What to do if your two-year-old baby vomits

If a two-year-old baby experiences nausea and vomiting, parents will become very panicked and have no idea what to do. In fact, parents should calm down and take their babies to the hospital for treatment as soon as possible to prevent them from becoming dehydrated when vomiting. They also need to take antiemetic drugs in time to relieve their pain.

The main focus is to find out the cause of the disease, treat the primary disease, and then use symptomatic treatment on this basis.

1. Children who vomit should lie on their side or sit up, and rinse their mouths with warm water after vomiting. Give the child a small amount of fruit juice and light salt water to drink. If the cause is due to improper diet, take a rest and reduce food intake.

2. After vomiting stops or is relieved, give a small amount of lukewarm, easily digestible food or liquid food such as rice soup.

3. Those with dehydration or electrolyte imbalance should be given fluid replacement and electrolyte imbalance should be corrected in a timely manner as needed.

4. Those who vomit frequently should be given antiemetics and sedatives. Such as Lumina, Hibernation Spirit, Metoclopramide suppositories, etc., use Metoclopramide with caution.

4. Antispasmodics, such as belladonna mixture, atropine 654-2, propantheline, and 1% to 2% procaine.

2. The manner or condition of vomiting

Spitting up milk (milk spitting up) refers to a small amount of milk flowing out or spitting out from the corners of the baby's mouth after feeding. In a few babies, milk sometimes sprays out from the mouth and nose. The spit-up is raw milk and is not accompanied by any discomfort. It may be due to improper feeding, overeating, and gas in the stomach. The amount of milk or frequency of feeding should be appropriately reduced, the baby should be fed while sitting down, and the baby should be patted on the back after feeding.

The gastric contents return to the mouth one mouthful at a time or reflux out of the mouth. This symptom usually appears after six months of age. This is a rare rumination phenomenon; it is spit out in large quantities from the mouth or from both the mouth and nostrils. Observe the child for headache, fever, and neuropsychiatric symptoms. Encephalitis, brain tumors, etc. should be excluded, and central nervous system diseases should be excluded.

3. Content and nature of vomitus

(1) The vomitus is clear or foamy mucus and undigested milk or food. It means that the food you eat is blocked from moving downward and the obstruction is above the cardia. It is seen in congenital esophageal atresia in newborns, esophagitis in all age groups, esophageal stenosis and achalasia caused by it, etc.

(2) Vomitus consists of mucus, curds, and stomach contents, indicating that food has entered the stomach. Vomiting can be caused by infectious diseases, gastrointestinal infections and pyloric obstruction. Seen in pyloric hypertrophic stenosis and pyloric valve.

(3) Yellow or green clear mucus-like vomitus, sometimes mixed with a small amount of milk or food. It is common in severe functional vomiting in all age groups; in newborns, it is more common in duodenal atresia or stenosis, annular pancreas and intestinal malrotation.

(4) The vomitus is a yellow-green liquid mixed with a small amount of chyme, which is seen in high jejunal atresia or adhesive intestinal obstruction and intestinal paralysis.

(5) The vomitus is light brown-green and has a fecal-like smell. In the neonatal period, the most common diagnoses are jejunal or colonic atresia, intestinal aganglionosis, or rectal and anal malformations. Other age groups presented with lower gastrointestinal obstruction due to various reasons.

(5) Blood in vomitus or hematemesis is determined by the amount, speed and location of bleeding, and the amount and color of blood in the vomitus. A small amount of blood turns brown after reacting with gastric acid. It can be seen in newborns who swallow amniotic fluid containing maternal blood or suck cracked nipples, neonatal spontaneous hemorrhage, etc.; it can be seen in infants and children with hiatal hernia, repeated severe vomiting due to various reasons, critically ill children with disseminated intravascular coagulation and blood diseases with gastric bleeding; large amounts of vomiting blood are often seen in portal hypertension combined with ruptured esophageal varicose veins or bleeding gastric ulcers.