Question

A 3-year-old child has been experiencing nausea in the morning for nearly half a year, and vomiting soon after eating, with the vomit being jet-like. However, there are no such symptoms during lunch and dinner, and the child eats normally. The parents are at a loss as to how to deal with this situation during breakfast.

Answer

Vomiting in young children is a common symptom, and mild vomiting generally has little impact on health, so there is no need to be overly concerned. However, severe vomiting can lead to significant loss of fluids and electrolytes, potentially causing dehydration and acid-base imbalance, which requires immediate attention. Here are some recommended treatment measures:

  1. Refrain from eating for 4-6 hours. For children with mild to moderate dehydration, “oral rehydration salts” can be administered in small quantities multiple times, which can correct dehydration and acidosis in most cases. If correction is not possible or the child cannot tolerate oral rehydration, the best course of action is intravenous fluid therapy based on the results of blood biochemical tests.