Vomiting in Infants: Care Tips for Parents - Pediatrics

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Pediatric vomiting


Hello Doctor: Currently, there is a 9-month and 18-day-old baby girl at home.
Around 6 PM, her grandfather gave her 4-5 grains of rice, and around 7 PM, she had a rice cracker.
She drank her bedtime milk at 10 PM, but after finishing the milk, she started vomiting.
By 11 PM, she had vomited four times; the first time was more significant, while the second to fourth times had less volume.
The vomit was yellow and contained some rice cracker.
Her activity level is still okay; she seems to want to sleep but appears uncomfortable, so she keeps moving around.
Her temperature is 36.9°C (98.4°F) and 36.8°C (98.2°F).
She has experienced similar vomiting episodes once or twice before: the first time was when she was over 6 months old (she was slightly dehydrated, so we went to the emergency room; after resting and receiving IV fluids, the doctor said her stomach was fine, prescribed medication, and we went home to rest).
The second time was when she was nearly 8 months old (the clinic doctor also said her stomach was fine and was unsure of the cause, prescribed medication, and recommended half milk before we went home to rest).
Currently, the baby is in the mountains (I am working in Taichung), and there is no electrolyte solution for infants at home.
I am worried about her becoming dehydrated or whether I should take her to a large hospital for further examination.
What should I pay attention to in her care right now? I have asked my parents to continue observing her and to withhold food to let her stomach rest.
Tomorrow, I plan to give her half milk and possibly feed her rice porridge.
Is this okay?

Rachel, 20~29 year old female. Ask Date: 2020/07/28

Dr. Xiao Kaiwen reply Pediatrics


It is advisable to start with a light diet in small amounts, such as well-cooked rice porridge with some added salt for better absorption.
However, if vomiting persists, there is decreased activity, or if there has been no urination for 8 hours indicating dehydration, it is recommended to go to the hospital for examination and treatment, especially considering the young age.

Reply Date: 2020/07/28

More Info


Vomiting in infants can be a concerning issue for parents, especially when it occurs multiple times in a short period. In your case, your 9-month-old daughter has experienced vomiting after eating, which can be attributed to various factors. Here’s a comprehensive understanding of the situation and care tips for parents dealing with vomiting in infants.


Understanding Vomiting in Infants
Vomiting in infants can occur for several reasons, including:
1. Overfeeding: Infants have small stomachs, and consuming too much food or liquid can lead to vomiting. In your case, the combination of rice and a rice cracker, followed by milk, may have been too much for her stomach to handle at once.

2. Gastrointestinal Irritation: Sometimes, the introduction of new foods can irritate an infant's stomach. If your daughter has not had rice or rice crackers before, her body might be reacting to these new foods.

3. Infections: Viral or bacterial infections can cause vomiting. If she has other symptoms like fever, diarrhea, or lethargy, it could indicate an infection.

4. Dehydration: Since vomiting can lead to dehydration, it’s crucial to monitor her fluid intake and output. Signs of dehydration include dry mouth, lack of tears when crying, and decreased urination.

5. Motion Sickness: If you are in a hilly area, the motion from traveling can sometimes upset an infant's stomach.


Care Tips for Parents
1. Monitor Symptoms: Keep a close eye on her overall condition. If she appears lethargic, has a high fever, or shows signs of dehydration, seek medical attention promptly.

2. Hydration: Since you mentioned you don’t have electrolyte solutions at home, you can try to give her small sips of water or diluted apple juice (if she is not allergic) to help keep her hydrated. If she continues to vomit, it may be best to avoid giving her anything for a few hours to allow her stomach to settle.

3. Resting the Stomach: It’s wise to follow your plan of withholding food for a few hours to let her stomach rest. After a period of fasting, you can gradually reintroduce food. Start with bland foods like rice cereal or plain white rice, as these are easier on the stomach.

4. Small Portions: When reintroducing food, offer small portions frequently rather than large meals. This approach can help prevent overwhelming her stomach.

5. Observe for Patterns: Keep track of when the vomiting occurs and any accompanying symptoms. This information can be helpful for healthcare providers if you need to seek further evaluation.

6. Consult a Pediatrician: If the vomiting persists, or if you notice any concerning symptoms such as blood in the vomit, severe abdominal pain, or if she becomes increasingly lethargic, it’s essential to consult a pediatrician. They may recommend further tests or treatments.

7. Avoid Certain Foods: Until her stomach settles, avoid giving her dairy products, fatty foods, or anything spicy, as these can exacerbate vomiting.

8. Comfort and Reassurance: Infants can sense their parents' anxiety. Providing comfort and reassurance can help her feel more secure, which may alleviate some of her discomfort.


Conclusion
In summary, while vomiting can be alarming, many cases in infants are manageable at home with careful observation and supportive care. Your approach of monitoring her condition, allowing her stomach to rest, and gradually reintroducing food is appropriate. However, always err on the side of caution and consult a healthcare professional if you have any doubts about her health. Remember, your pediatrician is your best resource for specific medical advice tailored to your child's needs.

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