The child vomited at night, what to do? Our heavy treatment. Intestinal infection or rotavirus

From my experience I can say that:

1. with any intestinal infection in children, accompanied by vomiting and diarrhea, it is important to water the child; if he drinks little, drink at night. The main thing is to prevent dehydration and not lose time;
2. trust your intuition and look objectively at the situation. Do not rush to the hospital if it is possible to treat at home, but do not hesitate if you cannot cope with the situation. Do not be afraid to call a doctor at home, even if you have refused the hospital. Do not be afraid in the hospital to demand that they take measures beyond those that you have already been able to take at home;
3. believe in recovery!

When a baby is sick, any normal mother is ready to take all the illness or part of the child's pain for herself and do everything so that the baby recovers as soon as possible.

My son is not a frequently ill child, there were illnesses, but the last illness he experienced was the most difficult for me and the child. My son is 2.5 years old.

Dad brought this infection from work, hoping that the child would bypass the disease, that only we, adults, would experience the signs of the disease. But a day after me, after a daytime sleep, my son came up to me and said: “I feel bad,” at that very moment he vomited. There was no doubt that he was infected.

The son himself asked for water, but vomiting immediately arose. At the same time, because of the same rotavirus, my one-year-old niece was in the hospital with her mother. My sister's advice set me on the path to a speedy recovery at home. The most important thing that was said: "Drink, prevent dehydration, drink even at night a spoonful every 10-15 minutes."

Motilium, enterofuril, rehydron, smecta were bought. But the child vomited from the right dose. He does not drink the required dose of motilium, but in parts - there is no result. I tried to give a teaspoon. I'm calling for an emergency. The doctor comes, nothing new is added. I ask about an injection of an anti-vomiting drug in a child to give the right amount of medicine, but the doctor refuses, citing the fact that this is a serious drug and the heart may stop.

First night. I don’t sleep, bending over the baby’s crib, I detect every 15 minutes, I give a spoonful from a syringe, then rehydron, then smecta, then just water, then enterofuril. Drinks twice, vomits the third time. The child is already vomiting bile, I don’t even have time to give a spoonful of water. I call "03", I ask again for an injection (I find out that in the hospital even a one-year-old child was given this injection), the doctors categorically refuse, they say that they do not do it until 3 years old. Are they lying or just don't want to take responsibility? The instructions say - contraindications up to 2 years! How can we get drunk then?

Medics "ambulance" insistently offer to go to the hospital. After much arguing, I refuse. The sister said that as long as there is no dehydration, in the hospital they will tell mothers to solder in the same way, and there is no point in the hospital. Rotavirus in children is successfully treated at home.

Not sleeping. I write in my notebook:

00.00 - 1 tsp water
00.15 - 1 tsp smects
...
4.45 - 1 tsp water
5.00 - 1 tsp rehydron
5.15 - 1 tsp smects
5.30 - 1 tsp enterofuril with water - vomiting
5.45 - 1 tsp water
6:00 p.m. - he asks for more water. I limit.

He asks again: "Mommy, I still want to drink." “You can’t. Be patient, I’ll give you a spoon in another 10 minutes, be patient a little,” I tell the child, and tears appear at the very edge. The son whimpers and falls asleep.

At 9.00 a doctor arrives from the ambulance, checking after the ambulance. Examines, reassures that it is far from dehydration, but it is necessary to drink. I ask for an injection against vomiting to give an antibiotic. She refuses, but the child begins to vomit in front of her, vomits with saliva alone, the son is pale, crying. The doctor undresses, silently takes out an ampoule with antiemetic medicine and makes an injection. He says that he will call back in 3 hours and if it doesn’t get any easier, he will unconditionally send him to the hospital.

And here I make my first mistake out of inexperience. Afraid of provoking vomiting, I give my son not the entire dose of enterofuril, but only a part, an hour later a small part. The action of the antiemetic wears off and the child starts to feel sick again. I continue to drink.

In the morning, the child wakes up, but only for a while: he asks to drink, drinks, vomits, I limit drinking, falls asleep. Pale, weak. Lying down, not getting up. Wake up and immediately fall asleep. My life is also scheduled for 15 minutes. I pray for every spoonful that I don't vomit. I thank God that a spoonful of water was assimilated. But the son did not get any easier.

The second night, I try not to sleep, I'm afraid to miss the time: I sit by the bed, fall asleep, set an alarm clock with a repeat every 15 minutes. Vomiting seems to have become less frequent, but the child is still weak and if given a lot, he vomits. I notice that for some reason enterofuril especially provokes vomiting.

17.15 already the second day - I peed! Hooray! But the child is sick. I am talking with a friend, I find out that I am giving the antibiotic incorrectly, it must be given strictly in doses, and there is no point in crushing it, there will be no result. I am in a panic, at my own peril and risk, I ask a friend to give an antiemetic injection to give the right dose. The injection was made, the medicine was drunk and completely absorbed. The son falls asleep instantly. I sit over him, listen to breathing, put my hand on the baby and feel how he breathes.

Another sleepless night ahead. Third. It’s impossible not to sleep at all, I fall asleep, I set the alarm clock again, I sleep for 15 minutes. No, sometimes I sleep more: I just overslept - I didn’t drink for an hour. Horror and fear: I overslept, how is it possible, why the body no longer responds to the alarm clock ... You can’t sleep. I get up, go to the kitchen, do business, just not to sleep. I hold on, I sing every 15 minutes.

In the morning I call the local doctor. I describe the situation. The doctor gives 3 treatment options:

• refuse enterofuril and continue treatment with water, just solder;
• go to hospital;
• prick 2 times a day antiemetic and give an antibiotic.

Considering that there will still be water treatment in the hospital, there is no point in the hospital yet. To be treated on the water - we have been treating for 3 days. I have never seen my little one so weak. He sleeps day and night. By evening, the temperature even rose to 37.7. Fortunately, she did not get up like that again during her illness.

It seems that he has already weakened so much that he needs to be fed. I'm scouring the internet for our anti-emetic shots. I do not find any dangerous cases or categorical contraindications. It remains to accept the second option. After the injection and the medicine, I begin to feed, I give jelly from the syringe, thin porridge for a teaspoon, two. I alternate with water and already dried fruit compote.

Morning. Went on the 4th day. The son woke up and I see that he is already more cheerful, but pale. He asks to eat. I still keep it on the water, jelly. We are already playing, reading books and no longer falls asleep right away, and even played until lunch! Hooray! Probably, you can already feed. I made a porridge. I give you a spoon. He asks for more. I ask my son to be patient, after 10 minutes I give another spoonful. Then he asks for a drink. Everything is fine. After a while, I increase the dose: I give 3 spoons. Washes down. Then he is put to sleep.

Sleep, dear. Gets up, cries: "Mom, it's bad." He vomits everything eaten right on the bed. It seems that there is nothing, but he is sick. Something brown or even red, terrible thoughts, I call my sister. We conclude that she simply overfed. I'm calling a doctor. The doctor comes, looks at the towel: it's not blood, it doesn't look like it. But if it doesn't get better, call 03.

Again without food. The son cries, asks to eat. It's incredibly hard. I could not even imagine that someday a child would ask me to feed him, and I would refuse.

- Mom, give me a drink.
- Wait 15 minutes and ladies.

In 2 minutes:

“Mom, is everything?” Can I drink?
- No, just be patient, 5 more minutes ...

I distract, I talk to him on other topics. Time passes, and again I give to drink ...

Again the night and again solder. While the injection is still working, I feed it with porridge. I stroke my son on the back and feel how the ribs are already sticking out. Lose weight, little one.

Well, at least he pees 2 times a day, he reassures that I sing for good reason.

5th day. The child is still pale, the skin is dry, but the appetite has appeared.

Mom, let's go to the kitchen.

Dad eats pancake.

- I want too.
- You can't do that. It has bitter berries.
- I want one.
- There are bitter berries.
- Show me.

I cut the pancake and show the berries, I say that they are bitter.

- Mom, let's bake ours.
- You can't now.
- Mom, I want a pancake.
- Let's do something else.
“No, I want pancakes,” he takes out flour.
- She is already bad, there are worms wound up, let's throw it away.
“Then let’s go to the Platypus and order some flour.”
“Let’s go,” I distract with an order, I give only drink for now. And there are tears in his eyes: the little one wants to eat, but I'm just afraid that his stomach is not yet ready to take food.

We made a porridge, I give 2 tablespoons per hour, the rest is compote, jelly, water, 2 tablespoons every 15 minutes.

“I still want to eat,” the son says. I give every half an hour 2 spoons, but no more. I remember that yesterday it led to vomiting. Although there should be improvement, we began to drink antibiotics.

By evening, she began to give half a cookie. Eats, asks for more, cries. They began to go outside, or rather, to walk in a stroller, distracting from food and breathing fresh spring air.

And in the evening, another injection, I decide to inject for the last time, to see if he doesn’t feel sick without an injection? The son is crying and also asks not to give an injection. Either stress for the injection, or the drug is so serious - after it, the son falls asleep instantly. And he sleeps very soundly. So tight that I listen closely to his breathing. I'm afraid: I'm fattening up again, already more, I'm already starting to sleep for an hour. Once an hour more porridge and compote. Thank God it doesn't vomit.

Morning. Without an injection. I give a plate of porridge, a small one, but this is no longer 2 spoons. He eats everything, then asks for more. And later I give the medicine and I hope that we are already recovering. And a miracle happens, on the 6th day of his illness, his son does not vomit after taking the medicine. He calmly drinks medicine and plays. We go outside, eat cookies and porridge. And the son is asking for food more and more. I limit.

Night: no such fattening is required, but it seems that he has lost so much weight that a nightly porridge will only benefit him. I don’t have the strength to get up, the body simply refuses to respond to the alarm clock, and yet I get up 3 times and give cereal and compote.

7th day. We resume the usual diet, although not quite. Diet, strict diet, no milk, eggs, fresh bread, vegetarian soups are allowed. Still, it's better than feeding every 15 minutes! We went to the clinic, passed blood and urine tests. Weighed in. Only 12 kg, but it was almost 13.

It’s already the 8th day, and the son can’t eat in any way, all the time he asks for cookies, then porridge for more, then mashed potatoes. Eat, eat for health, my little one!

From the editor. The article reflects the personal experience of the author and cannot serve as instructions for treatment. In case of illness, a doctor's consultation is necessary.

Severe vomiting without diarrhea and temperature can be a sign of a number of diseases: pathologies of the gastrointestinal tract (GIT) and inflammation of the digestive organs, neurological abnormalities, problems with the endocrine system, traumatic brain injury. It is important in this situation to exclude cases of acute surgery - appendicitis and intestinal obstruction.

Vomiting is never an independent disease. It's always a symptom. As a rule, it is accompanied by diarrhea and fever, or one of these two symptoms. These are characteristic signs of any intestinal infection, some diseases of a viral nature, toxic infection or chemical poisoning. What can vomiting in a child say without fever and diarrhea?

Main reasons

1. Food poisoning and indigestion. Usually, with food poisoning, a child has vomiting and diarrhea without fever or with fever. However, with a slight intoxication, only the stomach can react in the form of a single vomiting. It also happens with indigestion, overeating, taking some kind of medication.
2. Problems with metabolism. Most metabolic disorders are hereditary. First of all, it is diabetes. To diagnose metabolic disorders, the doctor will recommend taking a blood test for hormones and enzymes, and doing an ultrasound scan of the digestive system and kidneys. The child may have an individual intolerance to whole cow's milk, glucose, cereals, fruits and other products. Treatment in this case is to eliminate unwanted foods from the diet.
3. Neurological disorders and congenital pathologies. There is such a thing as cerebral vomiting. She points out that the root cause is neurological abnormalities. They could appear even during the intrauterine development of the fetus, during birth trauma and asphyxia. Congenital cerebral pathology and other abnormalities can provoke profuse vomiting with a fountain or leakage of food from the esophagus. Vomiting is a characteristic symptom of concussion, traumatic brain injury, brain tumors in children of any age. Associated symptoms: headaches, nausea, dizziness. Vomiting can also accompany migraines in children. Alas, this disease has recently become noticeably younger. Also, vomiting often occurs with meningitis, encephalitis, epilepsy.
4. Intestinal obstruction, or intussusception. It can be congenital and acquired, complete and partial. It occurs in newborns, children up to a year and older. It occurs when one of the sections of the intestine does not contract and does not push the feces towards the rectum. Together with vomiting, the child may develop cramping, sharp pains in the abdomen, weakness, pale skin, stools in the form of raspberry jelly streaked with mucus and blood. Intussusception is most often treated surgically.
5. Foreign body in the esophagus. Such an emergency most often happens with children from one to three years old, who are trying to try everything “by the tooth”. Typical symptoms: pain when swallowing, difficulty swallowing food, foamy formations in the throat, refusal to eat, restless behavior, crying, shortness of breath with a large foreign body. Signs may vary depending on the size of the object and in which part of the esophagus it is stuck. Vomiting is frequent and repeated, but does not bring relief. Long-term presence of a foreign body in the esophagus is dangerous with complications and can be life-threatening. Diagnosed by X-ray.
6. Acute appendicitis. In infants occurs in extremely rare cases. Children of preschool and school age complain of pain in the right side, in the navel. The main symptoms: severe pain, frequent bowel movements and urination, lack of appetite, repeated vomiting. There may be a slight increase in temperature and diarrhea.
7. Inflammation of the digestive organs. These include stomach ulcers, gastritis, colitis, gastroduodenitis, pancreatitis, cholecystitis and other diseases. A common symptom of acute gastritis is recurrent vomiting. Also, the child may have vomiting with diarrhea without fever. In the vomit, an admixture of mucus and bile is often found. Gastritis in children provokes the nature of nutrition, lifestyle, psycho-emotional state, complications after infectious diseases.
8. Pyloric stenosis. Congenital narrowing of the passage between the stomach and duodenum. This leads to the fact that the food lingers in the stomach, under pressure is pushed out. Symptoms of pyloric stenosis are detected during the first days of a newborn's life. After each meal there is profuse vomiting fountain. The child loses fluid and weight, which is life-threatening. Only surgical intervention in the early stages helps to get rid of pyloric stenosis.
9. Pylorospasm. The stomach and duodenum are separated by a valve called the pylorus. Under the influence of the hormone gastrin, the pylorus muscles are in good shape up to about 4 months. With constant spasm, the passage of food from the stomach to the intestines is difficult. Unlike pyloric stenosis, with spasm of the pylorus, vomiting is not so frequent and plentiful. With this functional disorder, a transition to specialized nutrition of a thick consistency is recommended - antireflux mixtures. If the baby is breastfeeding, the doctor may prescribe a small amount of formula before each breastfeed. Of the medications, antispasmodics can be prescribed. A good weight gain and the general well-being of the baby indicate a favorable prognosis for pylorospasm.
10. Cardiospasm. Violation of the motor function of the esophagus. It expands greatly when food enters it. The lower esophageal sphincter (cardia) is narrowed, is in good shape, which provokes the impossibility of further movement of food into the stomach. Vomiting occurs during meals or immediately after meals, accompanied by coughing. The child may complain of chest pain. Persistent cardiospasm is dangerous because children do not receive the necessary amount of nutrition, do not gain weight and may lag behind in development. It is treated conservatively, that is, with the help of drugs. Surgery is indicated when medical therapy fails.
11. acetone crisis. Characteristic symptoms: the smell of acetone from the mouth, nausea, weakness, headache. The causes of acetonemic syndrome have not been precisely established. The most likely of them: fatty foods, constant overeating or, conversely, long breaks between meals, physical activity, emotional outbursts, intestinal infections, metabolic disorders, tumors. It is most common in children between the ages of two and ten. Acetone is found in urine and blood during the test. A hallmark of acetonic syndrome is sudden, repeated and profuse vomiting. It may last several days. The danger of an acetonic crisis is in a sharp dehydration of the body, which can lead to convulsions and loss of consciousness.
12. neurotic vomiting. Typical for children after three years. It is called functional, psychogenic vomiting. Occurs during severe anxiety, overexcitation, fright. In the language of psychosomatics, vomiting means rejection, rejection of something. Neurotic vomiting may be a reaction to unpalatable food that is forced to be eaten. It can also be demonstrative in children deprived of parental attention. With persistent neurotic vomiting, a psychotherapist is engaged in the treatment of the child and parent-child relationships.
13. Complementary foods for infants and a one-year-old child. Vomiting and diarrhea without fever in a child up to a year and at 1 year old can occur as a single reaction to complementary foods, the introduction of some new dishes into the diet. In this situation, it is worth temporarily canceling the product. Usually such a reaction happens to fatty foods or a large volume.

Features of diagnosis and treatment

Treatment of vomiting without fever in a child is effective if the cause of this symptom is precisely established. And it can be difficult to do this, since vomiting is a “companion” of diseases of a different nature.

How is the diagnosis carried out

There are several effective methods of examination for profuse vomiting.

• Visually. The quantity, presence of impurities (pus, bile, blood, mucus), color, smell, consistency of vomit - all these parameters will help the doctor determine the type of vomiting characteristic of a particular disease.
• Laboratory study of vomit. Confirms or refutes the preliminary diagnosis.
• Instrumental examination of the digestive system. Ultrasound, gastrofibroscopy (study with a probe), X-ray.

How is the treatment carried out

If the diagnosis is established, then narrow specialists are engaged in the treatment of the disease.

• Pediatrician. The first doctor to contact for repeated bouts of vomiting in a child. He will refer you for examination to narrow specialists.
• Gastroenterologist. Engaged in the treatment of diseases of the gastrointestinal tract. Therapy can be carried out in a hospital and at home. The disease is treated with medication, and a strict diet is also important.
• Neurologist. All attacks of cerebral vomiting are associated with neurology. Medical treatment, physiotherapy, massage are also prescribed.
• Surgeon. Acute appendicitis, pyloric stenosis, intestinal obstruction, cardiospasm, foreign body in the esophagus - all these situations are considered by a pediatric surgeon.

When to call an ambulance? In all cases of emergency care, which are accompanied by bouts of severe vomiting: head injuries, epileptic seizures, convulsions, severe dehydration, loss of consciousness, poisoning with drugs and household chemicals, hematemesis, intestinal obstruction, symptom "acute abdomen", ingress of a foreign body into the esophagus and vomit into the respiratory tract.

What should parents do

What are the complications of repeated and severe vomiting

• Dehydration. A sharp loss of fluid disrupts the water-salt balance in the body, and this leads to serious consequences - malfunctions of all vital organs. With extremely severe degrees of dehydration, convulsions and loss of consciousness are observed. This condition is especially dangerous for infants.
• Weight loss. Dangerous for infants, premature and small children. In such babies, critical weight loss can occur within a day.
• Bleeding. With persistent vomiting, the mucous membrane of the stomach and esophagus is injured, blood vessels burst, as a result, blood may appear in the vomit.
• Danger of suffocation from vomit inhaled. Infants and unconscious children are at highest risk.
• aspiration pneumonia. Occurs when vomit enters the lungs. Gastric juice is dangerous for lung tissue. Inpatient treatment is required: suction of mucus from the trachea, antibiotic therapy, if necessary - artificial ventilation of the lungs.

You can not hesitate and self-medicate in such situations.

Vomiting in a child without fever can be a single reflex reaction to some kind of irritant: the baby choked, coughed heavily, or ate something tasteless. This is due to the increased gag reflex in children. However, repeated, profuse vomiting that is not associated with intestinal infections can signal a number of serious diseases. In this case, you should definitely consult a doctor.

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Vomiting is a rather complex process of the reaction of a child's body (and an adult too) to how the external or internal environment has changed. It can start at any moment, very unexpectedly. But as a rule, mothers are most worried if the child vomited at night. After all, babies are sleeping, so they can’t tell their parents in advance that they don’t feel well. And the standard signs of vomiting - blanching of the skin or nausea - may not be seen.

To properly treat nighttime vomiting in babies, you must first find out what causes it. If, in parallel with vomiting, the temperature rises and diarrhea begins, most likely there is a connection with an infection of the baby's gastrointestinal tract, and it would be more correct to contact the doctors.

If the child vomited at night, there is no temperature, there is no diarrhea, then the subsequent actions of the parents can be found in this article.

What could be the reasons?

If a child has started vomiting, there can be many reasons. First of all, you need to pay attention to what the baby ate the day before. Vomiting could begin after eating and serve as a loud signal that the body, through an allergic reaction, rejects some product that should be immediately excluded from the baby's diet.

If the baby does not have a temperature, then the reasons include the following:

The child has not yet reached the age of seven, a possible reason is that there is a foreign body in the stomach. A kid during the game can swallow a part from a designer, a pyramid or a small part of some toy. This can later lead to nausea and vomiting.

Vomiting can occur due to a cold: a strong cough, pain in the throat make it difficult for the baby to breathe; excess sputum and will cause vomiting during sleep.

The peanut is overtired or has suffered stress; Mom needs to remember how the day went for the child, whether he slept.

An attack of appendicitis, which will be accompanied by a deterioration in appetite, some lethargy of the baby; temperature may rise. All these signs are clear indications for calling an ambulance.

The child ate fatty or low-quality food (special attention is when the baby eats chips and drinks with soda, so all this should be excluded from the children's diet); in this case, it is necessary to pass tests to determine the level of acetone. At home, it can be measured using test strips. If the baby already had precedents, they should be warned at the first sign, for example, by offering the baby a cup of sweet tea or giving glucose solution in ampoules.

First steps for parents

The most important thing that parents should do in the first minutes when the child vomited at night is to protect their little one from dehydration. In this case, you can take the advice of Dr. Komarovsky, who suggests limiting food intake and giving the baby as much water as possible.

Vomiting is a reflex process of ejection of the contents of the stomach through the oral cavity. Various factors influence the occurrence of the reaction of the body. The child's body is most susceptible to adverse conditions that can cause a gag reflex. Vomiting at night is the main concern for parents, as it can harm a fragile child's body.

There are a number of factors that can cause vomiting at night. Anything can be the cause. It is worth paying attention to parallel symptoms. If the urge passes without fever, then the causes may be the following:

In an infant, the cause of vomiting can be:

1. Sudden climate change, as the child's body is not yet able to protect itself from the effects of weather changes.
2. Eruption of the first teeth. While eating, the baby swallows air, which, getting into the stomach, causes an attack.
3. The beginning of the first feeding. Due to the lack of the necessary enzymes in the body, unusual food is rejected by the stomach.
4. Early introduction of certain foods into the diet.

Also, the cause of nighttime vomiting are diseases of the digestive system:

• Pancreatitis. Due to enzyme deficiency, food is not digested well enough, which causes an attack.
• Cholecystitis. There is a stagnation of bile and with accumulation, the contents of the stomach are ejected along with particles of bile masses.
• Diseases of the liver.
• Gastritis. Due to a violation of the motility of the stomach, stagnation of food occurs in the organ and, when accumulated, the contents are erupted.
• An attack can cause a long horizontal sleep in the presence of pathologies in the digestive system.

With simultaneous vomiting and an increase in body temperature, an infection that has entered the gastrointestinal tract, overheating of the body, influenza or SARS can be the cause. A sharp increase in temperature leads to a reflex reaction of the body. If the attack is accompanied by diarrhea, the cause was an intestinal infection.

Associated symptoms

1. Attacks are accompanied by acute pain in the abdominal cavity - a sign of an infectious disease or poisoning.
2. Vomit contains mucus - in children older than a year, this is a sign of an intestinal infection.
3. When sick with influenza, the child vomits water.
4. Foamy vomit requires immediate hospitalization, as this is a symptom of rotavirus infection.
5. For infants, vomiting is characteristic of a fountain as a symptom of overeating or the presence of pathologies in the digestive system.

The nature of the vomit

The color of vomit can suggest the cause of an attack:

• Green: the reason was a violation of the child's comfortable psychological state, poor sleep.
• Yellow: indicates the presence of poisoning of the body, infection.
• Red: associated with a violation of the normal functioning of the gastrointestinal tract, mechanical trauma of the digestive system.
• Black: excessive use of absorbents.

First aid

What to do when vomiting has just begun? Turn the baby on its side, raise its head, put a towel on it. If the attack began in the baby in a dream, keep it in an upright position. Vomiting at night can cause fear in a child.

First of all, you need to calm the baby. The child should not be left alone without supervision. After the attack ends, rinse your mouth, let you drink water that is as close to body temperature as possible. In the event of an attack in children at night, parents should adhere to a certain help algorithm:

1. Wash the baby, change clothes, soothe.
2. Rinse your mouth, give a teaspoon of water at room temperature to drink. Do not give tea, juice or any other drinks.
3. Lay infants on their hands on a side or hold them vertically, leaning on their shoulder. This position prevents vomit from entering the throat and nose. Lay older children on their side, slightly raising the headboard.
4. The parent should lead to be calm, not to panic, not to scream, not to lament.
5. Measure body temperature.
6. With an interval of five minutes, solder the child with water or saline solutions, for the preparation of which use ready-made mixtures (Regidron, etc.). This is one of the main actions, since when the attacks are repeated, the body is dehydrated, which poses a danger to human health. You should also give Smecta a drink, which will help remove toxins from the body. If the baby refuses to drink water, it is allowed to give juice diluted with water to the most transparent state. You do not need to give to drink a large amount of liquid.

If nighttime vomiting is single and not accompanied by other symptoms, you can do without calling a doctor. During the night, observe and monitor all changes in the baby's condition - if the child is sick during sleep, he tosses and turns, whimpers, wakes up periodically.

There are a number of cases in which an ambulance call is required:

• The child is not yet a year old.
• Attacks of acute pain in the abdomen, severe bowel disorder.
• A sharp rise in temperature.
• Whitening of the skin, general weakness of the body, fainting.
• Recurrent bouts of vomiting.

Diagnostics

After arrival, the doctor conducts a survey to find out the cause of the attack. You need to find out the following points:

• The frequency of repetition of vomiting.
• The volume of erupted masses.
• When did the first seizure occur?
• What food did the child eat during the day.
• Whether the baby has been ill in the previous 14 days.
• How did the baby behave before going to bed.
• The quality of sleep before the onset of vomiting.

Examination of the child can determine whether the child has a fever, signs of dehydration, the appearance of a rash, seizures, the appearance of symptoms of food poisoning, the presence of rotavirus infection.

Treatment

With repeated bouts of vomiting, the first priority is to take drugs that relieve symptoms. Medical treatment includes the use of:

• Solutions that restore the water-salt balance of the body.
• Medicines for nausea approved for use in childhood: absorbents to reduce intoxication, Cerucal (an anti-vomiting drug, used in the form of solutions or intramuscularly), Motilium, with rotavirus Enterofuril.
• In order for the stomach to start working normally, beneficial bacteria are prescribed: Linex, Acipol, Enterol, Bifidumbacterin.
• If diarrhea is a concomitant symptom, Diarol, Imodium are prescribed.
• With an intestinal infection, antibiotics can be taken.
• Drugs that lower the temperature (Cefecon, Ibuprofen).

Therapeutic diet

The first meal is allowed no earlier than five hours after the end of the attack. Don't give too much food at once. Meals should be light, well digestible. Enveloping cereals on the water, vegetable soups will be optimal. The first days after vomiting should avoid eating fried foods, sweets, milk porridge.

The use of folk methods

For babies, a decoction of raisins, rice, dill water, mint infusion are suitable. Children from one year old are allowed to give pear broth, milk-yolk mixture, soaked crackers from rye bread. Children over three years of age are allowed to use decoctions of valerian herbs, a collection of lemon balm, mint and chamomile.

Complications

Vomiting at night is a great stress for the child's body. There are three types of complications:

• Weight loss - the body is weakened by attacks, rejects all food, there is no appetite.
• Dehydration - vomiting leads to loss of fluid, a violation of the water-salt balance of the body. Signs of dehydration: dry skin, lethargy, crying without tears, lack of urination.
• The entry of vomit into the nasopharynx - an incorrect body position leads to a delay in vomiting in the airways, which can lead to suffocation.

Sudden nausea at night can cause parents to panic. Remain calm, take all necessary actions and, if necessary, seek emergency medical attention.