4 year old vomitting after breakfast

[cake7pn]

DS (age 4) keeps vomitting after breakfast. It's happened about 5 times in the past month and I'm starting to worry. Has anyone else had this? I'm not sure whether it's worth taking him to the GP over.

Should I try cutting out milk and fruit?

What are they eating in the morning?

Is it only on school /nursery days? Could it be nerves?

It might be nerves, what could I do about that?

For breakfast he ate today:
Toast
Milk
Satsuma
Pear
Raspberries

Maybe too much fruit, acidic (except for the pear), on an empty stomach.

Try a dish of porrridge, maybe with some thinly sliced banana and encourage him to eat slowly.

Just chat to him, asking gentle open questions about the day ahead. What's he looking forward to? Anything he's not looking forward to or worried about? Talk to him about ways to deal with feeling worried the you're not around.... Keep it light and don't dwell on things.

Could you give him a little more time for breakfast/get up earlier? Maybe a drink when he first wakes, then something to eat when that's had a chance to go down.

I agree with PP that the combination of lots of fruit with milk might be a bit much.

Could you try toast and a small yoghurt instead? Or toast and one piece of fruit? No-one needs 3 pieces of fruit for breakfast, especially not a four year old. Or a toasted teacake and a small yoghurt or small glass of apple juice?

It's most likely a minor bug or tummy upset that's become a habit / expectation.

Change your routine. Play it down. I'm sure it will pass :)

Thanks everyone. I think I went a bit into fruit overload as we've been on holiday and diet hasn't been great.

Also, after asking gentle questions it seems like DS was being picked on a bit by a group of children. He is quite sensitive and has really taken what they said to heart which is so sad. I didn't expect this at this age.

Oh love him.

It may be that anxiety is making him sick then. Worries often manifest as tummy trouble in little children.

I would still try to alter his morning routine a little and give something different for breakfast - it might help break the cycle. Lots of distraction and gentle positivity so he doesn't have a chance to overthink things.

In terms of the school problem, can you invite a school friend (not one who picked on him) round for a play to nurture a positive friendship? Did he say what he was picked on for? Try to turn it around, make it positive, give examples of how you would cope with similar. Try to make him laugh :)

My dd (4) can be sensitive over mean/nasty comments, and she will often mull things over by herself and get quite upset about things. It can be quite a funny age because they are passed the toddler years but still so young, and are still emotional.
I Hope DS feels better!!