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What to Say in an Emergency

When Calling Emergency Services

Say exactly:

"My child has been vomiting for [duration]. They are [age] and showing signs of [specific symptoms like dehydration/blood/severe pain]. They cannot keep any fluids down."

When Calling Pediatrician

Say exactly:

"My child has been vomiting for [duration] and I'm concerned about dehydration. They are [age] and their last wet diaper/urination was [time]."

Step-by-Step Instructions

  • 1
    Assess Severity
    • Check for signs of dehydration (dry mouth, no tears, sunken eyes)
    • Note frequency and duration of vomiting
    • Look for blood or bile (green/yellow) in vomit
    • Monitor child's alertness and responsiveness
  • 2
    Position for Safety
    • Keep child upright or on their side to prevent choking
    • Have a bowl or towel ready for next episode
    • Remove any tight clothing around neck/waist
    • Stay calm and reassure your child
  • 3
    Start Fluid Replacement
    • Wait 30-60 minutes after vomiting before offering fluids
    • Start with small sips (1 teaspoon every 5 minutes)
    • Use oral rehydration solution or clear fluids
    • Gradually increase amount if tolerated
  • 4
    Monitor and Document
    • Track fluid intake and vomiting episodes
    • Monitor urine output (wet diapers or bathroom trips)
    • Check for worsening dehydration signs
    • Note any fever or other symptoms

Watch for Signs

Monitor your child for these symptoms:

🚩 Red Flags (seek immediate care)

  • Blood in vomit (red or coffee-ground appearance)
  • Green or yellow bile in vomit
  • Severe dehydration (no tears, sunken eyes, dry mouth)
  • No urination for 8+ hours (infants) or 12+ hours (older children)
  • Severe abdominal pain or rigid belly
  • High fever (over 102°F/39°C)
  • Signs of shock (pale, cold, weak pulse)
  • Difficulty breathing or chest pain
  • Severe headache with neck stiffness
  • Confusion or extreme lethargy

💚 Normal Symptoms

  • Occasional vomiting with stomach flu
  • Clear or white vomit
  • Mild dehydration that improves with fluids
  • Low-grade fever under 101°F/38.3°C
  • Tiredness that improves with rest
  • Gradual improvement over 24-48 hours

FAQs (Common Parent Questions)

How long should I wait before giving fluids after vomiting?

Wait 30-60 minutes after the last vomiting episode, then start with very small amounts (1 teaspoon every 5 minutes). If this stays down for an hour, gradually increase the amount.

What fluids are best for a vomiting child?

Oral rehydration solutions (Pedialyte) are best. Clear fluids like water, diluted apple juice, or clear broth are also good. Avoid dairy, citrus, and sugary drinks which can worsen vomiting.

When should I worry about dehydration?

Watch for dry mouth, no tears when crying, sunken eyes, decreased urination, and extreme tiredness. In infants, a sunken soft spot is also concerning. These signs require immediate medical attention.

Should I give anti-nausea medication?

Never give over-the-counter anti-nausea medications to children without consulting your pediatrician first. Many are not safe for children and can mask serious symptoms.

When can my child return to normal eating?

Once vomiting stops for 6-8 hours and they can keep fluids down, start with bland foods like crackers, toast, or bananas. Gradually return to normal diet over 24-48 hours.

Real Parent Tips

Real Parent Experiences

"I learned to track everything - when they vomited, how much fluid they kept down, wet diapers. It helped the doctor assess how serious it was."

— Maria Rodriguez, Phoenix, AZ

"Small sips every few minutes worked better than trying to get them to drink a whole cup. Patience was key."

— David Kim, Seattle, WA

"Ice chips were a lifesaver when my daughter couldn't keep anything down. The cold helped with nausea and provided small amounts of fluid."

— Jennifer Walsh, Boston, MA
This guide is intended for quick reference and does not replace professional medical advice. Always consult a medical professional if uncertain.