What should I do if my baby vomits? Seek medical attention immediately if any of these situations occur

My baby vomits after feeding, sometimes like a fountain. What\’s wrong? The baby will vomit up the solid food within two minutes after eating it. It has been like this for the past two days. It’s really scary! Vomiting in a baby is indeed a very worrying thing. The baby feels uncomfortable, and the parents feel even more uncomfortable. They still can’t find the reason and really don’t know what to do. What causes vomiting in babies? Serious or not? What should be done? How to continue feeding? TaotaoG, come and help everyone~ Every baby will inevitably vomit several times when they are young. Vomiting is a manifestation of stomach contents being forcibly vomited out of the mouth. If parents observe carefully, they will find that the baby will feel nausea and stomach discomfort before each vomiting. Generally speaking, these are the common reasons for baby vomiting. • Viral infection: If the gastrointestinal tract is infected by a virus, vomiting will be the first symptom, and diarrhea will usually appear within 12 to 24 hours. Rotavirus is one of the common pathogens that cause gastroenteritis. In addition, norovirus, adenovirus, etc. can also cause gastroenteritis. • Food poisoning: When unrefrigerated food breeds bacteria, toxins will be produced, such as Staphylococcus toxins in common egg salads, Bacillus cereus toxins in rice, etc., which may cause toxic vomiting after being eaten. • Severe cough: Severe cough can also cause vomiting, especially in babies with gastroesophageal reflux. • Other causes: If there are only vomiting symptoms and last for more than 24 hours, other serious causes should be considered, such as appendicitis, kidney infection, meningitis, head injury, etc. Vomiting risk levels: Baby vomiting can be divided into mild, moderate, severe and other levels according to the risk of dehydration. Parents can take different treatment methods based on observing the baby\’s symptoms. If the baby vomits 1 to 2 times a day, it is generally considered mild; if the baby vomits 3 to 7 times a day, it is generally considered moderate; if the baby vomits nothing but vomits more than 8 times a day, it is considered very serious. . Judging the severity of vomiting is mainly based on the duration of vomiting. In general vomiting diseases (especially food poisoning), the baby will vomit everything in the first 3 to 4 hours. As time goes by, the baby will gradually stabilize and the number of vomiting will gradually decrease. The younger the baby, the greater the risk of dehydration. When a formula-fed baby vomits, the baby needs to be fed oral rehydration salt (ORS III) solution for the first 8 hours to prevent dehydration. If the baby only vomits once, parents can continue formula feeding; if the baby vomits more than once, oral rehydration salt solution can be supplemented within 8 hours. If oral rehydration salt solution is not available at home, continue feeding formula. You can use a spoon or syringe to feed your baby a small amount of rehydration salt solution, 1 to 2 spoons (5 to 10 ml) at a time, once every 5 minutes. After vomiting stops for more than 4 hours, the dosage of oral rehydration salt can be doubled; after vomiting stops for more than 8 hours, formula milk can be fed again according to daily routine; within 24 to 48 hours of stopping vomiting, the baby can resume normal diet. When a breastfed baby vomits, it is necessary toReduce the amount of milk you give each time. If the baby only vomits once, feed only one breast at a time, with an interval of 1 to 2 hours between feedings. If you vomit more than once, feed only for 5 minutes each time, with an interval of 30 to 60 minutes. Four hours after vomiting stops, resume normal breastfeeding. If the baby continues to vomit, you need to use oral rehydration salts for 4 hours. The feeding utensils and time are consistent with those of babies who vomit on formula. Four hours after the baby stops vomiting, normal breastfeeding can be resumed. At the beginning, the baby should be fed for 5 minutes each time, with small feeding intervals of 30 minutes, and then slowly increase the amount. For babies over 1 year old who vomit, the baby should be fed light liquid within 8 hours. If your baby vomits even after drinking water, you need to give oral rehydration salts. Feed the baby in small mouths, 2 to 3 spoons (10 to 15 ml) each time, once every 5 minutes. 4 hours after the baby stops vomiting, you can increase the amount of oral rehydration salt; 8 hours after the baby stops vomiting, resume drinking water normally and eat some light, starchy solid food that is easy to digest. After 24 to 48 hours, return to your normal diet. Tips: Suspend all unnecessary medications within 8 hours of vomiting. If the baby vomits out even the necessary medications, you should take the child to the hospital for medical consultation. Parents can put babies to sleep when they vomit. Sleep can help babies empty their stomachs and relieve the nausea of ​​vomiting. Vomiting is usually accompanied by nausea and discomfort. At this time, the baby generally does not want to eat, so parents should not force feed. If it is viral gastritis, vomiting usually stops within 12 to 24 hours, and mild nausea and vomiting may last for about 3 days. In most cases, the baby can only eat liquid food within 12 to 24 hours after vomiting; the baby needs to be hydrated until he feels better; if the baby cannot drink any light liquids or the symptoms are severe, he should seek medical attention immediately. When to See a Doctor If a baby is vomiting and appears uncomfortable, parents should take the baby to a doctor as soon as possible. Common symptoms also include confusion, drowsiness or unresponsive convulsions; stiff neck or bulging fontanelle; headache; and vomiting of blood, bright yellow or green material (bile). Symptoms of dehydration include dry lips, crying without tears, and not urinating for more than 8 hours; persistent stomach pain; suspected appendicitis, poisoning, diabetes, etc. Newborn babies vomit for more than 12 hours and older babies for more than 24 hours; severe and repeated vomiting; the body cannot retain water; the belly is distended, bulging, and enlarged. Babies less than 3 months old have vomited more than 2 times; have been taking oral rehydration salts but vomited for more than 8 hours; have immune deficiencies; high-risk babies (diabetes, abdominal, head injuries); have a fever above 40°C and take antipyretics for 2 hours There is no improvement; the baby less than 3 months old has a fever exceeding 38℃, etc. In addition, if the baby has lost consciousness or is difficult to wake up, is unable to move or is too weak, you need to call 120 emergency number immediately. The difference between spitting up and vomiting. Many new parents are confused about the difference between spitting up and vomiting. Vomiting mainly occurs in babies under 1 year old. It is the slight reflux of stomach contents into the mouth. Vomiting is often accompanied by hiccups. Parents should note that burping can effectively reduceBaby spits up milk. Vomiting is controlled by nerve sensations in the body and brain. It is generally caused by viral infection, food poisoning, severe cough, etc. It is a phenomenon in which most of the contents of the stomach are violently ejected in the form of a spray through the mouth or even the nose. . In addition to causing vomiting in babies, infection is usually accompanied by other symptoms. Parents should pay attention to their babies\’ daily hygiene, avoid food contamination, wash hands frequently, ventilate indoors, etc. to prevent viral infection and spread. The posture of burping can be chosen according to the actual situation: ● Burping on the shoulder ① Hold the baby\’s back with one hand, drag the baby\’s butt with the other hand, hold the baby upright on the chest, and rest the head on the baby\’s chest. On the parent\’s arms, the adult can lean back slightly. ② Hold the baby\’s butt with one hand, and gently pat the baby\’s back with the other hand. ● Burping with hands ① First support the baby\’s chin with your index finger and thumb, then use the remaining three fingers to support the baby\’s chest, and then use the forearm of the other hand to support the baby and sit on the parent\’s knee. ② Support the baby\’s chest and head with one hand, and gently pat the baby\’s back with the other hand to help the gas escape. Pay attention to the degree of burping in the picture above. If you burp too lightly, it will not have any effect; if you burp too hard, it will hurt the baby. If there are still no hiccups after a few minutes, mothers don’t have to worry, just continue feeding, because the baby is not bound to hiccup every time. Wait until he is full before trying to burp him, and then hold him upright for 10 to 15 minutes to prevent spitting up. With gastroesophageal reflux disease, the phenomenon of normal babies vomiting milk will gradually improve with frequent burping and age. However, for some babies who are a few weeks or months old, the phenomenon of vomiting milk will gradually become more serious. Although it is not a strong reflex vomiting, But the frequency of spitting up is still very high. This is mainly due to the lower esophageal muscles being too relaxed, causing gastric contents to reflux upward. This disease is called gastroesophageal reflux disease. Parents can help their babies control gastroesophageal reflux disease by taking some measures. • Avoid overfeeding and try to feed your baby small amounts as often as possible. • Burp your baby often. • After each feeding, do not let the baby lie down immediately. Hold the baby on the adult\’s shoulder for at least 30 minutes.