Manage infant vomiting, diarrhea, and stomach bugs safely

Gastroenteritis (stomach bugs) in infants is most commonly caused by rotavirus or norovirus. The primary danger is dehydration, not the infection itself. Continue breastfeeding or formula feeding through the illness -- do not withhold feeds. For babies over 6 months showing signs of dehydration, an oral rehydration solution (such as Pedialyte) can supplement regular feeds as directed by your pediatrician.

Signs of Dehydration to Watch For

• Fewer than 4 wet diapers in 24 hours
• No tears when crying
• Sunken fontanelle (soft spot on top of the head)
• Dry mouth and lips
• Unusual drowsiness or irritability

When to Seek Immediate Medical Care

• Blood or bile (green color) in the vomit
• Vomiting every feed for more than 8-12 hours
• Signs of moderate to severe dehydration (listed above)
• High fever combined with vomiting and diarrhea
• Baby younger than 3 months with any vomiting and diarrhea

Tips

• Offer smaller, more frequent feeds rather than large volumes at once
• Do not give anti-diarrheal medications (like Imodium) to infants -- they are not safe for young children
• The rotavirus vaccine (given at 2, 4, and sometimes 6 months) significantly reduces the severity of rotavirus gastroenteritis
• Wash hands thoroughly after diaper changes to prevent household spread
• Consult your pediatrician before making any changes to your baby's feeding routine during illness