Replacing Fluids when Your Child is Vomiting

Replacing Fluids when Your Child is Vomiting

When a child is vomiting parents usually have two concerns. First, is the child going to get dehydrated? Second, how do we replace his/her fluids?
When a child is vomiting or has severe diarrhea they can dehydrate. Realize the older a child is the harder it is for the child to become dehydrated. You should become concerned if you see the following signs in your child:
Loss of saliva
Decrease in urine production or number of wet diapers
Loss of tears
Sinking of the soft spot
Racing heart rate
Vomiting blood, coffee ground looking material, or bile

If a child has been vomiting, we do need to replace their fluids but many parents make a common mistake. PARENTS TRY TO REPLACE THE FLUID AS THE CHILD IS STILL VOMITING. YOu need to realize that just after a child has stopped vomiting, his/her stomach is still upset and trying to give the child fluids will result in the vomiting again. Wait 2-3 hours after the vomiting has stopped before offering the child anything. When you do offer them fluids start off with clear liquids (Pedialyte, Jello Water, Gatorade, etc.) and start out slowly.
Give the child 1 tsp. every 15 minutes for an hour, if he/she tolerates this then,
Give the child 2 tsps. every 15 minutes for an hour, if he/she tolerates this then,
Give the child 3 tsps. every 15 minutes for an hour, if he/she tolerates this then,
Give the child 1 oz. every 20-30 minutes.

Do not offer the child any solid food unless he/she asks for it. When you do start solids start with very bland foods (saltines, soft boiled eggs, toast, plain or vanilla yogurt, pudding, etc.)
If your child has diarrhea but no vomiting, we would like to help this with diet changes not medicines if we can. We recommend eliminating milk products (milk, ice cream, cream, etc.) for a few days. For your child’s diet we recommend concentrating on the following in his/her diet but these do not have to be exclusive:
Cheese
Bananas
Rice and rice cereal
Apple sauce
Toast or dry cereal
Yogurt with an active culture