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What can stop vomiting in a child?

Published in Pediatric Vomiting 3 mins read

The primary approaches to stop vomiting in a child involve dietary adjustments and ensuring adequate hydration. Avoid milk products and solid foods initially.

Managing Vomiting in Children: A Step-by-Step Guide

Vomiting can be distressing for both children and parents. Here’s a structured approach to manage and stop vomiting in a child:

1. Initial Dietary Restrictions

  • Avoid Milk and Solids: Immediately cease feeding milk products or solid foods. This gives the stomach a chance to rest and recover.

2. Hydration Strategy

  • Small Amounts of Liquid: Offer small, frequent sips of clear liquids. Examples include:
    • Water
    • Oral rehydration solutions (ORS) like Pedialyte or similar electrolyte solutions
    • Clear broth
    • Avoid sugary drinks like juice, as these can sometimes worsen diarrhea.
  • Frequency: Give small amounts (e.g., 1-2 teaspoons every 5-10 minutes) to prevent overwhelming the stomach.

3. Gradual Increase in Liquid Intake

  • Monitor for Vomit-Free Period: Once the child hasn't vomited for 3–4 hours, slowly increase the amount of liquid offered.
  • Increase Volume: Gradually increase the volume to larger sips or small gulps, still offering liquids frequently.

4. Reintroduction of Food

  • After 8 Hours Without Vomiting: If the child has gone 8 hours without vomiting, begin introducing bland, easily digestible foods.
  • Suggested Foods:
    • Plain crackers (like saltines)
    • Toast
    • Bananas
    • Rice
    • Applesauce
  • Small Portions: Offer small portions to start and observe the child’s reaction.

5. Return to Regular Diet

  • 24 Hours Vomit-Free: After 24 hours without vomiting, gradually return the child to their regular diet.
  • Avoid Triggers: Be mindful of any foods that may have triggered the vomiting initially, and introduce them cautiously.

When to Seek Medical Attention

While most cases of vomiting resolve with these measures, it's crucial to seek medical attention if:

  • The child shows signs of dehydration (e.g., dry mouth, decreased urination, sunken eyes).
  • The vomit contains blood or is green.
  • The child has a severe headache or stiff neck.
  • The child is lethargic or unresponsive.
  • The vomiting is accompanied by severe abdominal pain.
  • The vomiting persists for more than 24 hours.

By following these steps, you can effectively manage and help stop vomiting in a child. Remember, hydration is key, and if you have concerns, always consult a healthcare professional.

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