Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.

Overview

Vomiting in children is common and usually not serious. Still, it can be upsetting for both you and your child.

If your child vomits, it may be due to a virus, sometimes called stomach flu. This name is incorrect, and can confuse people. Your child may feel very sick to his or her stomach. With home treatment the vomiting will usually stop within 24 hours.

With babies, vomiting is different from spitting up. Vomiting is usually forceful and repeated. Spitting up usually occurs shortly after feeding. For a baby, spitting up is not uncomfortable and is only rarely a cause for concern.

Causes

  • A stomach virus can cause vomiting, sometimes followed by diarrhea. Vomiting usually stops within 12 to 24 hours. Diarrhea may last a few days.
  • Overeating or eating too much of a specific food can cause nausea. Babies’ digestive systems can’t handle large amounts of juice, fruit, or even milk. Older children may vomit after overeating, eating too quickly, or eating foods that are high in fat, sugar, or fiber.
  • Motion sickness can cause nausea and vomiting. This can happen during car, airplane, or boat trips. Anti-nausea medicines can help.
  • Medicines, especially certain antibiotics, can cause nausea or vomiting. Vomiting can also occur if a child consumes something toxic or poisonous. This can include an overdose of medication.

Symptoms and Diagnosis

Children may complain of feeling sick or having an upset stomach. You may notice that your child looks pale, feels sweaty, or has no energy. Sometimes vomiting relieves the nausea, and your child will feel better immediately afterward. In other cases, the nausea will simply pass in time, without vomiting.

In very young children, you may not know there is a problem until they vomit. Young children need special attention when they vomit because they can quickly become dehydrated. This is especially true for infants younger than 1 year of age.

Preventing Nausea and Vomiting in Babies Up to 6 months

  • Feed your baby slowly and in smaller amounts. Hold your baby during feedings. Avoid propping up a bottle or using an infant seat.
  • Try a new type of bottle or use a nipple with a smaller opening to reduce air intake.
  • Try different feeding positions.
  • Burp your baby frequently. Avoid very active play after feedings.
  • Talk to us about hypoallergenic formula. About 1 percent of babies who spit up are allergic to milk protein.
  • Do not add cereal to formula without first consulting us.
  • Do not smoke or allow anyone else to smoke around your baby. Children who are exposed to tobacco smoke are more likely to develop illnesses that cause vomiting. If you smoke and would like help quitting, we can help.
  • Make sure your child had been vaccinated against rotavirus.  

Preventing Nausea and Vomiting in Toddlers and Children

Children 7 months to 3 years

  • Limit active and rough play after meals.
  • Teach your children how to wash their hands well, especially if there is an illness in your household.
  • Limit juice to no more than 4 ounces (1/2 cup) each day.

Children 4 to 12 years

Encourage children to:

  • Wash their hands often, especially during winter months when viral illnesses are most common.
  • Keep their hands away from the nose, eyes, and mouth, where viruses can enter the body.
  • Eat a healthy diet, and get regular exercise and plenty of sleep. 

Home Treatment for Young Children

Make sure your child has not swallowed any medicine, cleaning products, or poisons. Look around the house to see if there are any spills, and check vomit for pills or any strange odor. If you suspect poisoning, call your local Poison Control Hotline right away. Check for injuries and make sure your child has not fallen and hit his or her head. 

In most cases, a temporary liquid diet and rest are all children need to feel better. It is important to watch for signs of dehydration that include:

  • No tears, or dry mouth and tongue.
  • Little or no urine for 8 hours.
  • Skin that doesn't bounce back quickly when gently pinched.
  • Sunken eyes or sunken soft spot on the head of an infant.
  • Fast heartbeat. 
  • Rapid breathing.
  • Difficulty waking up, listlessness, or irritability.

Home Treatment for Babies Up to 6 Months

Don’t give water or food for 10 to 15 minutes after vomiting. Offer short but frequent breast feedings. If the baby is formula fed and vomiting is mild, continue offering formula. Give smaller, more frequent amounts. 

If your baby cannot keep formula down:

  • Give an oral electrolyte solution, such as Pedialyte. Use a dropper, spoon, or bottle. Do not give plain water.
  • Hold your baby in a semi-upright position. This prevents the baby from inhaling vomit accidentally.
  • Offer 1 tablespoon of electrolyte solution every 10 minutes for the first hour. If that stays down, offer 2 tablespoons every 20 minutes for the next hour. For each hour that your child does not vomit, increase the amount.
  • Return to regular feedings once 6 hours have passed without vomiting.

Home Treatment for Older Babies and Toddlers

  • Give small sips of either oral electrolyte solution (OES) or diluted juice (not plain water.) For children less than 12 months old, give OES only.
  • After 1 hour has passed since your child last vomited, give 1 ounce of clear liquid such as broth (not plain water) every 20 minutes for 1 hour. Gradually increase liquids as long as your child keeps them down.
  • Don’t give sports drinks, undiluted fruit juice, or soda.
  • Don’t give medicine to stop the vomiting unless we prescribe it.
  • To prevent accidentally breathing in vomit and choking, have your child rest on his or her stomach or side.. 
  • Once vomiting has stopped for several hours, your child can eat bland foods that are low in fiber and sugar. Eggs, poultry, and tofu are easier to digest than red meat.

Home Treatment for Children 4 to 12 Years

Give frequent, small amounts of fluid, to prevent dehydration: 

  • Avoid lemonade, or orange, grapefruit, or tomato juice. 
  • Give your child sips of water or electrolyte drinks such as Pedialyte while vomiting or diarrhea persists. Do not use them as the only source of liquids or food for more than 24 hours. If your older child won't drink anything else, it's okay to give sips of a low sugar sports drink such as Gatorade GZ.
  • Do not give your child any medicine to stop vomiting unless we prescribe it. 
  • Have your child rest in bed until he or she feels better.

When your child is feeling better, offer him or her regular food. Avoid foods that are high in fiber and/or sugar.  

When to Call Us

Most nausea and vomiting in children can be managed safely and effectively at home. Your child can usually return to day care or school once it has been 24 hours since the last vomiting episode. Make sure he or she shows no other signs of illness.

Please contact us if you need home care advice or if you have any questions or concerns. Call if your child has any of the following:

  • Severe and/or persistent vomiting
  • Greenish or bloody vomiting, or vomit that looks like coffee grounds
  • Severe abdominal pain
  • Symptoms of dehydration
  • Recent history of head injury

If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder. This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.

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