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Forum Name: Pediatric Topics

Question: 16 Month old Vomiting


 athenahollow - Sun Dec 02, 2007 6:45 pm

My daughter started vomiting 3 hours ago. Anytime she drinks or eats anything, it comes back up in less than 15 minutes.
We have tried milk, crackers, water, pedialyte, breast milk and a pedialyte popsicle.

All came right back up.
I'm worried about her getting dehydrated, as she can't keep anything at all down.

She's only vomited 2 times before tonight, and both times it was a one shot thing and she could nurse without an issue.

There is no fever present, in fact, everything seems rather normal other than the fact that she hasnt really left my lap since about an hour before she started vomiting. But she's not really fussy, and I checked her tummy, she didn't react as though there was any tenderness or pain.

Is there anything I can do, and when should I call her doctor.
 Dr. Chan Lowe - Sun Dec 02, 2007 11:35 pm

User avatar Hi Athenahollow,

These vomiting illnesses are very common in children. Most likely it is due to a virus. It may also be possible that she also has a bit of food poisoning.

Typically the vomiting part of these illnesses only lasts for a day or so. Diarrhea may set in after this also.

For your daughter, I would recommend she not take anything by mouth for about 2-3 hours. After this, begin giving clear fluids like pedialyte or juice but only in small amounts, even as small as 5-10 mls (1-2 teaspoons) every 10-15 minutes.

For an average sized 16 month old, taking in about 2 ounces an hour will prevent dehydration so it doesn't take much. As she is tolerating these amounts larger volumes may be given.

In some cases, even this small amount isn't enough. if she is unable to tolerate this volume I would recommend you take her to her doctor or the emergency room. She may need some IV fluid to help her get through this.

Best wishes.

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