Vomiting without fever in children

Children's vomiting is a very common occurrence. Its reasons are varied. To determine them, you need to take into account the age, accompanying symptoms: the presence or absence of fever, diarrhea, the content of vomit, etc. Vomiting in a child without fever does not mean the absence of the disease, sometimes in such cases the help of a doctor is needed. The center of the nervous system, responsible for its occurrence is located in the medulla oblongata. Impulses can come from completely different internal organs, the vestibular apparatus and cortical centers of perception. Sometimes vomiting occurs as a result of exposure to the medulla oblongata of various toxins, drugs.

If a child vomits suddenly and without fever, what should be done before the doctor arrives? First aid should be provided during and immediately after emptying the stomach.

Necessary:

• make sure that the child does not choke - do not let him throw his head back, do not lay him on his back, you need to turn his head to one side, preferably raising it by 30 °;
• after vomiting, rinse the child's mouth with warm water or wipe the mouth, corners of the mouth and lips with a wet cotton swab. Instead of water, you can use a weak disinfectant solution, such as potassium permanganate or boric acid;
• often give the child small portions to drink, the water should be cool, for older children - cold. To eliminate vomiting, you can add a few mint drops, use Regidron. For children under one year old, give 2 teaspoons every 5 minutes, from a year to 3 years - 3, from 3 years - 4.

If the attack of vomiting is single and is not accompanied by fever, diarrhea, deterioration in the general condition of the child, you can wait a little while calling the doctor.

All you need to do is to carefully monitor the baby and in case of deterioration, the appearance of additional symptoms, seek medical help.

Grounds for calling an ambulance

Vomiting in a child without fever may be a sign of some serious illness, including those requiring immediate surgical intervention. Therefore, you can not delay seeking medical help and self-medicate.

You need to call an ambulance immediately if:

• vomiting is repeated often, does not stop;
• the child cannot be drunk due to the frequent eruption of vomit;
• there are additional symptoms - high fever, diarrhea, abdominal pain;
• fainting, semi-consciousness or, conversely, excessive excitability (crying, screaming, motor activity) appear;
• severe pain in the abdomen, combined with its swelling and constipation;
• vomiting arose after eating products of dubious quality, chemical additives, drugs;
• vomiting arose after a head injury, a fall, a blow - an urgent examination by a neurologist is needed;
• there is lethargy, drowsiness, convulsions, fever.

If vomiting happened once or twice, the stool is liquid or normal, while the child normally drinks water, plays, sleeps well, then it is not necessary to call an ambulance, but you should contact the local pediatrician.

Diseases accompanied by vomiting without fever

Some serious illnesses in a child may be accompanied by diarrhea, nausea and vomiting without fever. Most often this is observed in the following diseases.

Intestinal infections: typhoid fever, etc. These diseases may be accompanied by high fever, but sometimes it remains normal. Vomiting occurs without connection with food, may occur one or more times.

Vomit is always the same. Often the diarrhea is more pronounced, the feces are liquid, sometimes with foam, mucus, and have a pungent odor. The child is capricious and restless, exhausted, becomes drowsy and lethargic. Refuses to eat and drink, seldom or does not pee at all. Dehydration sets in.

Treatment is carried out only inpatiently in children under one year old, at an older age at home or in a hospital. Absorbent drugs, antibiotic, antiviral and rehydrating agents, probiotics are prescribed. Painkillers and antipyretics may be used as needed.

Food poisoning. Often occurs after the use of canned food, dairy products, mashed meat and fruits. Nausea and vomiting occur after eating, repeated several times. The stool is liquid with blood streaks. Characterized by severe paroxysmal pain in the abdomen.

The general state of health becomes worse, the child is naughty, cries, quickly gets tired and becomes lethargic. Refuses to eat and drink. If a child is 3 years old or younger and vomiting without fever appears due to food poisoning, then he needs to be hospitalized.

Treatment for older children can be arranged at home. Gastric lavage is carried out, absorbent agents, rehydrating drugs, prebiotics, anti-spasm and inflammation agents are prescribed.

Allergy to a food or drug. Attacks of vomiting and diarrhea occur after the child has eaten. The masses contain undigested product. In addition, skin rashes, swelling of the mucous membranes, and difficulty in breathing may appear. Treatment can be arranged at home or in a hospital.

The basis of therapy is antiallergic drugs. Absorbents and hormonal agents may be prescribed.

Dysbacteriosis. In this condition, vomiting appears infrequently, stools with foam, sometimes replaced by constipation. Flatulence, whitish plaque in the oral cavity is revealed.

Possible skin itching, peeling, rash. Treatment is carried out at home and boils down to correcting the diet and restoring the balance of microflora with the help of probiotics.

Intestinal intussusception. Without an increase in temperature, the child develops vomiting with bile. Cramping pains in the epigastrium are accompanied by screaming and crying. Stool jelly-like, streaked with blood. Treatment is possible only surgical.

Acute form of gastritis, duodenitis. Nausea appears first, then profuse repeated vomiting with bile. There is bloating, pain, loss of appetite. Therapeutic activities are carried out at home. The main methods are diet correction, frequent drinking, taking probiotics.

Diseases of the pancreas, liver and gallbladder. Vomiting occurs after eating, one or more times. Vomit with bile and particles of food. Accompanying symptoms: severe pain in the epigastrium, regurgitation of air and gases, loss of appetite. Inpatient treatment with the use of hepatoprotectors or drugs with enzymes, painkillers, adherence to a therapeutic diet.

Diseases of the central nervous system(ischemia, hydrocephalus, tumors, intracranial pressure). Vomiting is frequent. In the behavior of the child, anxiety changes to lethargy. Babies also have a bulging fontanel.

Treatment, depending on the disease, is carried out at home or in the hospital. It includes taking drugs that restore cell nutrition. With hydrocephalus and tumors - surgical methods.

Swallowing a foreign object. Vomiting of food particles with mucus, sometimes with blood. Breathing is disturbed, the child is restless. Two options for help: observation and expectation of a natural exit along with a stool or surgery.

Diseases accompanied by vomiting without fever in children under one year old

Gastroesophageal reflux. There are few erupting masses and they have a sour smell. Emptying of the stomach occurs immediately after feeding. The child often hiccups, cries, worries. Hypersalvation is noted.

Treatment is possible at home. Means blocking the release of hydrochloric acid and antacids are prescribed. It is also necessary to adjust the frequency and volume of feedings.

Pyloric stenosis. The vomit is plentiful, homogeneous, thrown out by a jet under pressure half an hour after feeding. The symptom appears 2-3 days after birth. The child loses weight, dehydration, convulsions occur. Treatment is surgical, urgent.

Pylorospasm. The newborn has profuse vomiting. Conservative treatment can be arranged at home. Recommended fractional feeding in small portions and warm compresses on the abdomen. If these methods fail, surgery is necessary.

Congenital diverticulum of the esophagus. Slight vomiting of digested milk or mixture is observed. The disease leads to some weight loss, is treated surgically.

Causes of vomiting that do not require treatment

In some cases, vomiting that occurs in a child without fever does not require treatment. All that needs to be done is to eliminate the causes of dysfunction of the gastrointestinal tract.

Spitting up leftover food in babies- a normal phenomenon that occurs 2-3 times a day. The volume of the outgoing masses is about 1–1.5 teaspoons. The reasons may be an excessive amount of food, the horizontal position of the baby, insufficient development of the functions of the gastrointestinal tract. In order to eliminate the symptom, you need to feed the child with a raised head, make a "soldier" (hold vertically) after each feeding, do not overfeed.

Eruption of milk teeth. Vomiting is not profuse, does not affect body weight and appetite. The cause may be swallowing air, feeding during severe pain. To eliminate the symptom, you need to use special gum gels and teethers, massage the gums.

Feeding introduction. Single vomiting due to insufficient amount of enzymes, non-acceptance of the product by the child's body. Help lies in the temporary elimination of the product.

Psychogenic vomiting in children after 3 years. It can develop against the background of stress, anxiety, or as a reaction to food refusal. It is necessary to eliminate the stressful situation, if this does not help, contact a psychologist.

Indigestion. Attacks of vomiting and loose stools with particles of undigested food. You need to reconsider the diet and give the child more fluids.

Climate change. Vomiting and diarrhea may occur once or twice, and pass as the child adapts to new conditions.

Activities prohibited during vomiting

If the child has vomiting, in no case should you:

1. Do a gastric lavage if the child is unconscious.
2. Without the recommendation of a doctor, give the child antispasmodics and antiemetics.
3. Do gastric lavage with antiseptic solutions.
4. Choose your own antibiotics.
5. Do not come for a second examination if the state of health has returned to normal and the symptoms have disappeared.

Useful video about the causes of vomiting in a child

I like!