- Do not confuse vomiting and “spitting up.” Vomiting is the forceful ejection of stomach content. Whereas spitting up refers to the small amount of feeding that comes up (easily, not forcibly) after eating or with burping.
- Treatment of vomiting (as per The American Academy of Pediatrics):
- Once vomiting has ceased for 2-3 hours, offer 1-2 ounces of water every half hour to hour for four feedings.
- Once retained, offer 2 ounces of Pedialyte and alternate with 2 ounces water every half hour for next 2 feeds.
- If retained, offer half strength formula/breastmilk every 3 to 4 hours and increase slowly to 3 to 4 ounces.
- Solids can be given if no vomiting occurs after 12-24 hours.
- Notify your pediatrician if:
- Vomiting is projectile.
- Vomit is green/yellow in color.
- Vomit is bloody or looks like coffee grounds.
- If baby is less than 1 month and has had 2 back to back episodes of vomiting. Or if older than 1 month, and has had 3 or more consecutive vomiting episodes.
- Has been vomiting for 12 hours.
- Has signs of dehydration.
- Vomiting occurs with head injury or present only in the morning.
Author : Diba Tillery RN, BSN, IBCLC, CPST
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