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November 23, 2009
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Nausea and Vomiting (cont.)

What can I do at home for nausea or vomiting?

It is important to rest the stomach and yet still avoid dehydration. Clear fluids should be attempted for the first 24 hours of an illness, and then the diet should be advanced as tolerated.

Clear fluids are easy for the stomach to absorb and include:

  • water,

  • sports drinks,

  • clear broths,

  • popsicles, and

  • Jello.

It is important not to take too much fluid at one time since stretching the stomach may cause the nausea to worsen. One to two ounces of fluid at a time, taken every 10-15 minutes, may be all that the stomach will be able to tolerate.

Milk products should be avoided for the first 24-48 hours during an episode of nausea and vomiting. The enzyme that helps digest milk is located in cells lining the stomach. With vomiting, the body can become relatively lactose intolerant. Abdominal pain, bloating, vomiting, and diarrhea may occur.

When should I call the doctor regarding nausea and vomiting?

If the symptoms last for more than 24 hours, if the diagnosis is uncertain, if there is concern about dehydration, or if the patient has underlying medical conditions that make them more fragile, medical care should be accessed sooner, rather than later.

Infants and children are more susceptible to dehydration and may not have as much reserve as an adult. If there is concern about dehydration or the inability to tolerate fluids, a healthcare provider should be contacted.

If nausea and vomiting are associated with pain, fever, vomiting blood, or having bloody or black, tarry bowel movements, medical care should be sought immediately.

Vomiting is a symptom of an illness and is not a disease in itself. If the symptom persists for more than 24-48 hours, it may be wise to contact a medical care provider.



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