(from viral gastritis or staph food poisoning)
1. Vomiting is often caused from a stomach virus. It usually stops in
12 often to 24 hours. Help your child go to sleep for a few hours. Sleep empties the stomach and relieves the need to vomit.
2. Offer Small Amounts of Clear Fluids for 8 Hours.
 Water or ice chips are best for vomiting without diarrhea. (Water is directly absorbed across the stomach wall). Exception: vomiting with watery diarrhea needs ORS (oral rehydration solution, such as
Pedialyte). If child refuses ORS, give 1/2 strength Gatorade.
 Give small amounts (1 tablespoon) every 5 minutes.
 Other options are 1/2 strength lemon-lime soda, popsicles, ORS frozen pops.
 After 4 hours without vomiting, double the amounts.
 After 8 hours without vomiting, add solids.
-Limit solids to bland foods for 24 hours
Think
-Examples are soda crackers, white bread, mashed potatoes, rice.
"white foods."
-Normal diet OK in 24-48 hours.
3. Avoid Medicines. Discontinue all non-essential medicines for 8 hours. They usually make vomiting worse. Avoid all nonsteroidal anti- inflammatory drugs. Consider acetaminophen suppositories if the fever really needs medication (>104 degrees F).
4. For Severe or Continuous Vomiting, but Well-Hydrated.
Sometimes children vomit almost everything for 3 or 4 hours, even if given in small amounts. However, some fluid is being absorbed and this will help prevent dehydration. Continue offering clear fluids.
Sleeping for a few hours may also help your child stop vomiting, but awaken if more than 3 hours pass without fluids.
5. Expected Course: Vomiting from viral gastritis usually stops in 12-24 hours. If diarrhea is present, it usually continues for several days.
6. Call your doctor if:
 Vomits everything for over 12 hours.
 Isolated vomiting persists more than 48 hours.
 Mild vomiting associated with diarrhea persists over 1 week.
 Signs of dehydration

 Your child becomes worse.
Source: Pediatric Telephone Protocols, Barton D. Schmitt, MD, American
Academy of Pediatrics