• Causes of vomiting vary with age and with severity.
• Occasional vomiting (non-forceful /no blood /no green/ otherwise well child) is generally non-pathological.
• The most common cause is gastroenteritis. Usually caused by a virus or bacteria.
• The child usually gets better after a few days.

HOME MANAGEMENT

• Keep a close eye on the child.
• If the cause is a tummy bug, your child should still be feeding well, playful and be their usual self once the temperature is controlled.
• Give plenty of fluids to drink- Sips of water/ Oral Rehydration Solution more frequently.
• In babies -carry on breastfeeding or giving them milk feeds.
• Fruit juice and fizzy drinks should be avoided until they’re feeling better.

CONTACT DOCTOR IN

• Repeated vomiting( especially in babies < 1 year)
• Dehydration-
  (dry mouth /no tears /not passed urine( generally >8 hours)/ drowsiness/ excess sleepiness)
• Blood in vomit or green vomit
• Vomiting > 2 days
• Rash over body
• Abnormal behaviour/ movements/ fits/ stiff neck
• Tummy distention / severe pain

CAUSES OF REPEATED VOMITING

In babies- ( seek attention if change in colour/ increased crying/ lethargy/ risk for infection in pregnancy)

• Reflux
• Cows milk allergy
• Infection
• Surgical causes

In older children

• Ear infection
• Tummy infection( Gastritis/ Gastroenteritis)
• Urine infection( common in girls)
• Surgical causes( Severe pain/ Tummy distention/ not passing stool/ blood in stool)
• Brain infections/ Brain Tumours ( severe vomiting/ repeated/ abnormal behaviour)