Tele-triage for Nausea in Children

Audience: pediatric

Nausea in children is a common symptom that can have many causes, from mild stomach upset to more serious conditions. Telemedicine can help parents and caregivers decide when to seek care and how to manage symptoms at home. Through a tele-triage visit, a healthcare provider can assess your child's symptoms, guide you on home care, and recommend if an in-person visit is needed. It is important to watch for signs that require urgent medical attention. Tele-triage offers a convenient and timely way to get advice but is not a replacement for emergency or in-person care when needed.

Red flags — go in person / ER

• Persistent vomiting lasting more than 24 hours or vomiting blood requires immediate medical evaluation.
• Signs of dehydration such as dry mouth, no tears when crying, or very little urine indicate urgent care is needed.
• Severe abdominal pain, high fever with lethargy, difficulty breathing, or confusion are danger signs that require emergency attention.

What telemedicine can do

• Initial assessment of mild nausea and vomiting in children.
• Guidance on home care and symptom management.
• Determining if symptoms require in-person evaluation.

What telemedicine cannot do

• Emergency situations such as severe dehydration or persistent vomiting.
• Diagnosing underlying serious conditions without physical examination.
• Administering treatments or procedures that require hands-on care.

Understanding Nausea in Children

Nausea is the feeling of wanting to vomit. In children, it can be caused by infections, motion sickness, medication side effects, or digestive issues. Sometimes, nausea is accompanied by vomiting, stomach pain, or fever. Most cases are mild and improve with simple care at home.

When to Use Tele-triage for Nausea

Tele-triage can help evaluate your child's symptoms quickly. It is useful when nausea is mild, without severe vomiting or other worrying signs. A healthcare provider can ask about symptoms, duration, and other health factors to suggest home care or if an in-person visit is needed.

Red Flags That Need Immediate In-Person Care

Seek emergency care if your child has:

These symptoms require urgent medical evaluation.

Preparing for a Tele-triage Visit

Before your tele-visit, have the following ready:

This information helps the provider assess your child's condition effectively.

After the Tele-triage Visit

Follow the healthcare provider's advice carefully. This may include:

Keep emergency numbers handy in case your child's condition changes suddenly.

How to prepare for your tele-visit

• Note the start time and pattern of nausea and vomiting.
• Measure and record your child's temperature if possible.
• List any other symptoms such as fever, abdominal pain, or diarrhea.
• Gather information about recent food intake and medications.
• Ensure a quiet, well-lit space with good internet or phone connection for the tele-visit.

After your tele-visit

• Follow the healthcare provider's instructions for fluids and diet.
• Monitor your child's symptoms and hydration status closely.
• Seek in-person care if symptoms worsen or new red flags appear.
• Keep emergency contact numbers accessible.
• Schedule follow-up care if recommended by the provider.

FAQs

Can telemedicine diagnose the cause of my child's nausea?

Telemedicine providers can assess symptoms and guide you on next steps but often cannot definitively diagnose the cause without a physical exam or tests. They help decide if in-person evaluation is needed.

What should I do if my child vomits repeatedly during the night?

Offer small sips of clear fluids to prevent dehydration. If vomiting persists beyond 24 hours or your child shows signs of dehydration or other red flags, seek in-person medical care promptly.

Is it safe to give my child over-the-counter anti-nausea medicine?

Some medications may be safe but should only be given after consulting with a healthcare provider, especially in young children. Avoid giving any medicine without professional advice.

How can I prevent nausea in my child during travel?

Ensure your child eats light meals before travel, stays hydrated, and takes breaks if possible. Some children benefit from sitting in a position with a clear view of the horizon. Consult a provider for safe preventive options.

Sources

1. Nausea and Vomiting in Children — MedlinePlus, U.S. National Library of Medicine.
2. Vomiting in Children — American Academy of Pediatrics.
3. Managing Nausea and Vomiting — Centers for Disease Control and Prevention (CDC).
4. Nausea and Vomiting in Children: Clinical Overview — Mayo Clinic.

This telemedicine guidance is for educational and triage purposes only and is not a substitute for in-person medical care. If your child has severe symptoms or you are concerned about their health, seek immediate medical attention.