For the safety of your family, this information is intended for use by North Seattle Pediatrics patients exclusively.

Vomiting in children commonly occurs in the early stages of an intestinal viral infection (‘stomach flu’) and more rarely may be a sign of food poisoning. Vomiting may also be a sign of rare but serious conditions such as intestinal obstruction or appendicitis.

If your child is NOT vomiting green material (bile) and does NOT have a high fever or severe abdominal pain, it is safe to try very slow clear fluids as described below. The child may initially vomit several times close together as the stomach empties.

Instructions for giving clear liquids (oral re-hydration):

After the child’s initial vomiting has stopped for about an hour, begin re-hydration using small amounts (1 to 2 teaspoons) of clear liquids such as Pedialyte (our first choice for infants), or 1/2-strength Gatorade, or water. Offer these every 5 to 10 minutes while your child is awake. Continue giving a teaspoon every five minutes even if your child still vomits every couple of hours or less. If your child is breastfeeding you may resume nursing, but try limiting the duration and increasing the frequency of nursing.

When vomiting has stopped for eight hours and your child is tolerating 2 ounces of clear liquids at a time, it should be safe to begin feeding your child small amounts of food. Foods that are well-tolerated include carbohydrates such as rice, white bread, white potato, pasta (except whole wheat), jello, rice milk, soy milk, or soy formula. Observe this diet for 24-36 hours, and then resume your child’s regular foods.

Call us now at 206-368-6080 if your child:

  • has severe abdominal pain and vomiting
  • has bright lime green bile-colored vomiting
  • is not keeping even small sips of fluids down after several hours of the slow re-hydration described above
  • has fever above 104° F with vomiting
  • has difficulty or pain with urination and vomiting

Call us during office hours if your child:

  • is still on clear liquids after 48 hours