Vomiting in newborns and infants

Content

A symptom such as vomiting in a small child can be a non-dangerous symptom if, for example, it appears after overeating. However, much more often vomiting of the child’s body signals adults to various diseases. Why does a child have vomiting episodes, how is it dangerous and how can you help your baby?

Baby in my mother's arms with a column
Vomiting in an infant requires special attention.

Symptoms and possible causes, what to do?

Cause

Additional symptoms

What to do

Binge eating

No other adverse symptoms.

Reassure the child and continue to try not to bathe and shake the child after eating, and also not to give him more food than he should eat at his age.

Prolonged crying

There are usually no other symptoms.

Try to calm the baby and monitor the condition of the baby, and if vomiting repeats, call the pediatrician.

Intestinal infections

Diarrhea, abdominal pain, fever

Call the pediatrician at home, start giving the child medication for rehydration.

New Blend

Sometimes changes in stool and allergies

Call the pediatrician to make sure that the cause of vomiting is indeed a mixture change. Together with your doctor to choose the right food and not to change it, if there is no good reason.

New product complementary foods

Other symptoms are usually absent and the vomiting itself is one-time.

Watch some time for the baby and be more careful with the introduction of new meals. Give the baby only fresh and not expired products.

Poisoning

Stool changes (diarrhea), abdominal pain, nausea, fever

Immediately call a doctor and make sure that your baby does not become dehydrated.

Foreign body in the esophagus

Restless behavior of the child, excessive salivation, breathing problems, sometimes mucus and blood in the vomit.

If you suspect that a baby could swallow a large object, you should immediately call an ambulance.

Concussion

Long crying, loss of consciousness, drowsiness, discoordination of movements, pallor

Immediately call an ambulance.

Appendicitis

Acute abdominal pain, fever, weakness, nausea, restless behavior of babies, strong crying

Seek medical attention without delay, as this is a dangerous surgical pathology, which in newborns and babies has a large percentage of mortality.

Intestinal obstruction

Strong abdominal distention, admixture of bile in the masses released during vomiting, intense crying, anxiety, bloody stools like red jelly

Seek medical attention immediately, as this is a very life-threatening illness.

Allergic reactions or individual intolerance to products

Diarrhea, skin rash, restless behavior of the child

You should contact your child with a pediatrician, as well as an allergist.

ARVI

High fever, cough, sore throat and other symptoms

Refer to the pediatrician who will prescribe the appropriate treatment.

Congenital abnormalities of the digestive system

Restless behavior of the baby during feeding, impaired stool, abdominal distension, weight loss

Having noticed problems with the work of the digestive system in a child, one should consult a doctor and be examined by the gastrointestinal tract.

Congenital developmental pathologies or birth injuries of the nervous system

Drowsiness, convulsions, increased irritability, tremor, strabismus and other neurological symptoms

The child should be shown to a neurologist, who will prescribe a suitable treatment.

Meningitis

Cramps, high body temperature, skin rashes

Call an ambulance without delay, as the treatment of this disease should be started as soon as possible.

Whooping coughpharyngitis or sore throat

Bouts of cough, sore throat

Call the pediatrician and follow his instructions.

Heatstroke

Flaccidity, rapid pulse, hot, dry skin, reddening of the skin, dizziness, nausea, rapid breathing

Having noticed the signs of heat stroke, you should immediately call an ambulance, and before the arrival of the doctors, put the baby in a cool place, making sure that the child’s head is on its side.

Inguinal hernia

The appearance of a bulge in the groin area

Refer the child to the surgeon.

Cyclic vomiting syndrome

Nausea, abdominal pain, weakness, pallor. All symptoms appear in a healthy baby and disappear without treatment.

Show the child to the pediatrician to rule out other causes of bouts of vomiting.

How to distinguish from regurgitation?

In a small child, who often spits up after eating, it is important to be able to distinguish this harmless condition from vomiting, which can be a danger to the health and life of the child:

Regurgitation

Vomiting

Predominantly physiological process caused by the immaturity of the digestive tract

Mostly a symptom of the disease caused by irritation of the vomiting center or receptors in the digestive tract

Occurs after a meal - usually in 10-15 minutes, but may appear 30 minutes after feeding.

May occur regardless of meal

Usually occurs once

May be multiple

Milk is released, which may be undigested or curled up.

Partially or fully digested food is emitted, masses with an unpleasant odor, may be yellowish in color and with impurities.

The amount allocated small

The volume of the selected masses can be large

No gagging

There are gagging urges

Milk flows without pressure

The contents of the stomach dramatically thrown out, vomiting is possible fountain

The general condition is not broken

General condition deteriorated

The weight of the child does not decrease

A child can lose weight

The child is calm

The child is restless

No other disease symptoms

Often, other symptoms of the disease join, such as diarrhea, nausea, saliva, high fever

Danger of vomiting

Although vomiting is a defensive reflex that helps eliminate toxins, microorganisms, foreign bodies, or excess food from the body, quite often it is dangerous for a newborn or infant baby.

Primarily, vomiting is dangerous at the risk of causing a dehydration condition. The child loses mineral salts and fluid, their balance in the tissues is disturbed, which affects the work of the whole organism of the baby. And the smaller the crumb, the more dangerous for him such a loss. As soon as parents notice that the baby’s skin has become dry, the fontanel is sunk, the baby cries without tears, sluggish, there has been no urination for a long time, the baby’s weight has decreased, you should immediately call the doctor.

Another unsafe consequence of vomiting may be vomiting in the infant's airway. This is very dangerous, so during an attack of vomiting, the child should be positioned vertically, and in a recumbent position during sleep the crumb must always be with his head turned to the side.

Another danger for babies with frequent vomiting is weight loss. For an infant, weight is an important indicator, especially if the infant is lightweight or premature.

Newborn
Dehydration of the baby can be especially dangerous.

What to do?

If vomiting occurs in an infant, it is important to carefully observe the condition of the infant and make sure that it is not regurgitation. In most cases, such a symptom at such an early age should be a reason for referring to a pediatrician. It is better to be safe and show the crumbs to the doctor when the cause of vomiting is a dangerous situation than to miss the time and wait for a severe deterioration of the infant's condition.

When to call a doctor?

Parents must seek medical help in the following situations:

  • The child is crying a lot, very restless, he has severe abdominal pain.
  • If vomiting is present, the child does not have a chair.
  • Symptoms of dehydration began to appear.
  • Vomiting repeated many times.
  • Emetic masses stand out fountain.
  • Vomiting was joined by frequent stools.
  • Before vomiting, the child fell from a height or hit his head.
  • In the vomit there are blotches of blood, the masses have a brown or black color.
  • The child has a fever, he is drowsy and lethargic.
  • The kid refuses to eat and drink.
  • With vomiting stands out everything that the baby ate and drank.
Examination of the baby at the doctor
Vomiting is a dangerous symptom in which you must call a doctor

Treatment

Features of treatment of vomiting will depend on the cause that led to the appearance of this symptom in an infant. In this case, parents should remember that the main danger of attacks of vomiting lies in dehydration.

What to do before the arrival of the doctor?

  • It is important not to start panicking, but to calmly wait for the pediatrician, being with the child.
  • Baby should be in a vertical position.
  • Try to move less child.
  • Wash baby after each episode of vomiting and rinse the mouth of the crumbs.
  • Do not feed the baby any other food other than breast milk or the usual mixture.
  • Let's crumble drinking solutions with electrolytes.
  • If you gave the baby a solution, and after that there was again an attack of vomiting, try to give the solution a drink again.
  • Do not give any other drugs.

What give liquids?

To prevent dehydration, give the baby plenty of fluids. If the baby receives breast milk, it is necessary to apply the baby to the breast very often. The best option for replenishing the fluid lost during vomiting will be the use of special pharmaceutical mixtures of electrolytes.

If it is not possible to give the pharmacy drugs for rehydration to the baby, you can prepare the solution for sealing yourself, by dissolving salt (a teaspoon without a slide) and sugar (4-5 teaspoons) in boiled water (1 liter). Store this solution can be up to 24 hours. It should be given to the baby several milliliters every 5-10 minutes.

Syringe without gol for fluid injection
If the child refuses to drink the rehydration apparatus himself, gradually pour the liquid into his mouth from a syringe without a needle.

A child with vomiting cannot be treated with rice water, fruit juices, carbonated drinks, any kind of tea, or chicken broth or cow's milk. The use of such drinks can further increase the symptoms of dehydration.

The most important thing in the treatment of vomiting is to replenish the waste of a child’s fluid, and no medication can replace the otpivanie baby after episodes of vomiting. In addition, any drugs for infants should be prescribed by a doctor, as self-treatment of such young children is very dangerous for their life.

Antibiotics

When a child begins to vomit and diarrhea joins her, some parents think about antibiotics. However, in young children, the use of antibacterial agents can be dangerous and cause a number of complications. Only a doctor should prescribe an antibiotic to a baby with vomiting.

Antidiarrheal drugs with diarrhea

Both vomiting and liquefied stools are defensive reactions that help to remove harmful substances, bacteria and toxins from the baby’s body more quickly. The use of anti-diarrhea slows down the purification of the gastrointestinal tract from such substances, which often leads to deterioration.Prescribing antidiarrheal drugs should be done only by a doctor and is justified only in cases of very heavy diarrhea, when the stool is watery and the child loses a lot of fluid with them.

Enterosorbents

This group of drugs is considered relatively safe for children, but when it comes to treating infants, any medication should be given to the child very carefully. Sometimes the use of sorbents causes serious complications in young children.

The baby is drinking from the spoon
Before the arrival of the doctor, you can safely give your baby special salt solutions.

Zinc

Studies have confirmed the effectiveness of the use of zinc in the treatment of diarrhea in children. However, before giving these drugs to an infant, it is imperative to discuss this treatment with a pediatrician.

Prebiotics and Probiotics

Prescription of drugs of these groups is justified in situations when vomiting was caused by a bacterial or viral intestinal infection, as well as when the baby was treated with antibacterial agents.

How to understand that treatment does not help?

You should be alerted by the following signs:

  • Despite the measures taken, the condition of the crumbs worsened.
  • Neither vomiting nor diarrhea becomes weaker in the last 24 hours.
  • The baby has lethargy and drowsiness.
  • You began to give the child a lot of drinking, and vomiting increased.
Information provided for reference purposes. Do not self-medicate. At the first symptoms of the disease, consult a doctor.

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