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VOMITING IN CHILDREN
     

Children vomit as a result of many illnesses, including ear infections & urinary & digestive tract disorders. Anxiety or excitement may also cause vomiting. Rarely, vomiting may be due to an infection or injury to the brain. If vomiting is persistent, you should consult your child's doctor urgently.

DANGER SIGNS: Call an ambulance if your child's vomiting is accompanied by any of the following symptoms -

  • Severe abdominal pain
  • Flat dark-red spots that do not disappear when pressed
  • Refusal to drink or feed (in babies) for over 6 hrs
  • Drowsiness
  • Sunken eyes
  • Dry tongue
  • No urination during the day for 3 hrs (if child is under 1 yr old) or 6 hrs (in an older child)
  • Feces that are darker than usual or bloodstained
 
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Has your child had a recent head injury?

Head injury
POSSIBLE CAUSE
Concussion is a possibility.
MEDICAL HELP
URGENT! Call your child's doctor immediately!
No head injury
Does your child have any of the following symptoms?

Severe headache
POSSIBLE CAUSE
MENINGITIS is possible.
MEDICAL HELP
EMERGENCY! Call an ambulance!
Abnormal drowsiness or confusion
Dislike of bright light
Neck pain on bending the head forward
None of the above
How old is your child?

Under 3 months

Apart from the vomiting, does your baby seem generally unwell - for eg, feverish or drowsy?

Unwell
POSSIBLE CAUSES
There may be many causes for these symptoms. However, any young baby who seems unwell & vomits needs prompt medical attention.
MEDICAL HELP
URGENT! Call your child's doctor immediately!
Well

What are the characteristics of the following?

Frequent & effortless vomiting after feeding
POSSIBLE CAUSE
This type of regurgitation is common & unlikely to have a serious cause.
SELF HELP
Make sure you "burp" your baby after feeding. Consult your child's doctor if your baby seems unwell or fails to gain weight.
Projectile vomiting after several feedings
POSSIBLE CAUSE
This type of vomiting may be the result of a digestive tract problem, such as PYLORIC STENOSIS IN INFANTS.
MEDICAL HELP
URGENT! Call your child's doctor immediately!
Occasional vomiting not necessarily associated with feeding
POSSIBLE CAUSE
Babies often vomit for no particular reason & this is no cause for concern if your baby seems generally well & is gaining weight.
SELF HELP
Be sure to "burp" your baby after each feeding. Consult your doctor if your baby seems unwell or vomits frequently.
3 months or over

Does your child seem to have abdominal pain?

Yes
POSSIBLE CAUSE
These symptoms may indicate a serious abdominal condition, such as APPENDICTIS.
MEDICAL HELP
URGENT! Call your child's doctor immediately!
No

Did vomiting follow a violent bout of coughing?

Followed Coughing
POSSIBLE CAUSES
Your child may have PERTUSSIS. ASTHMA or PNEUMONIA in which coughing is severe can also cause vomiting.
MEDICAL HELP
URGENT! Call your child's doctor immediately!
No coughing

Does your child have diarrhea?

Diarrhea
POSSIBLE CAUSE
This could be a digestive tract infection.
MEDICAL HELP
URGENT! Call your child's doctor immediately if your child is under 6 months old. For older children follow the self-help measures for VOMITING & DIARRHEA & consult your child's doctor if there is no improvement in 24 hrs or if other symptoms develop.
No Diarrhea

Does your child have any of the following symptoms?

Pain on urination
Renewed bedwetting or daytime "accidents"

POSSIBLE CAUSE
Your child may have a URINARY TRACT INFECTION.
MEDICAL HELP
Call your child's doctor within 24 hrs.
Temperature of 100oF (38oC) or above
POSSIBLE CAUSES
Children often vomit if they have an illness with fever, such as a URINARY TRACT INFECTION, or ACUTE OTITIS MEDIA.
MEDICAL HELP
Call your child's doctor within 24 hrs.
None of the above If you cannot identify a possible cause for your child's vomiting from this chart, call your child's doctor within 24 hrs.
     
     

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