Vomiting, or throwing up, is the forceful discharge of stomach contents through the mouth and is very common in children. Sometimes, vomiting may even prove beneficial in ridding their bodies off of unwanted substances and pathogens that they may have unknowingly ingested.
Usually, vomiting in children will cease on its own without the need for any medical intervention. It is, nevertheless, important to remain vigilant for signs of dehydration in children, and proactively try to settle their stomach and replenish the loss of fluid and energy before the condition escalates to a life-threatening level.
Causes of Nausea and Vomiting in Children
Vomiting is usually a symptom of some underlying ailment, such as-
- Gastroenteritis or stomach flu
- Gastroesophageal reflux
- Food poisoning
- Motion sickness
- Food allergy
- Mental stress
- Lack of sleep
- Empty stomach
- Respiratory infections
- Some serious health issues and infections, such as- meningitis, urinary tract infection, middle-ear infections, appendicitis
- An injury like a blow to the head, in which case vomiting may be indicative of increased intracranial pressure
- Overeating, rushed eating or eating foods loaded with fat, sugar and fiber which can overburden the still nascent digestive system in kids and trigger a vomiting spell.
- Cyclic Vomiting Syndrome- Sometimes, frequent vomiting may not be related to any of the above-mentioned causes, instead, it may be a symptom of cyclic vomiting syndrome, which is characterized by sudden repeated attacks of vomiting, lasting from a few hours to several days. A 2012 study published in Neurogastroenterology and Motility reports that cyclic vomiting syndrome occurs in approximately three out of every 100,000 children.
- Projectile vomiting in infants soon after feeding can also be indicative of Pyloric stenosis, a condition which afflicts the baby’s gastrointestinal tract blocking food from entering into the small intestine. This condition requires immediate medical attention.
- Accidentally swallowing some toxic or poisonous substance can also cause your child to vomit.
Symptoms of Nausea and Vomiting in Children
In general, vomiting is often accompanied by other symptoms related to the specific illness or a result of general weakness. Some of the symptoms that may accompany vomiting are-
- Irritability or listlessness
- Pale skin
- Abdominal pain
- Low-grade fever
- Increased heartbeat
Preventing Nausea and Vomiting in Children
To reduce the chances of vomiting in children-
- Teach them to wash hands regularly and well; especially before and after eating and also after going to the bathroom.
- Limit the children’s exposure to anyone with stomach bug.
When to See a Doctor
Sometimes, a visit to the doctor is a must, especially when there is prolonged vomiting, the child is dehydrated, the child is not able to keep fluids down for a span of 12 hours, and when the following symptoms are present- blurred vision, stiff neck, coughing, high fever, and migraine.
Vomiting and the associated symptoms are often “cured” once the cause of the problem subsides. In most cases, vomiting in children tends to stop without specific medical treatment. However, you can try some home remedies to stop the vomiting and make your child feel better.
Simple Ways to Ease Nausea and Vomiting in Children
Here are some home remedies to cure nausea and vomoting in children.
1. Increase Your Child’s Water Intake
Vomiting can lead to loss of water in the body and ultimately dehydration, which can be harmful for your child. Hence, the first step to treat vomiting in children and stop dehydration is increasing water intake. A liquid diet is not only easy on the stomach, but it also goes a long way in restoring the body’s strength.
Water is usually enough to rehydrate your child’s body. It is essential that you give your child sufficient water to drink from time to time even if he/she does not feel particularly thirsty.
Moreover, a study suggests that parents should feel free to give young children with minimal dehydration apple juice or their favorite beverage instead of an electrolyte solution when they’re recovering from vomiting.
- Children who are being breastfed should continue to receive breast milk, but make sure to feed more often than usual.
- Make your child sip small amounts of water and clear fluids throughout the day.
- You can also offer carbohydrate- or electrolyte-containing drinks, however be careful, because the increased sugar in these drinks can often cause diarrhea.
- Making them suck on popsicles made from juices. Sports drinks can also help a lot.
- Even giving ice chips to suck at frequent intervals is beneficial.
2. Give Homemade ORS to Your Child
Homemade Oral Rehydration Solution (ORS) is recognized by the World Health Organization (WHO) as the first line treatment for dehydration. It is a quick fix solution to replenish the lost nutrients and fluids and can be easily prepared at home. Packs of ORS are readily available in the market as well.
A 2009 study published in the American Family Physician reports that oral rehydration therapy is the preferred treatment of mild to moderate dehydration caused by diarrhea in children.
- Add ½ teaspoon of salt and 6 teaspoons of sugar (or brown sugar) to 4 cups of drinking water.
- Stir thoroughly until the salt and sugar dissolve completely.
- Give the child this solution several times a day until he/she recovers completely.
3. Fennel Seeds can Help
Another good anecdotal remedy that has been proven by the research as well about its efficacy in stopping vomiting in children is fennel.
Fennel seeds soothe the digestive tract and ease nausea and vomiting. They also have antimicrobial properties that help prevent and treat stomach flu that could be causing the vomiting. Plus, its aromatic flavor helps calm the stomach.
- Add 1 tablespoon of crushed fennel seeds to 1 cup of boiling water and allow it to steep for 10 minutes. Strain this mixture and let your child drink this tea 1–2 times a day.
- You can also let your child chew a teaspoon of fennel seeds to help combat the problem.
5. Make Your Child Drink Lemon Juice
Lemon can also help deal with chronic vomiting. Its zesty smell has an energizing effect on the body that can reduce nausea and prevent vomiting. Enriched with vitamins and minerals, lemon can help make up for those lost due to vomiting.
The high vitamin C content of lemons is another reason to include it in your treatment as it helps boost the body’s immunity. Even the acid in lemons helps kill bacteria that cause food poisoning and lead to vomiting.
- Squeeze a fresh lemon into 1 glass of water and add a little honey. Give it to your child to drink a few times a day. (Do not give honey to children under age 1.)
- You can even let your child simply smell fresh lemon peels to ease nausea and vomiting.
- Sucking on hard candies, such as lemon drops, can help eliminate the unpleasant taste in the mouth after vomiting.
6. Acupressure can be Beneficial
Since vomiting and the accompanying nausea and uneasiness often render the child unable to even drink, let alone eat, acupressure serves as an effective non-drug treatment to check the persistent loss of fluid and minerals and prevent dehydration.
Traditional Chinese medicine prescribes different acupressure points on the body which are to be pressed for near instantaneous relief to the child in a painless manner. Applying pressure on these acupoints tends to release muscle tension and spur blood circulation that can help stop vomiting and nausea.
So it uses pressure to stimulate certain points in the body to relieve symptoms.
For instance, pressure point Neiguan (P6), located on the palm side of the forearm near your wrist, is pressed to help relieve nausea and vomiting.
To massage the P6 pressure point:
- Place three fingers across the wrist of your child.
- Put your thumb under your child’s index finger.
- Rub this point in a firm, circular motion for 2–3 minutes. Don’t press too hard, though.
- Repeat on the other wrist.
If your child is old enough, he/she can do it on his/her own.
- Do not give over-the-counter medicines unless they’ve been specifically prescribed by your child’s pediatrician.
- When your child is vomiting while lying down, try to keep him/her lying on the stomach or on the left side as much as possible.
- After vomiting, do not give anything to eat for at least an hour.
- Steer clear of solid foods until clear liquids are tolerated, as solid foods can irritate a sensitive stomach.
- Your child may need prescribed antiemetic drugs for frequent vomiting. These medications help to reduce the frequency of vomiting episodes.
- Let your child have enough rest and sleep. A well-rested child tends to recover faster since it gives the body time to heal after the strain it goes through during a vomit attack.
- Deep breathing helps keep the biological response that causes motion sickness in check.
- Avoid feeding large meals to your child. Instead, opt for several small meals throughout the day.
- Keep your child away from fried and fatty foods, which can be difficult to digest and cause vomiting.
- Keep a note of nausea triggers and try to avoid them.
Expert Answers (Q&A)
Answered by Dr. Ahmed Samir Abouelnaga, MD (Pediatrician)
What is the best remedy to stop vomiting in children instantly?
I guess the best remedy to stop vomiting in children instantly is to treat the main cause of vomiting first. There are a lot of simple home remedies such as making ice cubes from oral rehydration solutions, giving Gelatin to the child as an alternative to liquids, giving rehydration fluids 30 minutes after vomiting to reduce the likelihood that the child will immediately vomit again, and feed bland foods to the child once the vomiting ceases for about 8 hours. It is important to keep an eye out for dehydration symptoms and avoid using medications without the doctor’s approval.
What drinks should be given to a child after a vomiting episode?
It is important to administer more fluids to the child in case of excessive or frequent vomiting to prevent dehydration. The best fluid for this purpose is oral rehydration solution. If not tolerated by the child, he can be given other fluids to keep him hydrated and to ease nausea like: Ginger ale, Mint tea, Water, Warm Ginger tea, Fennel seeds or Cloves.
Can a child suffer from vomiting without any fever?
A lot of children have vomiting without fever especially in the case of viral gastroenteritis, commonly known as stomach flu. Many other causes like food allergy, concussion, intestinal obstructions, habitual vomiting, migraines, motion sickness, use of some medications or stress can induce vomiting without fever.
Why do children throw up during the night?
Certain conditions can cause nighttime vomiting such as: Gastroesophageal reflux, Gastroenteritis, Appendicitis, Head trauma, Migraines, Pancreatitis, Food poisoning, Hepatitis, and Peptic ulcers.
Please provide some additional tips or inputs on how to manage vomiting in children.
Some additional tips for management of vomiting in children include the following:
- Pediatricians should educate parents to stay calm and reassure them that their child will most likely be better within 24 hours.
- Avoid sports drinks, sodas and juices as they contain inadequate sodium and large quantities of carbohydrates.
- Keep children off solid foods for 24 hours after vomiting. Use bananas, rice, and toast as an effective way to reintroduce foods after vomiting.
About Dr. Ahmed Samir Abouelnaga, MD: Dr. Abouelnaga is a specialty Paediatrics doctor at University Hospitals of Morecambe Bay NHS Foundation Trust, UK.
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