Medications for vomiting and fever in kids

When it comes to treating vomiting and fever in children, it’s important to consult with a healthcare provider before administering any medications. Here are some common medications that may be recommended:

• Acetaminophen (Tylenol): This is commonly used to reduce fever and relieve pain in children. It is available in liquid form for younger kids.
• Ibuprofen (Advil, Motrin): Another option for reducing fever and relieving pain. Ibuprofen can be used in children over 6 months old.
• Ondansetron (Zofran): This medication is often prescribed to help prevent vomiting and nausea in children. It comes in different forms, including tablets and liquid.
• Dimenhydrinate (Dramamine): This may be recommended for motion sickness-related vomiting. It is available in chewable tablets or liquid for children.
• Anti-nausea medications: Your healthcare provider may recommend specific anti-nausea medications depending on the cause of vomiting in your child.

Always follow the dosage instructions provided by your healthcare provider or the medication packaging. If your child’s symptoms worsen or if they have any new symptoms, seek medical attention immediately.

What Is Vomiting?

Vomiting, usually caused by viral infections or stomach bugs, can be managed at home and typically resolves within a few days. Dehydration is the primary concern associated with vomiting and must be prevented by ensuring adequate fluid intake.

Do not place babies on their stomachs after vomiting; sleeping on their backs is safest. Toddlers can sleep on their sides or stomachs with their heads turned.

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Liquids You May Give

• Older children can benefit from clear fluids like water to prevent dehydration. Ideal options include lemonade, pulp-free fruit juices, and ice popsicles without creamy or solid additives.
• An oral rehydration solution (ORS) like Pedialyte may be necessary to replenish essential electrolytes and fluids.

Children Younger Than 1 Year of Age:

• ORS
• Normal breast milk or formula intake, avoiding excessive water consumption
• Avoid fruit juices high in sugar content, teas, broths, and opt for appropriate liquids.

Children Older Than 1 Year of Age:

• Water
• Clear liquids
• ORS ice popsicles
• Milk, if tolerated
• Flavored gelatin cubes

How to Give Liquids

During vomiting episodes:

• Introduce clear fluids when the child hasn’t vomited for 30 to 60 minutes, allowing the stomach to settle.
• Continue breastfeeding without interruption and increase nursing frequency.
• If giving ORS, pause formula feeds temporarily and resume once feasible.
• Start with small, frequent sips of fluids to reduce vomiting episodes.
• Offer ice chips or popsicles to help keep the child hydrated.
• Avoid giving citrus juices or carbonated drinks, as they may worsen vomiting.
• Monitor the child’s hydration status closely and seek medical help if dehydration is a concern.

Amount of Liquid to Give to Prevent Dehydration

Child’s Weight

Minimum Goal to Give Every Hour*

At least 2 ounces (4 tablespoons or ¼ cup)

At least 2½ ounces (5 tablespoons)

Consume at least 3½ ounces of liquid per hour

Consume at least 6½ ounces of liquid per hour

Consume at least 10 ounces of liquid per hour

* Minimum fluid goals per hour may increase with vomiting, diarrhea, or fever

Solid Foods

• During vomiting episodes, solid foods may not be well-tolerated. Focus on fluid intake and consider skipping meals until appetite returns.
• After several hours of clear liquids and no vomiting, introduce bland starchy foods like cereals, crackers, or bread. Avoid sugary, fried, or red-colored foods resembling blood.

Other Things to Know

Medication: Refrain from administering adult medications to young children without medical approval. WARNING: Avoid giving any medications without professional guidance.

Rest: Ensure adequate rest for the child to aid recovery and alleviate vomiting.

Preventing the Spread of Infection

To prevent viral transmission and protect others:

• Practice hand hygiene after using the toilet and before meals.
• Frequently disinfect hands, utensils, and surfaces coming in contact with the child or vomit using soap, water, or hand sanitizer.
• Isolate personal items such as toys and clothes and wash them thoroughly with hot, soapy water.
• Disinfect toilets and surfaces with suitable sanitizers or alcohol wipes, allowing them to dry for 15 seconds.
• When changing diapers, always use fresh wipes or cloths and promptly dispose of used diapers.
• Ensure that all family members receive recommended vaccinations to prevent the spread of infectious diseases.
• Teach children proper coughing and sneezing etiquette, such as covering their mouth and nose with a tissue or their elbow.
• Encourage sick family members to stay home to prevent the spread of illness to others.
• Regularly clean and disinfect commonly touched surfaces in the home, such as doorknobs, light switches, and remote controls.

When To Call the Doctor

Should symptoms worsen, not improve within 24 hours, the child refuses breastfeeding, or displays concerning signs, contact a healthcare provider immediately. Look out for:

• Increased or frequent vomiting with unusual coloration or blood
• Signs of dehydration

healthdirect Australia provides free consultations for guidance on necessary actions.

It is important to monitor your child if they are experiencing vomiting. Some additional important information to keep in mind includes:

• Offer small sips of clear fluids to prevent dehydration
• Avoid giving your child solid foods until the vomiting has subsided
• Keep an eye out for signs of dehydration such as dry mouth, decreased urination, and lethargy
• If your child’s vomiting is severe, persistent, or accompanied by other concerning symptoms, seek medical attention immediately

Key facts

• Babies may spit up after feeding, which is different from vomiting.
• Viral gastroenteritis is a common cause of vomiting in children.
• Excessive vomiting can lead to dehydration.
• If vomiting persists, seek medical advice.
• Offer oral rehydration solution to maintain hydration.

What is vomiting?

Vomiting is a common symptom in children that requires medical attention. Monitor your child’s condition carefully if they vomit.

While babies may regurgitate food effortlessly after feeding, vomiting involves forceful muscle contractions in the stomach.

There is an increased risk of dehydration for babies and children during vomiting episodes, often caused by conditions like viral gastroenteritis.

It is important to stay hydrated and seek medical attention if vomiting persists, especially in young children.

Other causes of vomiting in children can include food allergies, infections, motion sickness, and even stress or anxiety.

What symptoms are related to vomiting in children?

Children who vomit often have additional symptoms like diarrhea, nausea, difficulty breathing, or projectile vomiting. Use the Symptom Checker to assess the need for medical attention.

What causes vomiting in children?

Vomiting can result from an infection or indicate a more serious underlying condition. Possible causes include gastroenteritis, food poisoning, poisoning, COVID-19, and urinary tract infections.

Gastroenteritis

Gastroenteritis is linked to infections in the digestive system caused by viruses or bacteria. Symptoms include vomiting, diarrhea, fever, and abdominal pain, with a higher risk of dehydration in children.

Food poisoning

Food poisoning can stem from improperly prepared or stored food infected with germs, leading to severe symptoms similar to gastroenteritis. Hydrate babies and young children at risk of dehydration from food poisoning.

Poisoning

If poisoning is suspected, contact the Poisons Information Centre immediately for guidance. Prevent poisoning in children, which may present symptoms like nausea, vomiting, drowsiness, and breathing issues, and avoid inducing vomiting without professional advice.

Urinary tract infections

Vomiting can be a sign of a urinary tract infection in children, manifesting vague symptoms like fever, irritability, and smelly urine.

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