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KidsCare Online

Vomiting

Should I Call?

	Call 911 Now (your child may need an ambulance) IF Unresponsive or difficult to awaken. Not moving or too weak to stand.
	Call Your Doctor NOW (night or day) IF your child has any ONE of the following: Your child looks or acts very sick. Confused (delirious). Stiff neck, severe headache or bulging soft spot. Headache. You suspect poisoning with a plant, medicine, or other chemical. Signs of dehydration (e.g., very dry mouth, no tears and no urine in more than 8 hours). Blood in the vomit that's not from a nosebleed. Bile (yellow or green) in the vomit. Abdominal pain is also present. (EXCEPTION: abdominal pain or crying just before and improved by vomiting is quite common and need not be seen). Fever above 105°F (40.6°C). Age less than 12 weeks old with fever above 100.4°F (38°C) rectally. Age less than 12 weeks with vomiting 2 or more times.(EXCEPTION: spitting up). Age less than 12 months old who has vomited Pedialyte (or other brand of ORS/Oral Rehydrating Solution) 3 or more times and also has watery diarrhea. Receiving Pedialyte (or other clear fluids if age is over 1 year) and continues to vomit everything up for more than 8 hours . High-risk child (e.g., diabetes mellitus, recent abdominal injury, head injury). Vomiting an essential medicine. Action: If you are unable to reach your doctor - go to a nearby KidsCare clinic or to a local hospital Emergency Department. Use our Facility Search to find an urgent care clinic near you.
	Call Your Doctor WITHIN 24 HOURS (during regular daytime office hours) IF: You think your child needs to be seen. Fever present longer than 3 days. Has vomited for more than 24 hours.
	Call Your Doctor DURING WEEKDAY OFFICE HOURS IF: You have other questions or concerns. Vomiting is a recurrent problem.
	Provide Care at Home to children for: Mild vomiting (probably viral gastritis) and you don't think your child needs to be seen.