If you notice any signs of dehydration (dry mouth, no tears, no urine for more than 8 hours), bile (green fluid) in the vomit, continuous abdominal pain or crying for more than 2 hours, your baby less than 12 weeks old vomited more than 2 times, fever over 105☏, severe headache or if you suspect diabetes. Examples of high risk are recent surgery, diabetes, weak immune system or recent hospitalization. You notice blood in the vomit, your child has constant or severe intermittent abdominal pain, has a recent head or abdominal injury, is 4-12 weeks old, is vomiting and has temperature higher than 100.4☏, or if your child is at high risk. If your child has a stiff neck, soft spot is bulging, could have been poisoned by a plant, medicine or other chemical or is a newborn less than 4 weeks old with temperature higher than 100.4☏. Your child is very weak, limp, not moving, unresponsive, difficult to awaken or confused when awake. Vomiting is different than spitting up in that vomiting is forceful, causes discomfort and the baby looks or acts sick. Serious causes of vomiting include appendicitis, poisoning, meningitis, liver or kidney infections or new onset diabetes. If vomiting without diarrhea persists for more than 24 hours, more serious causes may be considered. Vomiting can also be caused by food poisoning. Often, diarrhea (frequent, loose and or watery stools) follows within 12-24 hours. Most vomiting (throwing up) is caused by a stomach virus. Vomiting is the most common reason parents call their pediatrician.
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