Vomiting at Bedtime - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
Hi-I have a 1 1/2 year old daughter. For the past week she has been vomiting at bedtime. She usually is a fairly good sleeper and bedtime has not been an issue. Her schedule has been 7-7:30pm bedtime, up around 6-6:30am, with a nap from 1-3pm. She eats dinner around 5pm and has a whole milk bottle at the end of our bedtime routine (bath, books, bottle, bed). She is not running a fever and eats/drinks (water is always available to her) during the day. I have had trouble getting her to nap this week as well (only once in the last six days, we have had a quiet time instead). I know by bedtime she is exhausted. Her daytime behavior is normal, happy and playful, until late afternoon (then more cranky). The first few nights I thought she had just gotten so worked up that she vomited, but for the last few nights I have sat next to her crib to comfort her (no crying involved and she still vomits). Her stools have been less frequent( once a day instead of twice, hard-pellet like). Help! I hate to see her so unhappy and feeling ill. I'm at a loss. Could it be an allergy? Behavior issue? Thank you-a mom covered in puke.
Answer
Is the vomiting projectile? What does it contain? If the vomiting is projectile that is it comes out with a force and falls far, you need to take her to the doctor immediately. If not and seems to soils the clothes, it could some sort of gastritis or stomach infection. Giving her antacids may be useful and if it stills persists then antiemetics or drugs that stop vomiting may be required. If the vomit contains cough and sputum, it could be a throat infection and she would need to be treated for the cough. (In children it often lead to vomiting). Back to All Questions

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