Vomiting toddler - when to worry?

[adagio]

My almost 18 month old DD isn't very well :(

Over the last couple of months we are on tummy bug number 4. She does a day a week in nursery and we do toddler groups etc so I imagine picking up bugs is normal, although it does seem to be every other week at the moment. God knows WTF I'm going to do when I go back to work full time.

This latest one started with one pile of vom Friday night, then she seemed ok until Sunday night but since then we have had a steady stream of vomit or diarrhoea. She is off her food, yesterday even threw up water. She is sleeping loads (ie 20 of 24h) and very clingy.

She is keeping the odd bit of breast milk or water down while she sleeps for a couple of hours so isn't totally dehydrated.

When should I start to worry? From previous GP experience unless the baby is dehydrated they just say it will pass, but how long should it take to pass?

It's my first, so trying to balance between over protective inexperienced mum and leaving my poor baby suffering :(

Hi. I would contact your GP for a phone consultation. I believe most will do one particularly when it is the vomiting bug. I would rather be a paranoid over protective parent then to find that there is something more wrong. Write down all the symptoms even those that seem minor and let them decide what you should do next. I just realized the time so your local area should have an out of hours support.

Take her to the GP. My DD had something similar at the same age and ended up in hospital on a drip. It turned out to be a urine infection which she just couldn't fight off. Are her hands and feet cold?

Take her to the gp and ask for a pot so they can send a sample off po off for testing. It might just be one of those things, but 4 times in a month? Her body might not be completely getting rid of a bug/bactetia or she could have an intolerance to something.

that really does sound like too much sleep, give 111 a call and can advuse you best and arrange an out of hours appt if needed. What is her temp?

*sample of poo, not off po

Temp not particularly high- 37.4 and it's a warm night here. Her hands and feet feel normal / same temp as the rest of her.

She had boob at 6 then slept in my arms, I managed a cot transfer but she just woke again and is persistently trying to get the other boob. I think I'll have to let her and deal with any consequences - she has kept it down for a couple of hours which is good.

I think I'll contact my gp in the morning - she is not dehydrated and I live very near a&e so if I got really worried we could be there in five mins.

Thanks guys

More vom :(
Poor mite is wasting away, lost her chubby tummy.

Not really sure what I want/expect GP to do tomorrow though - potential for a poo sample (bet she won't perform now!) is there any other tests? Do they test vomit?

I'd try some diarolyte tonight. A teaspoon at a time. I you ant got / can't get any. Make your own, google rehydration solution.

Sounds like rotavirus or nori virus.

Def GP or out of hours

4 tummy bugs over 8 weeks is not normal. It doesn't sound to me like it's viral, but something more going on. She definitely needs to be seen. Good luck OP, hope they get to the bottom of it all.

Just an update for anyone searching old threads… I went to the GP again and he agreed it sounded a bit too frequent,; picked up on the fact it pretty much always starts at 11pm/midnight and the 'cue' is a double cough from her followed immediately by a load of vomit. He said little people often can have a hyper active gag reflex so perhaps it's that and agreed to try infant gaviscon.

We have been having infant gaviscon after tea every night since and so far (touch wood) no sick. I mix it in with water and some Wellkid orange flavour vitamin syrup (which she has been on since weaning anyway) and she is fine with it - refused it point blank on its own as it tasted grim.

So, presumably reflux or acid stimulating the gag reflex, and the gaviscon has fixed this.