VOMITING & DIARRHEA

VOMITING-
  • Low-grade fever is normal with GI bug

  • With vomiting start with fluids low and slow

  • Try to wait 20-30 minutes after vomiting episode to begin fluids

  • Offer 1 tsp clear fluids (water, Gatorade, pedialyte) every 5 minutes

  • Do not offer solid foods during this time

  • Can slowly progress to larger amounts of fluids as they tolerate this

  • Begin process from beginning if vomiting returns again

  • Can slowly introduce bland diet after period of 6 hours with NO vomiting

  • Start with something small and high in carbs: crackers, plain dry toast

  • Slowly progress as tolerated-stick with bland BRAT diet for at least a day or so (bananas, rice, applesauce, toast, crackers, plain pasta)

  • Gradually return to normal diet-avoid fried foods, spicy foods, acidic foods, etc for at least several days

  • Call the office if vomiting continues for more than 24 hours, has decreased alertness, or your child shows signs of dehydration (goes longer than 6-8 hours without urinating, has no tears with crying, or the inside of mouth feels sticky).

Diarrhea

  • Diarrhea normal with GI bug

  • Can last 7-10 days but should taper off and improve-less frequent and begin to bulk up and become more firm

  • Call the office if having more than 12 episodes of diarrhea per day, diarrhea does not start to taper off or improve toward the end of 7-10 day range, mucous in stool, or s/s of dehydration (see above)

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Office Hours

Frederick County Pediatrics
11717 Old National Pike
New Market, MD 21774

 

Tel  (301) 882-7489

Fax   (301) 882-7520

Mon  9AM-6PM

Tue  9AM-6PM

Wed  9AM-5PM

Thu  9AM-6PM

Fri  9AM-4PM

Sat  9AM-12PM

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