Some common causes of vomiting in children include infections such as gastroenteritis, motion sickness, food poisoning, or even emotional stress. In younger children, vomiting can also be caused by overeating or feeding too quickly. It is important to identify the underlying cause of vomiting in order to determine the appropriate treatment.
When assessing a child with vomiting, it is important to consider any accompanying symptoms such as fever, abdominal pain, or changes in behavior. Severe or persistent vomiting may require medical attention to prevent dehydration and further complications.
Management of vomiting in children may involve rehydrating with oral rehydration solutions, adjusting the diet to include bland and easily digestible foods, and monitoring for any signs of improvement or worsening. In some cases, medication may be prescribed to help control nausea and vomiting.
Overall, understanding the causes of vomiting and properly evaluating and managing it in children is essential for ensuring their well-being and preventing complications. It is always advisable to consult a healthcare provider if you have concerns about your child’s vomiting.
Reasons Behind Vomiting
Vomiting occurs when the part of the brain that triggers vomiting is activated by various stimuli from different parts of the body. The reasons for vomiting can be mild or potentially life-threatening, requiring prompt assessment in certain cases.
Common Causes in Children
In children, common causes of vomiting include gastroenteritis, food poisoning, motion sickness, and migraines. Other possible reasons for vomiting in children include appendicitis, urinary tract infections, and psychological factors such as stress or anxiety.
Common Causes in Adults
Adults may experience vomiting due to various reasons such as gastrointestinal infections, food allergies, alcohol consumption, medication side effects, and gastritis. In some cases, vomiting in adults can be a symptom of more serious conditions like pancreatitis, kidney stones, or even heart attacks.
When to Seek Medical Attention

Regardless of age, vomiting that is persistent, accompanied by severe abdominal pain, blood in vomit, dehydration, confusion, or difficulty breathing requires immediate medical attention. It is important to consult a healthcare provider if vomiting persists for more than a couple of days or if there are other concerning symptoms present.
Causes of Nausea and Vomiting
Nausea and vomiting can be triggered by infections affecting the gastrointestinal and other systems, as well as serious problems like meningitis and acute abdomen. Adolescents might experience vomiting due to reasons like pregnancy, eating disorders, or ingesting harmful substances.
Other common causes of nausea and vomiting include motion sickness, migraines, chemotherapy, food poisoning, and side effects of medications. In some cases, psychological factors such as stress, anxiety, or panic attacks can also lead to these symptoms.
It is important to seek medical attention if nausea and vomiting are severe, persistent, or accompanied by other concerning symptoms such as fever, abdominal pain, or dehydration. Treatment will depend on the underlying cause and may include medication, lifestyle changes, or other interventions as recommended by healthcare professionals.
Evaluation and Diagnosis

To address vomiting, it is crucial to assess its severity and identify the root cause for appropriate treatment.
Medical Assessment Process
Present medical history should establish when vomiting started, how often it occurs, and its nature, particularly consistency and any accompanying symptoms like diarrhea, fever, or stomach pain.
Review of the body’s systems should look for signs of underlying ailments, such as weakness, headaches, or skin issues.
Past medical history should make note of travels, head injuries, or risky sexual behavior.
Physical Examination
Checking vital signs helps in identifying signs of infection and dehydration.
A general examination should look for signs of distress, changes in weight, and abnormalities on the skin.
Examining the heart and abdomen is essential for spotting potential issues.
Observing the skin and extremities may provide specific clues.
Tracking growth parameters and developmental milestones is important.
Key Concerns and Intervention
Issues of concern include lethargy, bulging fontanelle, stiffness in the neck, abdominal symptoms, and persistent vomiting leading to poor growth.
Emergency Situations
Early observations can help determine the seriousness of the condition and the need for immediate action. Specific symptoms in babies, kids, or teenagers may hint at severe conditions like digestive blockages or meningitis.
Required Testing and Studies
Tests or imaging scans should target suspected disorders. Testing serum electrolytes might be necessary if dehydration is suspected or vomiting persists for a long time.
Treatment and Management of Vomiting
Treating the root cause is vital, with rehydration playing a key role in management. Caution is advised when using antiemetics in children above two years when vomiting becomes severe.
Specific Causes of Vomiting
Vomiting can stem from conditions like sudden viral infections affecting the digestive system and may be joined by symptoms such as diarrhea. Specific signs like yellow or green vomit, bloody stools, or absence of bowel movements can hint at obstruction as the cause.
Seek Medical Attention If:
- Your child experiences abrupt and intense stomach pains, appears floppy, irritable, or less responsive
- Shows symptoms of a headache, stiff neck, and a rash
- There is a possibility of ingesting toxic substances
- Blood is visible in the vomit or it resembles ground coffee
- The vomit appears green or yellow-green
- They have a stiff neck and are sensitive to bright lights
Consult a Doctor If:
- Your child vomits continuously and cannot retain fluids
- You suspect dehydration – signs include a dry mouth, absence of tears when crying, reduced urination, and drowsiness
- The vomit is green or contains blood
- Vomiting persists for more than a day or two
- Vomiting is accompanied by signs of infection like high fever and irritability
- You have concerns about your child’s condition
- They stop breastfeeding or bottle feeding while ill
- Your baby has vomited three times or more in the past 24 hours
If your general practitioner is unavailable, contact the emergency medical service at 111.
In addition to giving clear liquids, you can also try giving your child small, frequent meals to help prevent vomiting. Avoid spicy, greasy, or heavy foods that could exacerbate their symptoms.
It’s important to monitor your child’s hydration levels by checking for signs of dehydration such as dry mouth, sunken eyes, or decreased urine output. Encourage them to drink water or oral rehydration solutions to keep them hydrated.
If your child continues to vomit or shows signs of severe dehydration such as lethargy or rapid breathing, seek medical attention immediately. It’s better to be cautious and consult a healthcare professional if you have any concerns about your child’s health.
Remember to wash your hands frequently and disinfect surfaces to prevent the spread of germs within your household. And most importantly, provide your child with comfort and reassurance during this uncomfortable time.