Vomiting

When vomiting is very frequent, it is best to allow the stomach to rest for a few hours.  At any age, the best rehydrating fluid is an oral rehydration solution like Pedialyte.  Other liquids, like Gatorade or Kool-Aid, do not contain adequate salts, and are not generally recommended. 

Start with small volumes of liquid (1 teaspoon – 1 ounce) every 10-15 minutes.  If your child tolerated this amount, you may gradually increase the amount given.

A dehydrated child will not refuse Pedialyte.  If your child refuses it because of taste, they are generally not very dehydrated; a dehydrated child is thirsty, and will drink what is offered.

Once vomiting has resolved, bland solids (soups, toast, dry cereal, and crackers) can be introduced within 12-18 hours.

Call the office if your child appears to be significantly dehydrated.  Signs of dehydration include dry mouth, absence of tears, and failure to urinate at least a few times in 24 hrs.  Very young children are at higher risk of dehydration than are school-age children or teens; it is unusual for an older child to become dehydrated in these typically brief illnesses.