Call Your Doctor Now (night or day) If

• Your child looks or acts very sick
• Confused (delirious)
• Stiff neck or bulging soft spot
• Headache
• You suspect poisoning with a plant, medicine, or other chemical
• Signs of dehydration (e.g., very dry mouth, no tears and no urine in more than 8 hours)
• Blood in the vomit that's not from a nosebleed
• Bile (bright yellow or green) in the vomit
• Abdominal pain is also present (EXCEPTION: abdominal pain or crying just before and improved by vomiting is quite common
• Fever above 105° F (40.6° C)
• Age under 12 weeks with fever above 100.4° F (38.0° C) rectally (Caution: Do NOT give your baby any fever medicine before being seen.)
• Age under 12 weeks with vomiting 2 or more times (EXCEPTION: spitting up)
• Age under 12 months old who has vomited Pedialyte (or other brand of ORS) 3 or more times and also has watery diarrhea
• Receiving Pedialyte (or clear fluids if age over 1 year old) and vomits everything over 8 hours
• High-risk child (e.g., diabetes mellitus, abdominal injury, head injury)
• Vomiting an essential medicine