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Q: My 6-year-old vomited 4 times in an hour. When should I go to the ER?

  • Myeongchan Kim
  • 1 day ago
  • 2 min read

This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.



Question:

My 6-year-old started vomiting and has thrown up four times, about once every hour. The amount of vomit has significantly decreased from the first time to the last. How much more vomiting warrants a trip to the emergency room? Is it okay to monitor my child at home and go to the pediatrician in the morning?


Answer:

It must be alarming that your child has vomited four times in as many hours.


【3 Things to Check Right Now】

• Lips or skin are dry, or no urination for more than 6 hours.

• The child is persistently lethargic or has difficulty making eye contact.

• The vomit contains green bile or blood.


→ If any of the above apply → Go to the ER now


【When You Can Monitor at Home】

• The amount of vomit is decreasing.

• The child is responsive and makes eye contact between episodes.

• Lips are moist and the child is urinating.


→ What to Do Tonight

1. Withhold food and drink for 30-60 minutes to let the stomach rest.

2. Afterward, try giving one spoonful of cool water every 5 minutes.

3. If there's no vomiting for 30 minutes, gradually increase the amount.

4. Lay the child on their side to keep their airway clear.


【Signs to See a Pediatrician in the Morning】

• No urination for more than 12 hours.

• Continues to vomit even small sips of water.

• Abdominal pain worsens or the belly feels hard.

• Fever is present along with lethargy.


Key Takeaway: If the amount of vomit is decreasing and your child is responsive → You can try offering small amounts of fluids and observe. If signs of dehydration appear or vomiting persists → Seek medical evaluation the same day.



For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.








 
 
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