Quick Assessment
Answer these questions — we'll tell you what to do.
Seek Immediate Care
Warning signs requiring ER or doctor
- Blood in vomit (red or coffee-ground appearance)
- Green or yellow bile in vomit
- Severe dehydration (no tears, sunken eyes, dry mouth)
- No urination for 8+ hours (infants) or 12+ hours (older children)
- Severe abdominal pain or rigid belly
- Signs of shock (pale, cold, weak pulse)
- Difficulty breathing or chest pain
- Confusion or extreme lethargy
Usually Fine at Home
Monitor with home care
- Occasional vomiting with a stomach bug (1-3 times)
- Clear or white vomit without blood or bile
- Mild dehydration that improves with small sips of fluid
- Low-grade fever under 101F / 38.3C
- Tiredness that improves between episodes
- Gradual improvement over 24-48 hours
Frequently Asked Questions
How long should I wait before giving fluids after vomiting?
Wait 30-60 minutes after the last episode, then start with 1 teaspoon every 5 minutes. If that stays down for an hour, gradually increase the amount.
What fluids are best for a vomiting child?
Oral rehydration solutions (Pedialyte) are best. Clear fluids like water, diluted apple juice, or clear broth also work. Avoid dairy, citrus, and sugary drinks.
Should I give anti-nausea medication?
Never give over-the-counter anti-nausea medications to children without consulting your pediatrician first. Many are not safe for children and can mask serious symptoms.
When can my child return to normal eating?
Once vomiting stops for 6-8 hours and they can keep fluids down, try bland foods like crackers, toast, or bananas. Gradually return to normal diet over 24-48 hours.
Is it a stomach bug or something more serious?
Most vomiting in children is from viral gastroenteritis. Warning signs of something more serious: blood or bile in vomit, severe pain, high fever, or signs of dehydration.
This guide is for quick reference and does not replace professional medical advice. When in doubt, call your pediatrician or go to the ER.