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Baby throwing up food from yesterday


Why This Happens and What to Do

It can be difficult to tell the difference between vomit and spit-up. Both might look the same since your baby is currently on a steady of diet of milk or formula. The main difference is in how they come out.

Spit-up usually happens before or after a burp and is most common in babies under the age of 1 year. Spit-up will easily flow from your baby’s mouth — almost like white, milky drool.

Vomit typically comes out forcefully (whether you’re a baby or an adult). This is because vomiting happens when the muscles around the stomach are triggered by the brain’s “vomiting center” to squeeze it. This forces whatever is in the stomach to be hurled out.

In a baby’s case, vomit may look like milky spit-up but have more clear stomach juices mixed into it. It may also look like milk that has been fermented for a little while — this is called “cheesing.” Yes, it sounds gross. But the texture probably won’t bother you when you see it — you’ll be more concerned with baby’s well-being.

Your baby may also cough or make little retching noises before they vomit. This is likely the only warning you’ll have to grab a towel, bucket, burp cloth, sweater, your shoe — hey, anything.

Additionally, spit-up is normal and can happen at any time. Your baby will only vomit if there’s a digestive issue or they have another illness.

Feeding difficulty

Babies have to learn everything from scratch, including how to feed and keep the milk down. Along with spit-up, your baby may vomit occasionally after being fed. This is most common in the first month of life.

It happens because your baby’s tummy is still getting used to digesting food. They also have to learn to not gulp milk down too fast or overfeed.

Post-feeding vomiting typically stops after the first month. Give your baby more frequent, smaller feeds to help stop the vomit.

But let your pediatrician know if your baby vomits often or has very forceful vomits. In some cases, it might be a sign of something other than feeding difficulty.

Stomach flu

Also known as the tummy bug or “stomach flu,” gastroenteritis is a common cause of vomiting in babies and children. Your baby may have cycles of vomiting that come and go for about 24 hours.

Other symptoms in babies may last for 4 days or longer:

  • watery, runny poop or mild diarrhea
  • irritability or crying
  • poor appetite
  • stomach cramps and pain

The tummy bug can also cause a fever, but this is actually less common in babies.

Gastroenteritis usually looks a lot worse than it is (thank goodness!). It’s typically caused by a virus that goes away by itself in about a week.

In babies, severe gastroenteritis can lead to dehydration. Call your pediatrician immediately if your baby has any signs of dehydration:

  • dry skin, mouth, or eyes
  • unusual sleepiness
  • no wet diapers for 8 to 12 hours
  • weak cry
  • crying without tears

Infant reflux

In some ways, babies really are like tiny adults. Just like adults of any age can have acid reflux or GERD, some babies have infant reflux. This can lead to baby vomiting in the first weeks or months of your baby’s life.

Vomiting from acid reflux happens when the muscles at the top of the stomach are too relaxed. This triggers baby vomiting shortly after feeding.

In most cases, the stomach muscles strengthen, and your baby’s vomiting goes away on its own. Meanwhile, you can help slow down the vomiting by:

  • avoiding overfeeding
  • giving smaller, more frequent feeds
  • burping your baby often
  • propping your baby up in an upright position for about 30 minutes after feeding

You can also thicken milk or formula with more formula or a bit of baby cereal. Caveat: Check with your pediatrician before you try this. It might not be suitable for all babies.

Cold and flu

Babies catch colds and flus easily because they have shiny new immune systems that are still developing. It doesn’t help if they’re in day care with other sniffling kiddos, or they’re around adults that can’t resist kissing their little faces. Your baby may have up to seven colds in their first year alone.

Cold and flu can cause different symptoms in babies. Along with a runny nose, your baby may also have vomiting without a fever.

Too much mucus in the nose (congestion) can lead to a nasal drip in the throat. This can trigger bouts of forceful coughing that sometimes cause vomiting in babies and children.

As in adults, colds and flu in babies are viral and go away after about a week. In some cases, sinus congestion may turn into an infection. Your baby will need antibiotics to treat any bacterial — not viral — infection.

Ear infection

Ear infections are another common illness in babies and children. This is because their ear tubes are horizontal rather than more vertical like in adults.

If your little one has an ear infection, they might have nausea and vomiting without a fever. This happens because an ear infection can cause dizziness and loss of balance. Other symptoms of ear infections in babies include:

  • pain in one or both ears
  • tugging or scratching at or near the ears
  • muffled hearing
  • diarrhea

Most ear infections in babies and children go away without treatment. However, it’s important to see a pediatrician in case your baby needs antibiotics to clear up the infection. In rare cases, a serious ear infection can damage a baby’s tender ears.

Overheating

Before you swaddle your baby or put them in that adorable fluffy bunny suit, check the temperature outside and in your home.

While it’s true that the womb was warm and cozy, babies can overheat quickly in hot weather or in a very warm house or car. This is because their tiny bodies are less able to sweat out heat. Overheating might cause vomiting and dehydration.

Overheating can lead to heat exhaustion or in much more serious cases, heatstroke. Look for other symptoms like:

  • pale, clammy skin
  • irritability and crying
  • sleepiness or floppiness

Immediately remove clothing and keep your baby out of the sun and away from heat. Try to breastfeed (or give your baby water if they’re 6 months or older). Get urgent medical attention if your baby doesn’t seem their usual self.

Motion sickness

Babies below the age of 2 years don’t commonly get motion or car sickness, but some babies may get sick after a car ride or being twirled around — especially if they’ve just eaten.

Motion sickness can make your baby dizzy and nauseous, leading to vomiting. It might be more likely to happen if your baby already has an upset tummy from bloating, gas, or constipation.

Strong smells and windy or bumpy roads can also make your baby dizzy. Nausea triggers more saliva, so you might notice more dribble before your baby vomits.

You can help prevent motion sickness by traveling when your baby is ready to sleep. (Great trick if your baby loves to sleep in the car!) A sleeping baby is less likely to feel queasy.

Keep their head well supported in the car seat so it doesn’t move around too much. Also, avoid going for a drive right after giving your baby a full feed — you want your baby to digest the milk, not wear it.

Milk intolerance

A rare kind of milk intolerance is called galactosemia. It happens when babies are born without a certain enzyme needed to break down sugars in milk. Some babies with this condition are even sensitive to breast milk.

It can cause nausea and vomiting after drinking milk or any kind of dairy products. Galactosemia can also cause a skin rash or itching in both babies and adults.

If your baby is formula fed, check the ingredients for any dairy, including milk proteins.

Most newborns are screened at birth for this rare condition and other illnesses. This is usually done with a heel prick blood test or a urine test.

In the rare event that your baby has this, you’ll know it very early on. Make sure your baby completely avoids milk to help stop vomiting and other symptoms.

Pyloric stenosis

Pyloric stenosis is a rare condition that happens when the opening between the stomach and intestines is blocked or too narrow. It can lead to forceful vomiting after feeding.

If your baby has pyloric stenosis, they may be hungry all the time. Other symptoms include:

  • dehydration
  • weight loss
  • wave-like stomach contractions
  • constipation
  • fewer bowel movements
  • fewer wet diapers

This rare condition can be treated with surgery. Tell your pediatrician immediately if your baby has any of the symptoms of pyloric stenosis.

Intussusception

Intussusception is a rare intestinal condition. It affects 1 in every 1,200 babies and most commonly happens at the age of 3 months or older. Intussusception can cause vomiting without a fever.

This condition happens when the intestines are damaged by a virus or other health conditions. The damaged intestine slips — “telescopes” — into another part of the intestine.

Along with vomiting, a baby may have severe stomach cramps that last for about 15 minutes. The pain can cause some babies to curl their knees up to their chest.

Other symptoms of this intestinal condition include:

  • fatigue and tiredness
  • nausea
  • blood or mucus in bowel movements

If your baby has intussusception, treatment can push the intestine back into place. This gets rid of vomiting, pain, and other symptoms. Treatment includes using air in the intestines to gently move the intestines. If that doesn’t work, keyhole (laparoscopic) surgery heals this condition.

See your baby’s pediatrician if your baby has vomiting for longer than 12 hours. Babies can get dehydrated quickly if they’re vomiting.

Get immediate medical attention if your baby is vomiting and has other symptoms and signs like:

  • diarrhea
  • pain or discomfort
  • constant or forceful coughing
  • hasn’t had a wet diaper for 3 to 6 hours
  • refusing to feed
  • dry lips or tongue
  • few or no tears when crying
  • extra tired or sleepy
  • weakness or floppy
  • won’t smile
  • swollen or bloated stomach
  • blood in diarrhea

Baby vomiting without a fever can happen because of several common illnesses. Your baby will likely have one or more of these several times in the first year. Most of these causes go away on their own, and your little one will stop vomiting without any treatment.

But too much vomiting can lead to dehydration. Check for signs of dehydration and call your pediatrician if you’re not sure.

Some causes of baby vomiting are more serious, but these are rare. Your baby will need medical care for these health conditions. Know the signs and remember to keep the doctor’s number saved in your phone — and take a deep breath. You and baby got this.

Vomiting (0-12 Months)

Is this your child's symptom?

  • Vomiting (throwing up) stomach contents
  • Other names for vomiting are puking, barfing and heaving

Causes of Vomiting

  • Viral Gastritis. Stomach infection from a stomach virus is the most common cause. Also called stomach flu. A common cause is the Rotavirus. The illness starts with vomiting. Watery loose stools may follow within 12-24 hours.
  • Food Allergy. Vomiting can be the only symptom of a food reaction. The vomiting comes on quickly after eating the food. Uncommon in infants, but main foods are eggs and peanut butter.
  • Coughing. Hard coughing can also cause your child to throw up. This is more common in children with reflux.
  • Serious Causes. Vomiting alone should stop within about 24 hours. If it lasts over 24 hours, you must think about more serious causes. An example is a kidney infection. A serious cause in young babies is pyloric stenosis. See below for more on this.

Pyloric Stenosis (Serious Cause)

  • The most common cause of true vomiting in young babies.
  • Onset of vomiting is age 2 weeks to 2 months
  • Vomiting is forceful. It becomes projectile and shoots out.
  • Right after vomiting, the baby is hungry and wants to feed. ("hungry vomiter")
  • Cause: The pylorus is the channel between the stomach and the gut. In these babies, it becomes narrow and tight.
  • Risk: Weight loss or dehydration
  • Treatment: Cured by surgery.

Vomiting Scale

  • Mild: 1 - 2 times/day
  • Moderate: 3 - 7 times/day
  • Severe: Vomits everything, nearly everything or 8 or more times/day
  • Severity relates even more to how long the vomiting goes on for. At the start of the illness, it's common for a child to vomit everything. This can last for 3 or 4 hours. Children then often become stable and change to mild vomiting.
  • The main risk of vomiting is dehydration. Dehydration means the body has lost too much fluid.
  • The younger the child, the greater the risk for dehydration.

Dehydration: How to Tell

  • The main risk of vomiting is dehydration. Dehydration means the body has lost too much water.
  • Vomiting with watery diarrhea is the most common cause of dehydration.
  • Dehydration is a reason to see a doctor right away.
  • Your child may have dehydration if not drinking much fluid and:
  • The urine is dark yellow and has not passed any in over 8 hours.
  • Inside of the mouth and tongue are very dry.
  • No tears if your child cries.
  • Slow blood refill test: Longer than 2 seconds. First, press on the thumbnail and make it pale. Then let go. Count the seconds it takes for the nail to turn pink again. Ask your doctor to teach you how to do this test.

When to Call for Vomiting (0-12 Months)

Call 911 Now

  • Can't wake up
  • Not moving
  • You think your child has a life-threatening emergency

Call Doctor or Seek Care Now

  • Dehydration suspected. No urine in over 8 hours, dark urine, very dry mouth and no tears.
  • Stomach pain when not vomiting. Exception: stomach pain or crying just before vomiting is quite common.
  • Age less than 12 weeks old with vomiting 2 or more times. Exception: normal spitting up.
  • Vomited 3 or more times and also has diarrhea
  • Severe vomiting (vomits everything) more than 8 hours while getting Pedialyte (or breastmilk)
  • Head injury within the last 24 hours
  • Weak immune system. Examples are sickle cell disease, HIV, cancer, organ transplant, taking oral steroids.
  • Vomiting a prescription medicine
  • Fever over 104° F (40° C)
  • Fever in baby less than 12 weeks old. Caution: Do NOT give your baby any fever medicine before being seen.
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • All other infants (age less than 1 year) with vomiting. See Care Advice while waiting to discuss with doctor.

Seattle Children's Urgent Care Locations

If your child’s illness or injury is life-threatening, call 911.

  • Bellevue
  • Everett
  • Federal Way
  • Seattle

Care Advice for Vomiting

  1. What You Should Know About Vomiting:
    • Most vomiting is caused by a viral infection of the stomach.
    • Vomiting is the body's way of protecting the lower gut.
    • The good news is that stomach illnesses last only a short time.
    • The main risk of vomiting is dehydration. Dehydration means the body has lost too much fluid.
    • Here is some care advice that should help.
  2. Formula Fed Babies - May Give Oral Rehydration Solution (ORS) for 8 Hours:
    • If vomits once, give half the regular amount of formula every 1 to 2 hours.
    • If vomits formula more than once, offer ORS for 8 hours. If you don't have ORS, use formula until you can get some.
    • ORS is a special fluid that can help your child stay hydrated. You can use Pedialyte or the store brand of ORS. It can be bought in food stores or drug stores.
    • Spoon or syringe feed small amounts. Give 1-2 teaspoons (5-10 mL) every 5 minutes.
    • After 4 hours without throwing up, double the amount.
    • Return to Formula. After 8 hours without throwing up, go back to regular formula.
  3. Breastfed Babies - Reduce the Amount Per Feeding:
    • If vomits once, nurse half the regular time every 1 to 2 hours.
    • If vomits more than once, nurse for 5 minutes every 30 to 60 minutes. After 4 hours without throwing up, return to regular nursing.
    • If continues to vomit, switch to pumped breastmilk. (ORS is rarely needed in breastfed babies. It can be used if vomiting becomes worse).
    • Spoon or syringe feed small amounts of pumped milk. Give 1-2 teaspoons (5-10 mL) every 5 minutes.
    • After 4 hours without throwing up, return to regular feeding at the breast. Start with small feedings of 5 minutes every 30 minutes. As your baby keeps down the smaller amounts, slowly give more.
  4. Pumped Breastmilk Bottle-Fed Infants - Reduce the Amount per Feeding:
    • If vomits once and bottle-feeding breastmilk, give half the regular amount every 1-2 hours.
    • If vomits more than once within last 2 hours, give 1 ounce (30 mL) every 30 to 60 minutes.
    • If continues to vomit, give 1-2 teaspoons (5-10 mL) every 5 minutes. Only if not tolerating breastmilk, switch to ORS (e.g., Pedialyte) for every 5 minutes for a few hours.
    • After 4 hours without vomiting, return to regular feedings. Start with 1 ounce (30 mL) every 30 minutes and slowly increase as tolerated.
  5. Stop All Solid Foods:
    • Avoid all solid foods and baby foods in kids who are vomiting.
    • After 8 hours without throwing up, gradually add them back.
    • If on solid foods, start with starchy foods that are easy to digest. Examples are cereals, crackers and bread.
  6. Do Not Give Medicines:
    • Stop using any drug that is over-the-counter for 8 hours. Reason: Some of these can make vomiting worse.
    • Fever. Mild fevers don't need to be treated with any drugs. For higher fevers, you can use an acetaminophen suppository (such as FeverAll). This is a form of the drug you put in the rectum (bottom). Ask a pharmacist for help finding this product. Do not use ibuprofen. It can upset the stomach.
    • Call your doctor if: Your child vomits a drug ordered by your doctor.
  7. Try to Sleep:
    • Help your child go to sleep for a few hours.
    • Reason: Sleep often empties the stomach and removes the need to vomit.
    • Your child doesn't have to drink anything if his stomach feels upset and he doesn't have any diarrhea.
  8. Return to Child Care:
    • Your child can return to child care after the vomiting and fever are gone.
  9. What to Expect:
    • For the first 3 or 4 hours, your child may vomit everything. Then the stomach settles down.
    • Vomiting from a viral illness often stops in 12 to 24 hours.
    • Mild vomiting and nausea may last up to 3 days.
  10. Call Your Doctor If:
    • Vomits clear fluids for more than 8 hours
    • Vomiting lasts more than 24 hours
    • Blood or bile (green color) in the vomit
    • Stomach ache present when not vomiting
    • Dehydration suspected (no urine in over 8 hours, dark urine, very dry mouth, and no tears)
    • You think your child needs to be seen
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Last Reviewed: 11/20/2022

Last Revised: 09/21/2022

Copyright 2000-2022 Schmitt Pediatric Guidelines LLC.

causes, warning signs, first aid and prevention measures

Gastrointestinal disorders can present with a range of symptoms, including vomiting, nausea and diarrhea.

At the same time, pediatricians note that vomiting in a child with undigested food can be associated not only with functional pathologies of the digestive system, but also with other causes. Diagnostic measures will help to identify the source of the problem.

Possible causes of vomiting

Vomiting of undigested food in a child may be due to banal overeating

Nausea and vomiting are caused by stimulation of special brain centers responsible for the functional activity of the digestive organs. Normally, this is a natural protective reaction of the body to the ingestion of allergens, intolerable foods and harmful substances into the stomach.

However, at least vomiting becomes a kind of side effect of severe stress, overexcitation of the vestibular apparatus and other conditions not related to digestion.

Possible causes of vomiting depend largely on the patient's age. In children, this symptom is most often caused by a viral infection, food poisoning, milk allergy, motion sickness, and overeating when feeding. Additional symptoms may indicate the real source of the pathology.

More about the causes:

  • Gastroenteritis is an infectious disease of the intestine. Vomiting may not stop for several days. Other symptoms include abdominal pain and loss of appetite.
  • Food allergy. The condition is easily identified by other, more severe symptoms, including facial flushing, skin rash (urticaria), itching, and swelling around the eyes and lips.
  • Infections of other organs. Vomiting can also occur with urinary tract infections, inflammation of the middle ear, pneumonia and meningitis. Fever, which is an important clinical sign of an acute infectious disease, itself causes vomiting.
  • Appendicitis is an inflammatory disease of the appendix of the large intestine. In addition to vomiting, it causes severe pain in the abdomen on the right and an increase in body temperature.
  • Accidental ingestion of a poisonous substance. A child, out of curiosity, may drink vinegar or detergent, which will cause profuse vomiting. Poisoning with such substances is extremely dangerous and requires immediate medical attention.
  • Food intolerance - problems with the absorption of lactose, gluten or other substances, manifested by nausea, vomiting and diarrhea.
  • Gastroesophageal reflux - reflux of stomach contents into the esophagus due to a malfunction of the lower esophageal sphincter.
  • Strangulated hernia is a surgical emergency.
  • Congenital pyloric stenosis is a pathological condition characterized by narrowing of the stomach. Food is hardly transported to the intestines, resulting in vomiting.

Vomiting of undigested food only indicates that the disease occurred before the reflux of food substrates into the small intestine. Not always such a sign signals poisoning or food intolerance.

It is important for the parent to know that one of the main diagnostic criteria for food poisoning is vomiting occurring 1-8 hours after the last meal. However, many bacteria (such as salmonella) can cause less specific signs of food poisoning.

Dangerous symptoms and conditions

Vomiting in babies - dangerous for the life of the baby

Vomiting of undigested food can be a symptom of a dangerous pathology that threatens the life of the child. Parents need to monitor other pathological manifestations in order to suspect a condition requiring emergency care in time.

Danger signs include:

  1. Fever with high body temperature.
  2. Acute abdominal pain.
  3. Impaired consciousness in a child: lack of reaction to the environment, speech impairment, stupor.
  4. Severe weakness.
  5. Muscle cramps.

In addition to the general danger symptoms, there are special criteria for emergency conditions in children of different age groups. Danger signs in children under six years of age:

  • Simultaneous occurrence of vomiting and diarrhea.
  • Abrupt emission of vomit.
  • Symptoms of dehydration: wrinkled skin, dryness of the oral mucosa, irritability, weak pulse, impaired consciousness.
  • Persistent vomiting for two to three hours.
  • Body temperature above 38 °C.
  • No urination for several hours.

Warning signs in children over six years of age:

  1. Vomiting during the day.
  2. Body temperature above 39°C.
  3. Signs of dehydration and impaired consciousness.
  4. Severe headaches.
  5. Blood in the vomit.
  6. Rapid heartbeat and shallow breathing.

Vomiting can be a sign of meningitis and other acute infectious pathologies that can cause significant harm to health.

Diagnostics

Vomiting can be a symptom of food poisoning

Gastroenterologists deal with the problems of gastrointestinal disorders.

You can also contact your regular pediatrician or general practitioner. At the appointment, the doctor will collect all the data on complaints and pathological signs, study the anamnesis, and also conduct a physical examination.

Further diagnostic measures will depend on the identified signs, but the following tests are usually ordered:

  • Laboratory analysis of blood, urine, vomit and stool to detect pathogenic microorganisms or toxic substances.
  • Gastroscopy - Examination of the esophagus, stomach and small intestine with a flexible tube equipped with a camera. This method allows you to detect signs of inflammatory and structural pathologies.
  • Ultrasound diagnostics - visualization of the digestive organs using high-frequency sound waves. The method makes it possible to estimate the size and structure of organs.
  • Radiography, computed tomography and magnetic resonance imaging if necessary.

The effectiveness of subsequent treatment depends on the quality of the diagnostic search.

Treatment and first aid

If danger signs are detected, the main goal is to transport the child to a medical facility for qualified medical assistance.

If vomiting is not associated with dangerous pathologies, parents can alleviate the child's condition with the following measures:

  1. Drink plenty of fluids. The liquid should be slightly cool. With weak and infrequent vomiting, you can give your child green tea without sugar.
  2. Provide physical and emotional rest.
  3. When lying down, turn the child's head to the side to prevent vomit from entering the airways.
  4. Use of rehydration agents for prolonged and profuse vomiting. If vomiting persists and oral administration is not possible, medical attention should be sought for intravenous fluids and electrolytes.

Depending on the identified cause of vomiting, the doctor may prescribe the following medications:

  • Antibiotics and antivirals.
  • Anti-inflammatory agents.
  • Antiemetics.
  • Antispasmodics and antipyretics.
  • Antihistamines.

Parents are advised not to use medications themselves, as their effect may change the clinical picture of the pathology.

How to help a child if he vomits, the video will tell you:

https://www.youtube.com/watch?v=RFnlu5BFkjE

Preventive measures

Vomiting of undigested food in a child is a reason to call a doctor!

The following preventive measures will help prevent dyspeptic disorders in a child:

  1. A healthy diet and proper diet. Eating small meals 5-6 times a day will help reduce stress on the stomach.
  2. Sufficient drinking regimen.
  3. General and food hygiene.
  4. Reducing the proportion of sweets in the child's diet.
  5. Regular visits to doctors, including gastroenterologist and nutritionist (if necessary).
  6. Timely treatment of diseases of the digestive tract.

Parents need to remember that the dietary regimen must strictly correspond to the age of the child. In chronic diseases, a proper diet is of great preventive importance.

Thus, vomiting of undigested food in a child can be a sign of infectious diseases, functional disorders and various types of food intolerance.

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Vomiting is a reflex eruption through the mouth of the contents of the stomach, and sometimes the duodenum.

The gag reflex is quite complex - it involves various muscle groups. It is controlled by the vomiting center located in the brain stem. By its very nature, vomiting is a mechanism by which the body defends itself against poisoning. Normally, vomiting is a reaction to the ingestion of toxic substances into the gastrointestinal tract or simply something that cannot be digested - for example, too fatty foods. Therefore, after an attack of vomiting, a person often feels relieved: the body has cleansed itself.

However, the intoxication that caused vomiting may have an internal source, that is, be the result of any pathology or disease. It is also possible that the irritation of the nervous system, leading to vomiting spasms, is not related to the state of the stomach at all. This makes one perceive vomiting as a very serious, and even formidable symptom. An attack of vomiting is almost always a sufficient reason to see a doctor. In case of recurring attacks, you should definitely consult a doctor!

Causes of vomiting

In most cases, vomiting is due to irritation of the gastric receptors or, in medical terms, has a visceral origin. The cause is most often acute or chronic diseases of the stomach itself (acute food poisoning, gastritis, stomach ulcers, food allergies). Also, the receptors of the stomach can also respond to diseases of other organs - the gallbladder, uterus, heart (vomiting is included in the complex of possible symptoms of myocardial infarction).

Vomiting may also be of central origin, that is, caused by pathologies of the central nervous system (brain), such as meningitis, encephalitis, trauma, and brain tumors. Quite often, vomiting is observed with migraines. Problems in the inner ear can also lead to vomiting (in which case, vomiting may be accompanied by dizziness). With excessive irritation of the receptors of the inner ear (during motion sickness), even a healthy person can vomit, especially if the vestibular apparatus is not trained. Sometimes vomiting is caused by an emotional disorder (stress) or is a reaction to something that causes extreme disgust (conditioned reflex vomiting).

Irritation of the vomiting center can be caused by toxic substances carried by the blood stream (see hematogenic toxic vomiting). Toxic substances can enter the body from the outside (for example, chlorine or carbon monoxide - by inhalation), or can be produced in the body itself - as a result of impaired liver or kidney function.

Vomiting and other symptoms

Usually vomiting is preceded by nausea, because, in fact, vomiting is the resolution of nausea, its logical conclusion. The fact that nausea turned into vomiting indicates the severity of the pathological process. Vomiting spasms can be observed against the background of elevated temperature, accompanied by diarrhea. In the vomit, in addition to food debris, gastric juice and mucus, bile, blood, and pus may be present.

Repeated, periodically recurring and indomitable vomiting exhausts and dehydrates the body, leads to a violation of mineral metabolism and acid-base balance.

    Diarrhea and vomiting

    Vomiting and fever

When vomiting scares

Any bout of vomiting is a very unpleasant experience. Even if a person experiences relief with the resolution of an attack, vomiting itself is perceived as an extraordinary event, which should not normally be. The shock of the body, domestic and social inconvenience - all this makes vomiting a process of a different order compared to other reflex actions, such as coughing or sneezing. We always react sharply to vomiting (we do not leave it unattended), and rightly so.

However, in some cases, vomiting worries us especially strongly. Such is vomiting of bile , vomiting with blood . Parents are worried about cases of vomiting in a child . Quite often, vomiting is observed during pregnancy , drawing increased attention to itself.

These cases should be mentioned separately:

    Vomiting of bile

    Vomiting blood

    Vomiting during pregnancy

    Child vomiting

What to do if you vomit

Because anyone can experience vomiting, it's helpful to know how to prevent vomiting, what to do during and immediately after an attack, and when to see a doctor.

Nausea is a precursor to vomiting. If you feel sick, try opening a window (increase the oxygen supply), drinking some sweetened liquid (this will calm the stomach), sitting or lying down (physical activity increases nausea and vomiting). You can dissolve a tablet of validol. If you get sick on the road, take candy with you and dissolve on the way. This will help prevent vomiting.

What to do when vomiting

During an attack, it is important to exclude the ingress of vomit into the respiratory tract. The patient during vomiting should never lie on his back. Do not leave young children unsupervised if they may vomit. An elderly or weakened person must be helped to turn on his side, head to the edge of the bed, put a pelvis in front of him.

What to do after vomiting

After an attack, rinse your mouth with cold water. If the patient himself cannot do this, it is necessary to moisten a piece of gauze in a soda solution and wipe his mouth.

Immediately after the attack, you can drink only a few sips of water, and then if there was no blood in the vomit. You can drink properly only after 2 hours, and eat only 6-8 hours after the attack. Food should be dietary, sparing; best of all - porridge on the water, rice, low-fat soup.

With repeated attacks of vomiting, dehydration of the body is possible. Therefore, it is necessary to drink a special solution that restores the water-electrolyte and acid-base balance.

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When should you see a doctor if you vomit?

Vomiting is in many cases a sign that the body is experiencing serious problems and needs to be cleansed, and therefore, most likely, in treatment. If the disease is accompanied by vomiting, this usually indicates that the disease is quite severe.

If the attack of vomiting was one-time and there is reason to believe that it was caused by overeating, motion sickness, alcohol poisoning or stress, there is no direct need to see a doctor. In all other cases, a doctor's consultation is necessary. Especially if the attacks are repeated for two days or more, as well as in the presence of diabetes or other chronic diseases.

Sometimes emergency care is required for vomiting. You need to call an ambulance if:

  • vomiting accompanied by persistent or severe abdominal pain;
  • there are repeated bouts of vomiting after a head injury;
  • along with vomiting there is dehydration, dry mouth, increased urination;
  • with deterioration of mental and functional activity in the elderly;
  • there is blood in the vomit (for example, impurities in the form of "coffee grounds").

Which doctor should I contact if I vomit?

Complaints of nausea and vomiting are usually addressed to a gastroenterologist or general practitioner (general practitioner, family doctor or pediatrician). In case of nausea and vomiting during pregnancy, you should contact your gynecologist.

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