Patient's question:
My little one is 3 years old. For the past half year, he has been feeling nauseous in the morning, vomiting whatever he eats, and spitting it up in a forceful manner within minutes. After vomiting, he says he feels better but still cannot eat. However, his lunch and dinner intake are normal without any of the above symptoms. We are really at a loss about what to do with breakfast.Doctor's answer:
Children's VomitingChildren's vomiting is one of the common diseases in children. Mild vomiting has little impact on health and does not require treatment. Severe vomiting not only ejects a large amount of fluid but also loses electrolytes, leading to symptoms of dehydration and acid-base imbalance, which must be treated urgently.
(1) Fast for 4-6 hours. For mild or moderate dehydration, oral rehydration salts (ORS) can be taken in small, frequent doses. Most children can correct dehydration and acidosis with this method. If it cannot be corrected or the child cannot tolerate oral rehydration, the best approach is intravenous fluid therapy based on blood biochemistry tests.
(2) Treat the underlying cause. For surgical obstructions, surgery should be performed to remove the obstructed segment. If the vomiting is due to medical causes, the underlying disease should be treated.