Vomiting in a 3 year old child without fever. What to do if a child vomits without fever or diarrhea. Ingestion of a foreign body


Whatever the reasons for vomiting in children, parents need to remember that this symptom is dangerous due to dehydration of the child’s body, and the younger the child’s age, the faster it occurs. For young children, fluid loss can have very serious consequences. Protecting the child from dehydration and alleviating bouts of vomiting is the main task of parents.

Cases of single vomiting are not uncommon in children. It occurs in excitable, sensitive, nervous boys and girls if they experience troubles at home, in kindergarten or at school. A single vomiting should alert parents and teachers, but in itself it is not an indicator of the disease.

Vomiting without fever

Vomiting without fever and diarrhea usually occurs in diseases of non-infectious origin:

  1. Regurgitation occurs in infants. They are due to the structural features of the esophagus. If the baby burps up to four times a day, while gaining weight and feeling well, then there is no reason to see a doctor.
  2. Gastrointestinal problems - various pathologies of the development of the stomach, gall bladder and intestines, attacks of acute appendicitis, gastritis, pancreatitis. These diseases are characterized by severe or moderate pain in the stomach, aggravated by palpation of the abdomen. May be accompanied by constipation or diarrhea, as well as a slight rise in temperature.

Important! It is dangerous if a foreign body gets into the baby’s stomach - this happens mainly with children under 3 years of age. If there are such suspicions, you should urgently seek medical help.

Causes of vomiting in children

  1. After injuries, bruises. If vomiting accompanies drowsiness, refusal to eat, and follows a fall or blow, the child should be shown to a doctor.
  2. With a strong cough, when the receptors on the walls of the throat and the vomiting center of the brain are irritated. This happens if the child has whooping cough or asthma.
  3. Pathologies of the central nervous system (intracranial hypertension, tumors, migraines). Accompanied by severe headaches, dizziness, and fainting.
  4. Acytonemic syndrome develops when an excess of acetone and acetoacetic acid appears in the blood. A characteristic sign: the child’s breath smells of acetone. The same smell comes from his urine, vomit. Abdominal pain is cramping in nature. In some cases, the temperature may rise. Acytonemic syndrome may be a reaction to intolerance to certain foods, such as fatty foods, dairy products, and certain types of sweets.
  5. Endocrine diseases (adrenogenital syndrome, diabetes mellitus).
  6. Other factors: heart failure, kidney pathology, vitamin D overdose.

What to do if your child is vomiting without fever

Calm the child, create comfortable conditions for him. Provide bed rest, lay on your side with your head elevated.

After an attack of vomiting, often, once every 10-15 minutes, feed the child in small portions, a couple of sips. You can use a spoon, a pipette or a syringe (without a needle, of course). For drinking, rehydron solution, still mineral water or just boiled water at room temperature, weak tea without sugar are suitable. Juices and soda are not recommended.


Important! The main thing is to avoid dehydration, signs of which include sunken eyes, dry skin, crying without tears, a feeling of dry mouth, a decrease in the amount of urine or its absence.

It is very good if you can wait for the so-called “hunger period”: do not feed the child for 6-8 hours. Hunger in combination with sufficient drinking is the best way to stop vomiting in a child at home and thereby alleviate his condition.

Call a doctor. To identify the specific causes of the disease, it is recommended to undergo an outpatient or inpatient examination.

The presence of Giardia and worms in the body can also cause nausea and vomiting.

With temperature

Vomiting and diarrhea are typical symptoms of an intestinal infection. They indicate a foodborne toxic infection caused, for example, by staphylococci. Food poisoning and intestinal infections are the most common cases that cause vomiting.

The disease has an incubation period lasting from 1 to 6-7 hours and is accompanied by:


  1. Intoxication. The child is pale, may even have a greenish appearance, he is lethargic, whiny, and feels chills. Refuses water and food.
  2. An increase in temperature to 38.5... 41 degrees Celsius. There are also erased forms of toxic infections, then the temperature is low, 37.2 - 37.5 degrees Celsius.
  3. Vomiting and loose stools. However, the second symptom does not always appear.
  4. Complaints of headache and stomach discomfort.

How to help if a child has vomiting, diarrhea and fever caused by an intestinal infection

  1. If you feel chills, warm your feet with a heating pad or wear socks. If you have a temperature above 38.5 degrees Celsius, give an antipyretic such as paracetamol.
  2. In case of intestinal infection, any sorbents are recommended: Smecta, activated carbon, Enterosgel.
  3. After bouts of vomiting and diarrhea, children feel weak and want to sleep. Provide your child with the opportunity to rest.

Important! If, despite the measures taken, the child’s condition worsens, be sure to call a doctor at home. Parents of children in the first years of life must notify the local pediatrician about the child’s illness.

Vomiting, as a symptom, occurs in diseases of diphtheria, salmonellosis, and rotavirus.

Accompanied by a high temperature and can cause vomiting, such a terrible disease as meningitis is an inflammation of the membranes of the brain. It is characterized by severe headaches, altered consciousness of the patient and neck stiffness, in which it is difficult to tilt the head.

Character of vomit

Pay special attention and be sure to tell your doctor if your vomit contains:

  1. Blood. Indicates internal bleeding, poisoning or the presence of a foreign body in the stomach.
  2. Bile. Then the vomit has green and yellow shades. Appears in case of food poisoning or dietary errors.

Medicines for vomiting

Due to the variety of reasons why nausea and vomiting occur, it is impossible to recommend any anti-vomiting medication for children. Individual drug treatment is prescribed by a doctor.

When the acute period of intestinal infection has passed, doctors increasingly recommend giving the child drugs to restore and support the gastrointestinal microflora. The doctor may prescribe any medicine from the group of probiotics and prebiotics:

  • Linux;
  • Bifiform;
  • Yogulact;
  • Enterol.

Diet

What can a child eat after vomiting? If you have an appetite, this is a good sign. A gentle diet for children includes dried white bread, oatmeal and rice porridge with water, jelly, lean soups, a decoction of dried fruits, bananas, and baked apples. Offer food in small portions. During this period, you need to exclude milk and dairy products, fresh vegetables and fruits. After 2-3 days, if the sick baby gets better, the diet is gradually expanded.

All mothers and fathers know very well that vomiting in children is not such a rare occurrence. However, in practice, when faced with an attack, many are simply lost and do not know how to provide first aid to the baby, what to do and where to call. Authoritative children's doctor Evgeny Komarovsky, author of numerous articles and books on children's health, explains why vomiting happens and what adults should do about it.


Vomiting is a protective mechanism, a reflex eruption of stomach contents through the mouth (or nose). During an attack, the abdominal press contracts, the esophagus expands, the stomach itself relaxes and pushes everything that is in it up the esophagus. This rather complex process regulates the vomiting center, which in all people is located in the medulla oblongata. Most often, vomit is a mixture of undigested food debris and gastric juice. Sometimes they may contain impurities of pus or blood, bile.

The most common cause of childhood vomiting is food poisoning. Vomiting can be observed with various infectious diseases: rotavirus infection, scarlet fever, typhus.

Less commonly, this problem is caused by accumulated toxins; this condition can occur with serious kidney disease.

Other causes of vomiting include diseases of the stomach and intestines, neurological diagnoses, and head injuries.

In children, vomiting can often be provoked by severe emotional shocks.

Doctors distinguish several types of infant vomiting:

  • Cyclic vomiting (acetonemic).
  • Renal.
  • Hepatogenic.
  • Diabetic.
  • Cardiac.
  • Psychogenic.
  • Cerebral.
  • Bloody.

In most cases, vomiting in children begins at night. The baby wakes up from severe nausea. In this situation, it is important not to be scared or confused. Parents' actions should be calm and confident.

The younger the child, the more dangerous vomiting is for him, since dehydration can occur, which can be fatal for children.

A single vomiting (without any additional symptoms) in a child should not cause much concern for parents, says Evgeny Komarovsky. The fact is that this is how the body “cleanses” itself of accumulated toxins and food elements that the child could not digest. However, parental inaction can be fraught with tragic consequences in cases where vomiting is repeated, as well as if there are other symptoms indicating disorders in the body.

The most common cause of vomiting in children is food poisoning. Poison can enter a baby’s body through various foods: dairy, meat, seafood, vegetables and fruits.

In the vast majority of cases the gag reflex is caused by nitrates and pesticides, with which fruits and vegetables are processed. Even very high-quality meat products can cause severe poisoning if they are prepared incorrectly.

Evgeny Komarovsky emphasizes that the first symptoms of food poisoning usually begin to appear between 4 and 48 hours after eating. Quite often, you can stop vomiting caused by food on your own, at home. However, Evgeny Komarovsky reminds that there are situations in which mothers and fathers should not engage in independent healing. Medical attention is required:

  • Children from 0 to 3 years old.
  • Children who vomit due to elevated body temperature.
  • Children who have vomiting, diarrhea and abdominal pain (all or just some of the symptoms) have lasted for more than two days.
  • Children who are not “alone” in their illness (if other household members have similar symptoms

There are situations in which a child needs emergency medical attention as soon as possible. You should call an ambulance in one or more of the following conditions:

  • Vomiting occurred after eating mushrooms.
  • The vomiting is so intense that the baby cannot drink water.
  • Vomiting is accompanied by clouding of consciousness, incoherent speech, poor coordination of movements, yellowing of the skin, dry mucous membranes, and the appearance of a rash.
  • Vomiting is accompanied by visual enlargement (swelling) of the joints.
  • Against the background of repeated vomiting, there is no urination for more than 6 hours, the urine has a dark tint.
  • Vomit and (or) feces contain impurities of blood and pus.

While waiting for the doctor to arrive, the child should be placed on his side so that during the next vomiting attack the child does not choke on the vomit. The baby should be held in your arms, on its side. There is no need to give any medications.

In order for the doctor to quickly understand the true cause of the child’s condition, parents must remember in as much detail as possible what the baby ate over the last 24 hours, what he drank, where he was and what he did. In addition, mom and dad will have to carefully examine the vomit in order to then tell the doctor about its color, consistency, whether there is an unusual smell, whether there are any impurities of blood or pus in it.

Analyzing color

Dark vomit (the color of coffee grounds) may indicate serious stomach problems, including peptic ulcers.

If there is an admixture of bile in the masses and there is a bitter-sweet smell, one may suspect a problem with the gallbladder and bile ducts.

Green color vomit may indicate the neurological nature of the reflex; vomiting also occurs in a severe stressful situation, when the child cannot cope with anxiety and emotions in any other way.

It is recommended to leave samples of vomit and feces of a sick child until the doctor arrives in order to show them to a specialist. This will facilitate the fastest and most accurate diagnosis of the true cause of the condition.

Vomiting in an infant may be a completely natural process of developing digestive functions, but it is better if it is diagnosed by a doctor. Komarovsky emphasizes that vomiting in infants is often a completely expected cause of banal overeating if parents are too zealous in their desire to feed their child more and more calories.

Vomiting can also be of another nature - allergic, traumatic, and also inflammatory. In other words, this reflex accompanies a great variety of different diseases, some of which require prompt hospitalization followed by surgical care, and therefore vomiting attacks should not be underestimated.

So, parents should make every effort not to stop vomiting at any cost and try to treat something with folk remedies, but to carefully observe. It will be just great if they can provide the following information to the doctor who comes to the call:

  • Frequency and periodicity of attacks (at what intervals does vomiting occur, how long does it last).
  • Does the child feel better after the next attack, does the abdominal pain decrease?
  • What is the approximate volume of vomit, its color and whether there are any impurities.
  • What has the baby been sick with over the past year, over the past two weeks?
  • What did the baby eat, and do the parents suspect food poisoning?
  • Has the child's weight changed over the past 2 weeks?

If a child has some of the above symptoms, but is not vomiting, Komarovsky advises inducing the reflex on his own. To do this, you need to give the baby 2-3 glasses of warm water or milk to drink, and then gently insert your fingers into the oropharynx and move them slightly. You can lightly press the root of your tongue with your fingers or a spoon.

There is no need to feed the child anything. However, drinking is a must. At the same time, you should know that drinking water from a child who is vomiting is a whole science; it must be carried out strictly according to the rules. Firstly, says Evgeny Komarovsky, drinks should be small, but very frequent. A single dose is a few sips. Secondly, the temperature of the water should be similar to body temperature, so the liquid will be absorbed more quickly, which will protect the child from dehydration. When asked what to drink, the doctor answers that the best option is oral rehydration solutions or homemade saline solutions. If desired, you can give your child still mineral water, tea, compote.

Under no circumstances should you add sugar, jam, or honey to your drink. If the child flatly refuses to drink what he is supposed to, offer him what he likes - juice or a sweet drink, but at the same time dilute it with water so that the resulting drink is as clear as possible.


It is useful to give activated carbon, but only in strictly designated proportions - 1 gram of the drug per kilogram of the child’s weight, no less. If the temperature has risen, you can give your baby an antipyretic, Paracetamol is best.

You should not transport your child to a medical facility yourself. In the car, the baby may be “shaken” even more, and the attacks will intensify. Komarovsky warns parents to give alcohol solutions and potassium permanganate when vomiting.

Drugs approved for children are Smecta, Regidron, Enterofuril.

Komarovsky calls on parents to be prudent and not to give their children remedies for vomiting that are often recommended by “experts” in traditional medicine (for example, a milk-yolk mixture), since such “treatment” can only worsen the child’s condition.

Feeding after vomiting should be done gradually, without overloading the stomach - in small portions, avoiding fatty, sweet, salty and sour foods.

Dr. Komarovsky will tell you what to do if a child is vomiting in the video below.

Vomiting in childhood is common. Regardless of the reason that provoked the condition, you should not scold your baby for dirty things or the floor. What to do if a 3-year-old child is vomiting depends on the reasons that provoked it.

Causes

Gag reflexes are not considered a disease: they indicate some problem in the body. Involuntary contraction of the smooth muscles of the stomach, accompanied by vomit without fever, deserves attention from parents.

The causes of vomiting in a 3-year-old child can be:

  • eating heavy food. In addition to vomit, the child may experience cramping abdominal pain;
  • food intoxication. Accompanied by increased heart rate and nausea. In addition, the child may turn pale and the limbs may become cold;
  • intestinal infection. In this case, the baby may experience diarrhea, abdominal pain, and fever;
  • appendicitis. Exacerbation of appendicitis can provoke upset stool, pain in the peritoneum, and sleep disturbances;
  • malignant neoplasms in the brain;
  • encephalitis and meningitis. Often manifested by incessant vomiting and fever;
  • diseases of the gastrointestinal tract;
  • increased content of acetone in the circulatory system. It is observed in metabolic disorders, and attacks can be repeated for several months;
  • diabetes;
  • high temperature – from 39 °C and above;
  • entry of a foreign object into the stomach;
  • traumatic brain injuries;
  • joining the team.

In addition, vomiting in a 3-year-old child can occur due to dysbiosis, allergies to certain medications, as well as nervous diseases.

A sign of overeating can be gag reflexes mixed with mucus. If the mass contains bile, this may indicate food poisoning. The appearance of blood streaks deserves increased attention - this often indicates internal bleeding in the esophagus or stomach, or ulcerative-erosive lesions resulting from the penetration of a foreign body.

Whatever the cause of vomiting, the main thing that parents should be wary of is dehydration, which is most often manifested by pale skin, lack of coordination, dark urine, weakness, and incoherent speech.

How to help your baby

A medical examination will help determine the cause of this condition. To make your baby feel better, adults need to:

  • provide your son or daughter with complete peace, calm him down, take him in your arms;
  • open a window or door to allow oxygen to enter the room;
  • put the baby in bed, raising his head, and place a basin next to him, in case of vomiting;
  • To prevent your baby from choking on vomit, turn his head to the side;
  • do not give the child any food, sweet or hot drinks;
  • to alleviate the condition, you can give the patient a drink of still mineral water or plain water;
  • if attacks recur, it is necessary to give a rehydron solution or water with salt. This will help prevent dehydration;
  • If the child continues to vomit, there is a deterioration in health, difficulty breathing, and the temperature rises, it is necessary to urgently call an ambulance.

A single vomiting in a child that occurs without an increase in temperature or diarrhea, and is not accompanied by a deterioration of the condition, may indicate ordinary poisoning or overeating. In this case, you should not rush to call a specialist and observe the child. If other symptoms appear, you must provide first aid and call a doctor at home.

In case of poisoning

If a 3-year-old child vomits due to poisoning, parents are advised to take measures to alleviate his condition:

  • give an enterosorbent, for example, activated carbon. This will help speed up the removal of toxins from the body.;
  • It is necessary to give water to your son or daughter as often as possible, in small portions;
  • after each attack, the child needs to rinse his mouth with water or wipe the mucous surfaces of the mouth with a damp cotton swab;
  • when the temperature rises, any antipyretic drug containing paracetamol can help;
  • You should not give your baby medicine in effervescent form: it has an irritating effect on the gastric mucosa;
  • Before the doctor arrives, you should not give antiemetic drugs.

Many children refuse to take rehydron because of its specific taste. In addition, the solution may cause repeated bouts of vomiting. If you are intolerant to the drink, you can replace it with rosehip infusion, plain water, or rice infusion with the addition of raisins.

Vomiting for other reasons

If the condition is not caused by food intoxication, assistance is provided, depending on the specific situation:

  • When overeating, a child needs complete rest. To improve the condition, You should remove heavy foods and foods containing animal fats from your diet..
  • If there are no obvious reasons for vomiting, vomiting can be caused by joining a new team, and occur against the background of nervous overstrain. In this case, parents need to have a conversation with a teacher who will help the child adapt.
  • Often, vomiting appears during an exacerbation of chronic diseases. Most often this is observed in the autumn and spring, when the body is weakened. The condition can be prevented by undergoing preventive therapy agreed with the pediatrician.
  • If vomiting occurs due to any infectious disease, it is necessary to show the patient to a doctor as soon as possible. The specialist will conduct an examination and prescribe adequate treatment.
  • If vomiting and acute abdominal pain on the right side appear, appendicitis can be suspected. In this case, adults should immediately call an ambulance. Delayed care for appendicitis can lead to peritonitis.
  • If parents suspect that a foreign body has entered the stomach, the child must be taken to the hospital and an x-ray taken. Treatment is carried out at the discretion of the surgeon. Delay can have serious consequences, disability and even death.
  • If the cause of vomiting is a recent head injury, you must call an ambulance. Most often, doctors use the antiemetic drug diacarb or the diuretic furosemide. Further treatment depends on the nature of the injury.

What not to do

To avoid making a 3-year-old child feel worse when a 3-year-old child vomits, parents should not:

  • force baby to eat;
  • give medications, especially antibiotics. The exception is sorbents and antipyretics;
  • leave unattended even for a while;
  • give carbonated drinks or milk.

In addition, you should not allow severe fever to occur: this is dangerous due to the appearance of convulsive attacks. To make the baby feel better, wipe it with a towel dipped in cool water.

The main thing that parents should pay attention to is the occurrence of other symptoms that may indicate some serious illness. As a rule, single attacks of gag reflexes are not life-threatening and occur quite often. Paying attention to your baby will help you avoid serious consequences.

Vomiting is a protective reaction of the body and is aimed at removing pathogenic microflora from the intestine that has entered it in various ways. Many people are interested in how to treat vomiting in a child? There are many different ways to do this, but you should consult a specialist before using each of them.

Treatment of vomiting in infants

If a gag reflex appears in a child under 1 year old, it is necessary to urgently call an ambulance. This condition can be very dangerous for a child’s body. While the doctors arrive, it is necessary to provide first aid to the child. To do this, you should place it on your right side and constantly monitor it. You can also pick it up and hold it in an upright position.

If the baby lies on his back, vomit may enter the respiratory tract. This can cause asphyxia, so the child will die.

It is very important that the baby receives as much fluid as possible before the ambulance arrives. To do this, fill a bottle with boiled water and add a little honey as a sweetener. The child's body becomes dehydrated very quickly, which can lead to disruption of the functions of some vital organs. It is necessary to give the baby to drink as much as possible and as often as possible (at least 60-120 ml after each attack of vomiting). If the baby has drunk the specified amount of liquid, but still wants to drink, you should give him more solution.

Sometimes the vomit contains blood. In this case, an ice cube should be placed on the child’s tummy, which will help to constrict the blood vessels, which will stop the bleeding. The baby should not be given anything to drink.

Treatment of infants must be carried out in a hospital setting and under the strict supervision of a doctor. The use of folk remedies in this case is prohibited.

Treatment of vomiting in children 1-3 years old

If a 1-year-old child is vomiting, the following treatment is necessary:

  • Adjust the baby's diet. It is advisable to include as much meat, dairy products and vegetables in his diet. During illness, sweets should be avoided, as their influence can only intensify vomiting and diarrhea.
  • If the symptoms do not go away for more than 4 hours, it is necessary to give the baby a drinking solution that restores the water-salt balance in the body. To do this, dissolve 2 tsp in 2 liters of water. salt and soda and add 4 tbsp. l. Sahara. The baby should be given 2-3 tbsp of water. l. solution every 10-15 minutes.
  • If the child vomits after drinking the drink, it is recommended that he drink the solution again.

Sometimes children do not like the taste of the prepared product. If the baby vomits for more than 4 hours and refuses to drink the solution, it is necessary to urgently call for medical help.

Treatment of a child aged 2-3 years can be carried out using medications. All medications must be prescribed by a doctor. Some medications are not suitable for children of a particular age, which can lead to overdose or intoxication. Prescribing medications is possible only after the doctor determines the cause of vomiting. The following drugs are usually prescribed:

  1. Metoclopramide or Motilium are antiemetic medications that are safe for children over 1.5 years of age.
  2. Ibuprofen or tempalgin, which are prescribed if the baby is bothered by tummy pain.
  3. Enterosgel, smecta or activated carbon are sorbents that have a local effect. They envelop the intestinal mucosa, due to which toxins and microbes are not absorbed into the blood. At the same time, adsorbent particles absorb harmful microflora, which are subsequently eliminated naturally.

It is advisable that 2-3 hours after taking the sorbents, the child vomits or goes to the toilet. Due to this they will be removed. Otherwise, the effect of taking medications will be the opposite - digestion of the drugs will begin, so the toxins absorbed by them will again end up in the intestines.

Treatment of children 4-5 years old

In order to cure vomiting in children 4, 5 or 6 years old, you need to follow the same tactics. Starting from the age of four, in addition to medications, you can use traditional medicine. Of course, it is mandatory to consult a doctor before using any drug. Moreover, it is recommended to combine both types of remedies (medicinal and folk remedies) in order to achieve maximum effect in a short period of time.

Thus, traditional medicine offers the following methods used for the treatment of vomiting:

  • Ginger helps to cope with unpleasant symptoms perfectly. Immediately after the child begins to vomit, he should put a ginger cube in his mouth. The baby should suck it for at least 10 minutes. You can also brew tea from it - take 1 tsp. grated ginger and pour a glass of boiling water over it, leave for 10 minutes and strain. To improve the taste of tea, it is recommended to add 1 tbsp. l honey and 1 tsp. Sahara.
  • Lemon peel tea can also effectively treat nausea and vomiting in a child. To prepare it, take the zest of one lemon and pour a glass of boiling water over it, then leave until it cools completely. Then filter it and give it to the child to drink. The resulting product should be given to the baby 50 ml at a time. It quickly eliminates vomiting and nausea.
  • Sauerkraut brine not only stops vomiting, but also restores the intestinal microflora after poisoning. Due to the high content of vitamin C, this product helps improve immunity. Just a few sips of brine will bring relief to your baby. If he refuses to drink, you need to offer him to eat a few leaves of sauerkraut.
  • Starch water also helps to cope with vomiting. To do this, take 1 tbsp. l. potato starch and pour a glass of boiling water over it. After cooling, drink the drug in one gulp. This product coats the walls of the stomach, thereby preventing irritation of the mucous membrane and reducing the likelihood of poisons and toxins being absorbed into the blood. In addition, starch water reduces stomach pain.

You can also give your baby the juice of one potato to drink. To do this, take one medium-sized potato with the skin and wash it well. Then the juice is squeezed out of it. The product must be drunk in small sips at a time. If the baby refuses to drink it, you can add a little salt. The juice perfectly eliminates nausea and helps cope with stomach cramps.

Actions after vomiting

Often mothers have a question: what to do after the child’s vomiting has stopped? For several days after this, several recommendations must be followed.

The baby requires gentle nutrition. Fatty and spicy foods, as well as fresh fruits and vegetables, are excluded from his diet. Food should be as light as possible - soups and cereals. You can also drink herbal tea or jelly. Adhering to such a diet is necessary in order not to irritate the already irritated intestines. Expanding the child’s diet should be done gradually. It is advisable to feed him little by little, but often.

You should also continue to replenish fluid in his body. For this purpose, he should be given rehydron or a solution of 2 liters of water, 2 tsp. salt and soda, as well as 4 tbsp. l. Sahara. The solution is continued for 4 days after the end of vomiting.

Thus, treating vomiting in children is a very responsible process. But it must be carried out only under the strict supervision of a doctor.

Vomiting is a common phenomenon in children, the uncontrolled expulsion of stomach contents through the mouth or nasal cavity with a characteristic sound.

This is due to physical contraction of the diaphragm and abdominal muscles. Nausea often occurs before vomiting; it is painless, but very unpleasant not only for children, but also for adults.

There are many reasons that cause it, but the consequences for a weak body are always severe. Therefore, parents should know the rules of first aid for vomiting in a child at home.

Along with the vomit, liquid comes out in large quantities, the body becomes dehydrated, which is very poorly tolerated by children. Only with a timely and correct reaction from parents can one avoid the need for medical help.

Vomiting is a protective reaction of the body to harmful substances that have entered inside:

  • poisoning;
  • infection in the body;
  • inflammatory process in the appendix;
  • metabolic disease;
  • diseases of the nervous system;
  • binge eating;
  • eating fatty and spicy foods;
  • stomach diseases;
  • inhalation of harmful substances;
  • swallowing objects.

Infants may vomit because they swallow large amounts of air or put their fingers in their mouth while eating.

Vomiting in a child without fever or diarrhea

Most often, vomiting is observed in diseases and is accompanied by symptoms such as fever and abnormal stool.

But there is vomiting without fever and diarrhea in a child; what to do about it can only be determined after finding out the cause. They can be caused by a variety of disorders in the body:

  1. Excessive intake of vitamin D, this is typical for children under one year old. If the required dosage is exceeded, vomiting may occur.
  2. Sphincter narrowing, located on the border of the esophagus and stomach. Occurs in newborns in the first weeks of life.
  3. Food allergies. In this case, vomiting occurs without fever or diarrhea, and is accompanied by itching, dry skin, and rashes.
  4. Intracranial head injuries. There is no fever or diarrhea, but headaches and dizziness occur.
  5. Neuroarthritic diathesis. This is a disorder of the nervous system due to improper metabolism of amino acids. Vomiting with the smell of acetone is a characteristic sign of such diathesis.
  6. Migraine. May be accompanied by vomiting without fever or diarrhea. Migraines cause photophobia and severe headaches that are localized on one side of the head.
  7. Vomiting without diarrhea or fever may appear in the presence of helminthiases in the body.
  8. Vomiting in girls 12-13 years old requires parental attention and understanding that this may be a sign of pregnancy.

Types of vomiting

Vomiting can signal intoxication, diseases of the endocrine system, and gastrointestinal tract.

Functional vomiting is the safest type. This is the body's reaction to nutritional components that do not suit it well. Such vomiting occurs in a child without fever; treatment at home will be effective.

Another cause of vomiting without fever can be a disorder in the central nervous system. Even the smallest experiences can provoke it.

Children suffer from migraine attacks and display aggression in communication. In this case, you should contact a psychiatrist or neurologist.

It is important to determine the cause of its occurrence. This can be done by examining the color and consistency of the vomit.

There are the following types of vomiting:

  1. Vomiting with mucus. This is normal for an infant. A sign of overeating, and mucus comes from the nose and bronchi. In older children, this situation should be alarming. The cause may be poisoning, nervous system disease, inflammation of the mucous membranes of the stomach, or viral infections.
  2. Vomiting bile. It is characterized by a yellowish-green color and a bitter taste in the child's mouth. This is a symptom of food poisoning, overeating, excessive consumption of fatty, fried and spicy foods.
  3. Vomiting blood. If there are traces of blood in the vomit, you should immediately call emergency help. This signals bleeding in the upper esophagus. If the blood is scarlet, then the pharynx, esophagus or upper part of the stomach is affected. Coffee-colored blood indicates damage in the intestinal area due to severe poisoning, ulcers, foreign objects entering the esophagus, erosive processes in the intestines or stomach.

First aid for vomiting in a child

First of all, you need to avoid panic and try to establish the cause of the illness. Even if you had to call a doctor, you shouldn’t waste time, you need to know how to stop vomiting and take the following actions:

  1. The first thing you need to give your child when vomiting is a sufficient amount of fluid. If the child is small, you can give him to drink from a pipette or a teaspoon. This will prevent dehydration of the body. You can give it to water with solutions; one of the effective preparations for preparing a solution is rehydron.
  2. If there is blood in the vomit, give the child a small piece of ice to swallow and place an ice pack on the stomach. This will help stop internal bleeding. In this case, it is strictly forbidden to give the baby water.
  3. After vomiting, the child should be helped to rinse his mouth and wash his face to avoid irritation from stomach acid.
  4. Use medications carefully so as not to aggravate the situation. It is better to do this after examination by a doctor.
  5. Temporarily do not allow the child to eat.
  6. Provide the patient with bed rest and comfortable conditions. At the same time, lay the baby on his side so that vomit does not enter the respiratory tract.

What to do if your child is vomiting

How to treat vomiting

An appropriate anti-vomiting medicine for children can be used to speed up the process of treating vomiting. Parents should stop vomiting only when it occurs more than three times in an hour. And also in cases where blood or mucus is observed in the vomit.

Treatment methods:

  1. To feed children, especially those under three years of age, you need to use pharmaceutical products that contain a large amount of minerals and nutrients. Regidron is perfect. It will help restore the balance of missing microelements, stabilize the functioning of organs and systems in the body, and help restore microflora. Available in powder form, which is diluted in 1 liter of water. The amount of medication used should be 10 milliliters per 1 kilogram of weight.
  2. If solutions are not available, water can be used Essentuki or Borjomi. First release the gas from the water.
  3. You can drink your baby with sweet tea.
  4. To remove toxins from the body, it is necessary to use traditional medications with an adsorbing effect. The most common: Smecta, activated carbon, Enterosgel, Atoxil.
  5. If vomiting does not result in bowel movement during the day, then it is necessary to induce this process. Glycerin suppositories are suitable for this.
  6. A child five years old and older should be given traditional medications to improve the functioning of the digestive tract: Mezim, Motorix, Pancreatin.
  7. If it is impossible to stop vomiting, you need to call an ambulance. Basically, to eliminate the pathological condition, doctors make a one-time injection using the drug Cerucal. This instantly stops the gag reflex and makes it possible to diagnose the child’s health condition.
  8. The drug gives a positive result Motilium. It has a stimulating effect on intestinal motility, has the effect of some antipsychotics and metoclopramide, and improves gastric emptying.
  9. For intestinal infections and diarrhea it is prescribed Enterofuril. The drug is an intestinal antiseptic that destroys pathogenic microorganisms in the intestinal lumen. Enterofuril can cure any intestinal infection and will help both children and adults. When using a medicine, you need to take into account that it only destroys infectious agents, but does not restore the volume of lost fluid and salts. Therefore, it is used in combination with solutions.
  10. The drug will help stop vomiting Motilak. It has antiemetic and prokinetic effects. Effective for vomiting and nausea of ​​any origin.
  11. It will help with vomiting, nausea and severe stomach pain. Phosphalugel. This is an antacid drug that has an adsorbing, acid-neutralizing and enveloping effect. Reduces the activity of pepsin, neutralizes excess hydrochloric acid, maintaining physiological conditions of digestion, and prevents secondary hypersecretion of gastric juice. Available in gel form.

It is important to understand that with constant vomiting, only an experienced doctor will be able to determine the causes of this condition. Therefore, the child should be shown to a professional who will prescribe effective treatment to eliminate all symptoms and causes of the pathology.

How to stop vomiting in a child using folk recipes

Traditional medicine has many effective recipes that stop vomiting in a child at home:

  1. Solution for restoring water balance. To prepare, dilute 0.5 teaspoons of salt and soda in 1 liter of water and add 4 tablespoons of sugar.
  2. Drinking peppermint infusion is beneficial. You need to pour 2 tablespoons of mint with 200 milliliters of boiling water and leave for at least 2 hours. Then drink a spoon several times a day.
  3. Green tea with honey or sugar will have a positive effect.
  4. Quince is an excellent antiemetic; the fruit should be baked before use.
  5. Ginger drink. To prepare, you need to pour the dried product with a glass of water and leave. Drink the drink in the morning, afternoon and evening, one teaspoon at a time.
  6. For newborns, you can use an excellent antiemetic based on dill seeds. To prepare, add dill seeds to water and drink as tea. This normalizes digestion, eliminates flatulence, and prevents bloating.
  7. Traditional methods of treatment include a special diet for a week. It involves eating foods that contain a lot of protein. Foods that contain fats and carbohydrates should be limited, dairy products should be completely excluded, as well as fruits, vegetables, fatty meats and fish.

When using folk recipes, you need to take into account how the child’s body tolerates their components. Otherwise, you can only do harm.

What can a child eat after vomiting?

After the vomiting stops, you should be careful with your diet for a while.

The diet should be gentle. The intestinal mucosa should not be irritated for a certain time.

Some time after vomiting, when the symptoms are eliminated and the child asks to eat, you can give him the following foods:

  • white crackers:
  • boiled rice porridge in water;
  • unsweetened apples, better baked;
  • yogurt without sugar.

Sugar is contraindicated as it causes bloating, fermentation and resumes the negative effect of bacteria. The diet must be dietary.

If a child starts vomiting, there is no need to become hysterical, it is important to remain calm. It is necessary to try to establish the cause of the phenomenon, remember the rules for providing assistance and, if necessary, seek help from a specialist.

If parents act correctly and do not panic in such a situation, then vomiting can be cured at home.

A variety of traditional medicine recipes help well with this disease. When using pharmaceutical drugs for treatment, you should know how they work. By following the instructions, the child will be cured quickly and without consequences.

One of the most frightening symptoms in a child, which always worries young and even experienced parents, is vomiting. A lot of questions immediately arise - what to do, how and how to help the child, do you need a doctor or can you cope on your own? In order to provide assistance correctly, it is necessary to know at least in general terms the main causes of vomiting, be able to distinguish them and correctly provide first aid.

Causes of vomiting in children.
Vomiting can occur in children of any age, from infants to teenagers, but the younger the child, the more likely it is to occur. In babies of the first year of life, vomiting must be distinguished from regurgitation, a physiological phenomenon in the digestive system that occurs due to the anatomical and physiological immaturity of the digestive system.

So, let’s talk about the main causes of regurgitation and vomiting in normal and pathological conditions.

Regurgitation.
The norm for infants and artificial babies is infrequent regurgitation, approximately 2-3 times a day, up to 2 tablespoons of contents, lasting up to approximately 6-9 months.

Excessive regurgitation or even vomiting can occur during overfeeding, even in healthy babies; this usually happens with artificial babies, for whom the formula is diluted not according to the calculated volume based on actual weight, but according to the numbers indicated on the cans of the mixture (often greatly inflated). Then regurgitation or vomiting occurs without the participation of the abdominal muscles, there are no disturbances in well-being, and the process is not preceded by nausea and vomiting. This process is not dangerous and only requires recalculation of the amount of food with the pediatrician - with their correction, regurgitation is reduced or disappears completely.

In infants, the cause of regurgitation or even vomiting (sometimes even a fountain) is an improper latch on the breast with swallowing a large amount of air, or infrequent feedings with excessively greedy sucking. As a result, bloating occurs with the occurrence of colic and, as a result, overstimulation of the digestive system with regurgitation. This condition is also not dangerous for the child, but it requires consultation with a breastfeeding specialist and correction of attachment.

Frequent and persistent regurgitation can be symptoms of a neurological pathology, therefore, it is necessary to consult a pediatrician to clarify the volume of feeding, and then a neurologist.

Vomit.
Vomiting is a conditioned reflex act with the release of contents from the stomach and esophagus into the oral cavity. Vomiting is accompanied by nausea, pallor of the child, restless behavior, increased heart rate, decreased blood pressure, cold hands and feet, and sweating. When vomiting, a characteristic sound occurs due to contraction of the abdominal muscles with the participation of the muscles of the neck and pharynx. In most cases, vomiting brings discomfort to the child (unlike regurgitation).

Causes of vomiting in newborns.

In young children, parents should be alerted to a fountain of vomiting in a volume exceeding the volume of what was eaten in the first 2-4 weeks of life. Vomiting appears immediately after feeding, profusely, with an admixture of bile, the child does not gain weight, and is restless. The child urinates very rarely, he rarely has stool. This is a symptom of a dangerous surgical pathology - pyloric stenosis, a defect in the outlet of the stomach, a very narrow opening between the stomach and the small intestine, which practically does not allow food to pass into the intestines.
Measures to help such a child include hospitalization in a hospital for reconstructive surgery with pyloric plastic surgery. After discharge from the hospital, the child leads a normal life.

Another cause of vomiting can be pyloric spasm (pylorospasm); this disease occurs due to immaturity of neuromuscular connections and untimely relaxation of the muscle after feeding. Girls are more often affected; it is characterized by periodic vomiting from the first days of life, of small volume and not constantly. Vomit usually contains food mixed with bile. Children do not lose weight, although weight gain may be slow. Helpful measures include more frequent feedings of a smaller volume, and observation by a neurologist and pediatrician.

Another cause of vomiting in young children with a lack of stool or blood discharge from the anus is intussusception or intestinal obstruction. With such vomiting, the stomach is mute, peristalsis cannot be heard, the child is pale, screams and does not allow the stomach to be touched. He must be immediately taken by ambulance to a surgical hospital and operated on.
Attention! Persistent vomiting in newborns and children in the first months of life is not harmless. This is always either a surgical or neurological pathology. They require immediate medical attention.

Vomiting in older children.
In children from about 6 months of age, vomiting is divided into organic or associated with pathology, which means dangerous to health, and functional, associated with the influence of external factors and not dangerous for the child.

Vomiting as a sign of danger.
- the most common cause of vomiting is. These are viral or microbial infections of the digestive system that affect the stomach and various parts of the intestines, most of which manifest themselves in addition to vomiting and a set of other specific symptoms. Usually this is fever, abdominal pain, diarrhea, loss of appetite and varying degrees of dehydration. Vomiting occurs due to irritation of the mucous membranes and is a protective mechanism, an attempt by the body to get rid of viruses or microbes, as well as part of the food. To give your digestion a rest.
Measures to help with intestinal infections include calling a doctor and strictly following all recommendations, if necessary, hospitalization in a hospital, taking medications and fighting dehydration. General recommendations on vomiting will be given below.

One of the causes of vomiting in children under 3-5 years of age is a high temperature that accompanies ARVI, influenza, sore throat, otitis media or pneumonia. Vomiting occurs as a result of toxins entering the blood and affecting the brain's vomiting center, which are formed in tissues as a result of the activity of viruses or microbes. Typically, vomiting occurs at the height of the fever and goes away quickly after the temperature drops, even without treatment.

Vomiting can be one of the symptoms of damage to the central nervous system, if it is a birth injury - then it mainly manifests itself in the first few months of life. Vomiting occurs as a result of irritation of the area of ​​the vomiting center - compression by a tumor or hemorrhage, exposure to increased intracranial pressure, development of an abscess. Another cause of “cerebral” vomiting is exposure to toxins (for example, bilirubin in jaundice) or irritation of the meninges as a result of inflammation in tuberculosis, meningococcal meningitis, encephalitis, and concussions.
Neurological vomiting is persistent and does not bring relief to the child, weakening his strength, usually occurs at a height of increased intracranial pressure, is accompanied by headaches and sharp “brain” cries of the child, decreased pulse, impaired consciousness and even delirium.
Measures to help the child will be to immediately call an ambulance and hospitalize him in a hospital.

Vomiting without fever or signs of infection, but in connection with food intake, can be a symptom of digestive diseases - gastritis, ulcers, disorders of the liver, pancreas and gall bladder. Such vomiting occurs due to errors in nutrition, spicy, fatty or sweet foods; impurities in the vomit of mucus, bile or streaks of blood are especially dangerous.
Helpful measures include consultation with a doctor and strict adherence to all dietary and therapeutic measures prescribed by a specialist.

Sudden vomiting with pain in the stomach or right side may be a sign of acute appendicitis. Vomiting usually does not bring relief, occurs repeatedly, and the temperature may rise. Helpful measures include urgent referral of the baby to a surgical hospital and surgery.

In children who do not know how to cough effectively, vomiting may occur during coughing attacks - for example, with whooping cough, cystic fibrosis, bronchitis. In addition, vomiting can occur as a result of thick, viscous mucus flowing into the oropharynx and irritation of the root of the tongue, where the reflexogenic zone of vomiting is located.

Vomiting can occur as a result of exposure to toxins in the body - “toxic vomiting syndrome.” This occurs as a result of the action of toxic substances directly on the vomiting center of the brain, or due to irritation of internal organs and the receipt of impulses in the brain. This happens with metabolic disorders due to renal failure (ammonia intoxication), liver pathology and diabetes, and with disruption of the adrenal glands. Toxic vomiting occurs when poisoning with alcohol, drugs, plant poisons, etc.
One of the common variants of the development of toxic vomiting is acetonemic syndrome. The child’s body is still imperfect and with some dietary errors (lots of fat and few carbohydrates), acetone may accumulate in the body, which results in vomiting, abdominal pain, and dehydration.
Measures to help with toxic vomiting include desoldering and rapid removal of metabolic products; in case of severe poisoning, hospitalization and detoxification.

Parents' actions when vomiting.
1. Call a doctor at home; in case of a serious condition, call an ambulance.
2. Pull yourself together and calm the child.
3. Place or sit the child in a comfortable position so that if vomiting occurs, the masses do not enter the respiratory tract.
4. After vomiting, wipe the child’s face with a damp towel, give him a drink or rinse his mouth, and change clothes.
5. To prevent dehydration in case of frequent vomiting, give the child a tablespoon of liquid every 5-10 minutes. You can give special solutions Oralit, Regidron, Glucosolan, or still mineral water, alternating it with weak sweet tea.
6. If vomiting does not recur and the child asks to eat, give him some porridge or applesauce.
7. If you suspect that you have taken a toxic substance, rinse your stomach before the ambulance arrives - give 2-3 glasses of warm water to drink, then press on the root of the tongue, inducing vomiting. Remember, vomiting should not be caused if poisoning with acids or alkalis, phenols, or gasoline is suspected.

Benign vomiting.
These types of vomiting occur in emotional children and are associated with excessive excitability of the nervous system. With the help of vomiting, children attract the attention of their parents when they consider themselves deprived. Vomiting can occur as a manifestation of “bear sickness” when visiting a kindergarten, school, or before a performance or exam.

To actions that the child does not want to perform - force feeding, coercion to do something, punishment for wrongdoing. Typically, such children are capricious and selective in food. They do not have abdominal pain, intoxication, fever, or problems with stool.
- often vomiting can occur as a result of hysteria, due to the child’s severe overexcitation. Especially if he was punished or cried for a long time.
- in particularly sensitive children, vomiting may occur due to unpleasant pictures, exposure to unpleasant tastes or smells, or feelings of disgust.
- another option for functional vomiting is motion sickness in transport, irritation of the vestibular apparatus during a trip by car or train, bus, or flight on an airplane. Measures to help with this type of vomiting are not to feed the baby tightly or irritating foods before the trip, find a comfortable place where there is less shaking, and use special medications for motion sickness from the age of 2.

In any case, parents should remember that vomiting itself is a protective reaction of the body to pathological external and internal influences. Its appearance is a signal of a problem in the body and you need to approach it carefully, but without undue panic.

Severe vomiting without diarrhea and fever can be a sign of a number of diseases: pathologies of the gastrointestinal tract (GIT) and inflammation of the digestive organs, neurological abnormalities, problems with the endocrine system, traumatic brain injuries. It is important in this situation to exclude cases of acute surgery - appendicitis and intestinal obstruction.

Vomiting is never an independent disease. It's always a symptom. It is usually accompanied by diarrhea and fever, or one of these two symptoms. These are characteristic signs of any intestinal infection, some viral diseases, toxic infections or chemical poisoning. What can vomiting in a child without fever and diarrhea indicate?

Main reasons

  1. Food poisoning and indigestion. Typically, with food poisoning, a child experiences vomiting and diarrhea without fever or with fever. However, with minor intoxication, only the stomach can react in the form of a single vomiting. This also happens with indigestion, overeating, or taking some kind of medication.
  2. Metabolic problems. Most metabolic disorders are hereditary. First of all, it is diabetes. To diagnose metabolic problems, the doctor will recommend a blood test for hormones and enzymes, and an ultrasound of the digestive organs and kidneys. A child may have an individual intolerance to whole cow's milk, glucose, cereals, fruits and other products. Treatment in this case consists of eliminating unwanted foods from the diet.
  3. Neurological disorders and congenital pathologies. There is such a thing as cerebral vomiting. She indicates that the root cause is neurological abnormalities. They could appear during intrauterine development of the fetus, during birth trauma and asphyxia. Congenital cerebral pathology and other abnormalities can provoke profuse vomiting or leakage of food from the esophagus. Vomiting is a characteristic symptom of concussion, traumatic brain injury, and brain tumors in children of any age. Associated symptoms: headaches, nausea, dizziness. Vomiting can also accompany migraines in children. Alas, this disease has recently become noticeably younger. Vomiting also often occurs with meningitis, encephalitis, and epilepsy.
  4. Intestinal obstruction, or intussusception. It can be congenital or acquired, complete or partial. Occurs in newborns, children up to one year and older. It occurs when one part of the intestine does not contract and does not push stool towards the rectum. Along with vomiting, the child may experience cramping, sharp pain in the abdomen, weakness, pale skin, stool in the form of raspberry jelly streaked with mucus and blood. Intussusception is most often treated surgically.
  5. Foreign body in the esophagus. Such an emergency most often happens to children from one to three years old, who try to try everything “by tooth.” Characteristic symptoms: pain when swallowing, difficulty swallowing food, foamy formations in the throat, refusal to eat, restless behavior, crying, difficulty breathing due to a large foreign body. Signs may vary depending on the size of the object and in which part of the esophagus it is stuck. Vomiting is frequent and repeated, but does not bring relief. Prolonged presence of a foreign body in the esophagus is dangerous due to complications and can be life-threatening. Diagnosed using fluoroscopy.
  6. Acute appendicitis. It occurs in extremely rare cases in infants. Children of preschool and school age complain of pain in the right side, in the navel area. Main symptoms: sharp pain, frequent bowel movements and urination, lack of appetite, repeated vomiting. A slight increase in temperature and diarrhea may occur.
  7. Inflammation of the digestive organs. These include stomach ulcers, gastritis, colitis, gastroduodenitis, pancreatitis, cholecystitis and other diseases. A common symptom of acute gastritis is repeated vomiting. The child may also have vomiting with diarrhea without fever. Vomit often contains an admixture of mucus and bile. Gastritis in children is provoked by diet, lifestyle, psycho-emotional state, complications after infectious diseases.
  8. Pyloric stenosis. Congenital narrowing of the passage between the stomach and duodenum. This leads to food being retained in the stomach and pushed out under pressure. Symptoms of pyloric stenosis are detected during the first days of a newborn’s life. After each meal there is profuse vomiting. The child loses fluid and weight, which is life-threatening. Only surgical intervention in the early stages helps get rid of pyloric stenosis.
  9. Pylorospasm. The stomach and duodenum are separated by a valve called the pylorus. Under the influence of the hormone gastrin, the pyloric muscles are in good shape for about 4 months. With constant spasm, it becomes difficult for food to pass from the stomach to the intestines. Unlike pyloric stenosis, with pyloric spasm, vomiting is not as frequent and profuse. In case of this functional disorder, it is recommended to switch to specialized nutrition with a thick consistency - anti-reflux mixtures. If your baby is breastfed, your doctor may prescribe a small amount of formula before each breastfeeding. Antispasmodics may be prescribed from medications. Good weight gain and general well-being of the baby indicate a favorable prognosis for pyloric spasm.
  10. Cardiospasm. Impaired motor function of the esophagus. It expands greatly when food enters it. The lower esophageal sphincter (cardia) is narrowed and in good shape, which makes it impossible for food to move further into the stomach. Vomiting occurs during eating or immediately after eating, accompanied by a cough. The child may complain of chest pain. Persistent cardiospasm is dangerous because children do not receive the required amount of nutrition, do not gain weight, and may lag behind in development. It is treated conservatively, that is, with the help of medications. Surgery is indicated when drug therapy is ineffective.
  11. Acetone crisis. Characteristic symptoms: smell of acetone from the mouth, nausea, weakness, headache. The causes of acetone syndrome have not been precisely established. The most likely of them: fatty foods, constant overeating or, conversely, long breaks between meals, physical activity, emotional outbursts, intestinal infections, metabolic disorders, tumors. It is more common in children between two and ten years of age. Acetone is detected in urine and blood when tested. A distinctive sign of acetonic syndrome is sudden, repeated and profuse vomiting. It may last for several days. The danger of an acetonic crisis is severe dehydration of the body, which can lead to convulsions and loss of consciousness.
  12. Neurotic vomiting. Typical for children after three years of age. It is called functional, psychogenic vomiting. Occurs during times of severe anxiety, overexcitation, or fear. In the language of psychosomatics, vomiting means rejection, rejection of something. Neurotic vomiting can be a reaction to tasteless food that is forced to eat. It can also be demonstrative in nature in children deprived of parental attention. For persistent neurotic vomiting, a psychotherapist treats the child and the parent-child relationship.
  13. Complementary feeding for infants and one-year-old children. Vomiting and diarrhea without fever in a child under one year old and at one year old can occur as a one-time reaction to complementary foods or the introduction of some new dishes to the diet. In this situation, it is worth temporarily canceling the product. This reaction usually occurs to fatty foods or large volumes.

Features of diagnosis and treatment

Treatment of vomiting without fever in a child is effective if the cause of this symptom is precisely established. And this can be difficult to do, since vomiting is a “companion” of diseases of various natures.

How is diagnostics carried out?

There are several effective examination methods for profuse vomiting.

  • Visually. The quantity, presence of impurities (pus, bile, blood, mucus), color, smell, consistency of vomit - all these parameters will help the doctor determine the type of vomiting characteristic of a particular disease.
  • Laboratory examination of vomit. Confirms or refutes the preliminary diagnosis.
  • Instrumental examination of the digestive organs. Ultrasound, gastrofibroscopy (examination using a probe), x-ray.

How is the treatment carried out?

If the diagnosis is established, then the disease is treated by specialized specialists.

  • Pediatrician. The first doctor to contact if a child has repeated bouts of vomiting. He will refer you to specialists for examination.
  • Gastroenterologist. Specializes in the treatment of gastrointestinal diseases. Therapy can be carried out in a hospital or at home. The disease is treated with medication, and a strict diet is also important.
  • Neurologist. All attacks of cerebral vomiting are associated with neurology. Treatment is medicinal, physiotherapy and massage are also prescribed.
  • Surgeon. Acute appendicitis, pyloric stenosis, intestinal obstruction, cardiospasm, foreign body in the esophagus - all these situations are considered by a pediatric surgeon.

When to call an ambulance? In all cases of emergency care, which are accompanied by attacks of severe vomiting: head injuries, epileptic seizures, convulsions, severe dehydration, loss of consciousness, poisoning with drugs and household chemicals, hematemesis, intestinal obstruction, the symptom of “acute abdomen”, entry of a foreign body into the esophagus and vomit into the respiratory tract.

What should parents do?

What complications can occur with repeated and severe vomiting?

  • Dehydration. A sudden loss of fluid disrupts the water-salt balance in the body, and this leads to serious consequences - disruptions in the functioning of all vital organs. With extremely severe degrees of dehydration, convulsions and loss of consciousness are observed. This condition is especially dangerous for infants.
  • Weight loss. Dangerous for infants, premature and low birth weight babies. In such babies, critical weight loss can occur within 24 hours.
  • Bleeding. With persistent vomiting, the mucous membrane of the stomach and esophagus is injured, blood vessels burst, and as a result, blood may appear in the vomit.
  • Danger of suffocation from vomit entering the respiratory tract. The greatest risk is in infants and unconscious children.
  • Aspiration pneumonia. Occurs when vomit enters the lungs. Gastric juice is dangerous for lung tissue. Inpatient treatment is required: suction of mucus from the trachea, antibacterial therapy, and, if necessary, artificial ventilation.

You cannot hesitate and self-medicate in such situations.

Vomiting in a child without fever can be a one-time reflex reaction to some irritant: the baby choked, coughed heavily, or ate something tasteless. This is due to the increased gag reflex in children. However, repeated, profuse vomiting, not associated with intestinal infections, can signal a number of serious diseases. In this case, you should definitely consult a doctor.

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If a child experiences nausea and vomiting, but there is no fever, these may be symptoms of diseases of the digestive tract, signs of overfeeding or other pathologies. It is important for parents not to self-medicate, but to consult a doctor.

Vomiting that occurs suddenly in a child or after an attack of nausea may indicate disorders in the body associated with various factors. First of all, this may be a signal from the digestive system that you are overfeeding your baby. This can happen if you force your child to eat, when the stomach is full, the food is dense, too fatty or irritating. Then the protective reflex of cleansing the digestive system will work. It is important to pay attention to this symptom, review the child’s diet, making meals more frequent and feeding the child according to appetite, without persuasion or violence.

Causes of vomiting in children without fever

There are many reasons for vomiting, which is practically the only symptom of the pathology. If the baby has recently been naughty, hit his head, or fallen, and he experiences nausea, headache, and vomiting, a concussion or more serious brain injury can be suspected. With this condition, there is usually a bump, abrasion or bruise on the head. The child may become agitated, capricious, or lethargic and drowsy. You need to immediately call an ambulance and try not to let the child fall asleep until the doctors arrive. It is important to conduct a full examination of the baby and diagnostics to exclude brain damage.

Nausea and vomiting in a child without fever can occur in the presence of digestive pathologies. It can occur either immediately after eating or after a few hours, in the morning, at night or on an empty stomach. In this case, the child will also complain of pain in the navel, right or left side, in the pit of the stomach. There may be sour or bitter belching, heartburn, and a cough at night due to stomach contents entering the esophagus and pharynx (reflux). Vomiting can be provoked by disturbances in the functioning of the gallbladder due to its dyskinesia. If a massive release of bile occurs, it can irritate the intestinal walls, back up into the stomach and cause vomiting. This is usually provoked by eating fatty or spicy foods, or eating dry food. It is imperative to contact a doctor with such complaints in order to examine the child and determine the cause of vomiting. Then it will be possible to carry out full treatment.

Vomiting in a child without fever can occur against a background of strong emotions or stress, due to stimulation of the cerebral cortex and its transition to the vomiting center. This can occur in children with a hysterical type of character when crying, screaming or hysterics. At the peak of excitement, when the child screams, he may vomit. In this case, you need to consult a neurologist and actively eliminate behavioral problems.

Vomiting can be provoked by intoxications of the body - these can be internal diseases, metabolic disorders and the accumulation of toxic products in the blood. Vomiting can occur against the background of pneumonia, kidney or liver disease, or in the presence of an increased level of acetone in the blood. In these cases, vomiting may occur as a result of a toxic effect on the vomiting center. The blood flow carries toxins into the vessels of the brain, which irritate the cells of the vomiting center and cause attacks of nausea with vomiting.

Such vomiting can occur in children as a reaction to food intolerance or allergies to certain foods. Often, children may vomit when exposed to cow's milk, exotic fruits, or some other foods. Allergies can also manifest as diarrhea or constipation, skin rashes on the face and body. Children may react to treatment with certain drugs by vomiting as a side effect of therapy. This usually happens when taking antibiotics, anti-inflammatory drugs and iron supplements. They irritate the digestive system, leading to inflammation and causing attacks of nausea and vomiting.

Food poisoning or intestinal infections can also cause vomiting against the background of a completely normal temperature. This may cause abdominal pain, nausea, and diarrhea. It is important that the child is examined by a doctor, the correct diagnosis is made, and treatment is started immediately.

Vomiting in a child without fever is a fairly common phenomenon that can have many causes. Some of them may indicate a serious illness developing in the baby, while others do not require medical intervention.

What to do in such a situation and when should you seek help from a doctor?

Causes of vomiting

Vomiting without fever in a child can occur for a number of reasons, which include:

  • Infectious diseases. This is one of the most common reasons. Vomiting can be either one-time or repeated. However, it is often accompanied by diarrhea, which has a strong odor. The child feels weak and may be lethargic and moody. In order to avoid dehydration, it is important to consult a specialist in a timely manner.
  • Gastritis. With exacerbation of duodenitis or gastritis, the child experiences vomiting without fever or diarrhea. The disease is accompanied by nagging or acute pain in the stomach, bloating, flatulence, and loss of appetite.
  • Dysbacteriosis. This is also a common problem that can be caused by taking antibiotics and other drugs. Vomiting can be accompanied by both diarrhea and, conversely, constipation. The child does not need hospitalization for treatment.
  • Food poisoning. May occur as a result of eating poor quality food. In case of poisoning, vomiting may also be accompanied by diarrhea and sharp pain in the abdominal area. Lethargy is common. The child refuses to eat. To avoid more serious problems, you should seek help from a doctor and prescribe treatment.
  • Allergic reaction. In case of intolerance to one or more foods or medications, attacks of vomiting in children are observed a short time after consuming the allergen. Additionally, diarrhea, skin rashes, swelling of the mucous membranes, and breathing problems may appear.
  • Intussusception. A serious illness requiring surgery. Vomit may contain bile. The stool has a jelly-like consistency, and there are streaks of blood in the stool. The problem is accompanied by severe pain.
  • Diseases of the liver, pancreas, gall bladder. The problem occurs after eating. Vomiting without diarrhea can be one-time or repeated. Bile or food particles are observed in the vomit. Diseases may be accompanied by flatulence, pain, and loss of appetite. The problem needs qualified treatment.
  • Diseases of the central nervous system. With increased intracranial pressure, headaches additionally occur, and bulging of the fontanel is observed. In the absence of a tumor and hydrocephalic syndrome, treatment can be carried out at home.

Also, the cause of severe vomiting can be the ingestion of a foreign body. Depending on the size of the object and its location, appropriate measures are selected.

Causes of vomiting in infants under one year of age

If a newborn child under 1 year of age vomits without fever, this also has reasons other than those listed above:

  • Reflux. Immediately after feeding, the baby regurgitates excessively. Additionally, restlessness and hiccups may occur. Treatment is carried out at home. In addition to prescribing medications, it is necessary to reduce the amount of feeding and increase their frequency.
  • Narrowing of the gastric outlet. Symptoms of the disease appear a few days after birth. The disease is accompanied by profuse vomiting. Needs surgical intervention.
  • Pylorospasm. Vomiting is not profuse. Most often, treatment is carried out at home. The dosage of food is also reduced and the frequency of meals increased. If this does not work, surgery may be indicated.
  • Congenital protrusion of the esophagus. Vomiting is not profuse, but occurs after each feeding. To eliminate the problem, surgery is indicated.


There are also more rare causes of vomiting, which are often diagnosed immediately after birth.

When there is no need to prescribe treatment

In some cases, a child vomits for minor reasons that do not require contacting a specialist or prescribing medications:

  • Regurgitation in babies. If the volume of liquid is small and does not exceed 2 teaspoons, the problem does not require treatment. In this case, after eating, the baby must be held upright.
  • Teething. Growing teeth can cause not only anxiety in a baby, but also vomiting. The problem goes away on its own. To alleviate the condition of the baby, you can use special products for the gums.
  • Lure. Insufficient enzyme production or failure to feed complementary foods can lead to vomiting. Most often, regurgitation is one-time. To eliminate the problem, you should temporarily stop using the product.
  • Psychogenic reasons. Observed in children aged 3 years and older. Vomiting occurs as a result of stress or nervous strain. Also, a child at 3 years old already shows character and can simply refuse to eat, causing himself an attack of nausea and vomiting.
  • Indigestion. If vomiting in a child 4 years of age or more is accompanied by diarrhea with pieces of undigested food, this may indicate indigestion. It is necessary to give more fluids and change the diet.
  • Binge eating. If a child of three or more years old is vomiting from excessive consumption of sweets, fatty foods and other foods, the problem does not require medical intervention, it does not need to be treated, but only observed. It is enough to adjust the diet and allow the child to drink more water up to 5 or more times a day.


Also, the reason why a child vomits may be normal acclimatization. It occurs with climate change and does not require treatment.

First aid

Despite the fact that in most cases vomiting does not require visiting a doctor, the baby needs attention and first aid.

To do this you should:

  • Lift the child and turn him on his side to prevent him from choking.
  • After each vomiting, the child should be given something to drink. The water should be cool. You should drink in small portions. You can additionally add lemon juice, rehydron or a little salt to the water.
  • After vomiting, you should rinse your mouth with warm water.


When vomiting happened only once, maximum 2-3 times, the stool is normal, the child is in a good mood, drinks water on his own - there is no need to call an ambulance.

In the first few hours, attacks cannot be suppressed. By vomiting, the body gets rid of toxins, bacteria, and undigested food.

You should not prescribe your child various antiemetics or any other serious medications. It is also prohibited to perform gastric lavage using antiseptics.

If the attacks are not accompanied by fever, chills, diarrhea, loss of consciousness and other symptoms, there is also no need to rush to call a doctor. You should consult a doctor if vomiting occurs two or more times and the child’s condition worsens. Low temperature can also be an alarming symptom.

Most often, vomiting is easily tolerated by children and goes away on its own.

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