and Managing Your Toddler's Motion Sickness and Feeding Issues - Pediatrics

Share to:

Baby motion sickness issue?


Hello, Dr.
Chang! My daughter is currently two and a half years old.

Question 1: Before she turned one and a half, she did not experience motion sickness and could travel for two to three hours without any issues.
However, now she vomits within ten minutes of getting in the car.
We are currently unable to go out.
Could this be related to an ear problem? Can children take motion sickness medication? Is there any way to improve this situation?
Question 2: When she turned one, she would vomit after drinking cow's milk, so we switched to goat's milk, which reduced the vomiting.
However, her food intake has decreased, and she now eats no more than 120 ml at a time.
Currently, she eats with adults and has goat's milk as a supplement, but her food intake is still very low, and her weight is under ten kilograms.
How can we improve this?

luyichi, 30~39 year old female. Ask Date: 2004/01/25

Dr. Zhang Peixin reply Pediatrics


Hello! 1.
If you only experience motion sickness when getting into a car and not at other times, it should be manageable.
Taking a long-acting antihistamine before getting into the car can provide preventive effects.
2.
Your daughter is two and a half years old and weighs less than 10 kilograms, which is considered growth retardation.
It is advisable to seek medical attention for (1) blood tests and (2) nutritional assessment.
The blood tests are primarily to rule out potential diseases, especially anemia, since fresh goat's milk lacks sufficient folate, which can lead to macrocytic anemia.
The nutritional assessment should be based on a record of her daily food intake over 3 to 5 days, and a dietitian should address any deficiencies, enhance caloric intake, ensure a balanced diet, and correct poor eating habits.
Sincerely, Dr.
Chang Pei-Hsin, Director of Pediatrics, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/01/25

More Info


When it comes to managing your toddler's motion sickness and feeding issues, it's essential to understand the underlying causes and explore appropriate strategies for improvement.

Motion Sickness
1. Understanding Motion Sickness: Motion sickness in toddlers can develop unexpectedly, even if they previously had no issues with car rides. This condition occurs when there is a disconnect between the sensory signals received by the brain. For example, the inner ear (which helps with balance) senses motion, while the eyes may not perceive the same movement, leading to confusion and symptoms like nausea and vomiting.

2. Possible Causes: While it’s unlikely that ear problems are the sole cause of motion sickness, issues such as inner ear infections or fluid buildup can contribute to balance problems. If your child has a history of ear infections or other ear-related issues, it might be worth consulting a pediatrician or an ENT specialist.

3. Medication: There are medications available for motion sickness, but they are typically not recommended for very young children without a doctor's guidance. If your child is experiencing severe symptoms, consult your pediatrician for appropriate options. They may suggest antihistamines that are safe for toddlers, but this should always be done under medical supervision.

4. Preventive Measures: To help manage motion sickness, consider the following strategies:
- Seating Position: Place your child in the middle of the back seat, where motion is felt the least. Facing forward can also help.

- Distractions: Engage your child with toys, audiobooks, or music to distract them from the motion.

- Frequent Breaks: If you’re on a longer trip, take breaks to allow your child to get out of the car and stretch.

- Ginger: Some parents find that ginger (in the form of ginger ale or ginger candies) can help alleviate nausea, but consult your pediatrician before trying this.


Feeding Issues
1. Feeding Challenges: It's concerning that your daughter is experiencing a reduced appetite and vomiting after consuming milk. Transitioning from cow's milk to goat's milk may have helped reduce vomiting, but it’s crucial to ensure she is getting adequate nutrition.

2. Nutritional Needs: At two and a half years old, toddlers require a balanced diet that includes a variety of foods. If she is only consuming around 120ml of milk and not enough solids, it may lead to nutritional deficiencies. Aim for a diet rich in fruits, vegetables, whole grains, and proteins.

3. Encouraging Eating: To improve her appetite:
- Routine: Establish regular meal and snack times to create a sense of predictability.

- Variety: Offer a variety of foods to make meals more appealing. Sometimes, toddlers are more willing to eat if they can choose from different options.

- Involvement: Involve her in meal preparation. Children are often more interested in eating what they have helped to make.

- Positive Environment: Create a positive mealtime atmosphere without pressure. Avoid forcing her to eat, as this can lead to negative associations with food.

4. Monitoring Growth: Keep track of her growth and weight. If she continues to have a low appetite or if her weight is concerning, it’s essential to consult your pediatrician. They may recommend seeing a nutritionist or conducting tests to rule out any underlying health issues.


Conclusion
Managing motion sickness and feeding issues in toddlers can be challenging, but with the right strategies and professional guidance, improvements can be made. Always consult with your pediatrician for personalized advice and to ensure your child’s health and well-being are prioritized. Regular check-ups can help monitor her growth and development, ensuring she is on the right track.

Similar Q&A

Managing Diarrhea and Feeding Challenges in Young Children: Expert Advice

My child experienced vomiting and diarrhea on Friday night and was subsequently hospitalized for IV fluids. She is no longer vomiting but still has watery diarrhea, occurring once or twice a day. She has always been a picky eater, and now she is even worse; she cries and demands ...


Dr. Xiao Kaiwen reply Pediatrics
It seems that your child does not have any physiological issues (aside from gastroenteritis), but rather has developed poor eating habits due to being spoiled. Nowadays, babies typically do not face issues related to poor nutrition, as there is always food available whenever they...

[Read More] Managing Diarrhea and Feeding Challenges in Young Children: Expert Advice


Understanding Vomiting Issues in Toddlers: Causes and Solutions

Hello Doctor: My child was born prematurely, weighing only 1800 grams, and is now nearly two years old with good developmental progress, approximately at the 50th percentile on the growth chart. However, since starting solid foods, he often experiences vomiting after meals, even ...


Dr. Zhang Guozhen reply Pediatrics
Dear Caring Father, Based on the information you provided, we can conclude the following: 1. Although your child was born one month premature, their growth assessment at nearly two years of age places them at the 50th percentile on the growth curve. This indicates a good catch-...

[Read More] Understanding Vomiting Issues in Toddlers: Causes and Solutions


Understanding Pediatric Gastrointestinal Issues: Vomiting and Dietary Challenges

The little girl is currently 2 years and 6 months old, approximately 85 cm tall and weighs 12 kg. She frequently experiences vomiting and has been unable to tolerate meat and fish. Sometimes, about an hour after eating, she feels nauseous and vomits the food. In early June, she w...


Dr. Xiao Kaiwen reply Pediatrics
Nausea and vomiting are not solely indicative of gastrointestinal issues; other less common causes such as increased intracranial pressure, central nervous system problems, metabolic disorders, and cyclic vomiting syndrome can also be responsible. It is advisable to consult a ped...

[Read More] Understanding Pediatric Gastrointestinal Issues: Vomiting and Dietary Challenges


Understanding Your Child's Vomiting: Causes and Solutions

My child has recently had a cold with a slight cough. Last week, in the middle of the night, he vomited (I can't remember if he coughed before that; it seemed to be out of nowhere). He vomited twice in one day. This afternoon, he napped until 7 PM, and when I called him to e...


Dr. Wang Jiayi reply Pediatrics
Please take your child to a trusted medical center's emergency department as soon as possible, and determine if hospitalization is necessary. We sincerely wish her a speedy recovery! Hualien Hospital Pediatrics cares about you!

[Read More] Understanding Your Child's Vomiting: Causes and Solutions


Related FAQ

Pediatric Vomiting

(Pediatrics)

Gastrointestinal

(Pediatrics)

Pediatric Cold

(Pediatrics)

Stroke

(Pediatrics)

Bowel Movements

(Pediatrics)

Jaundice

(Pediatrics)

Diet

(Pediatrics)

Speech Disorders

(Pediatrics)

Bedwetting

(Pediatrics)

Infant Care

(Pediatrics)