs belly. These include upset belly, very bad belly pain, more throwing up, and not able to keep fluids down.
  • Signs of fluid loss. These include soft spot on a baby's head looks sunken, few or no tears when crying, dark-colored urine or only a small amount of urine for more than 6 to 8 hours, dry mouth, cracked lips, dry skin, sunken eyes, lack of energy, feeling very sleepy.
  • Vomiting does not stop
  • Health problem is not better or your child is feeling worse

Helpful tips


  • Keep your child away from odors like cooking or perfume when feeling sick.
  • Put a cool, wet towel on your childs forehead.
  • Dress your child in loose-fitting, lightweight clothing.
  • If your child gets motion sickness, talk with the doctor about using an over-the-counter (OTC) drug like Dramamine or Bonine.
  • Distract your child by watching TV or a movie or reading a book. This may help to take your child's mind off an upset belly.

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you about your child. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my childs condition.
  • I can tell you how often I should try to give my child fluids to drink and good kinds of fluids to give.
  • I can tell you what I will do if my child has trouble keeping fluids down.

Where can I learn more?


American Academy of Pediatrics ‚  
http://www.healthychildren.org/English/health-issues/conditions/abdominal/Pages/Treating-Vomiting.aspx ‚  
KidsHealth ‚  
http://kidshealth.org/parent/firstaid_safe/emergencies/vomit.html ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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