Children - Nausea and Vomiting

Question 1

Vomiting in children

Answer 1

Common
- In most cases, it will last no longer than 1 to 2 days
- Not sign of anything serious.

Question 2

Common causes of N+V

Answer 2

• Gastro-enteritis
• Respiratory condition
• Problems with feeding
• Meningitis
• Overexcited/nervous

Question 3

Red flag symptoms

Answer 3

• Systemically unwell with signs of infection or fever
• Frequent vomiting for > 24-48 hours
• Frequent regurgitation, failure to thrive, feeding/swallowing difficulties
• Recurrent episodes of unexplained vomiting
• Vomit is blood-stained or looks like ‘coffee grounds’
• Dehydration signs

Question 4

Signs of dehydration in babies

Answer 4

• sunken eyes
• dry nappy
• drowsiness
• Cold hands and feet
• Pale and look unwell

Question 5

Treatment for N+V

Answer 5

Diorylate
- ORS

Question 6

Non-pharmacological treatment

Answer 6

• If your baby is vomiting, carry on breastfeeding or giving them milk feeds.
• If they seem dehydrated, they will need extra fluids.
• Children who don’t want to drink water, give them ice lollies.