If your child has repeated bouts of vomiting, please collect the following information on three episodes of vomiting before you make an initial or follow-up appointment. This information may help your physician reach a correct diagnosis.
Time and Place
Time of day:
Place (home, school, etc.):
Description of Vomiting
How much (ounces)?
Food or mucus?
For how long (minutes)?
What did it keep your child from doing?
Triggers for Vomiting
Thoughts or stresses before the vomiting (within 1 hour):
Feelings (for example, upset or afraid) before the vomiting (within 1 hour):
Activities before the vomiting (within 2 hours):
Food eaten before the vomiting (within 2 hours):
What did you do to help your child feel better?
What do you think caused the vomiting this time?
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by RelayHealth.
Last modified: 2009-08-13
Last reviewed: 2010-06-02
This content is reviewed periodically and is subject to change as new health information becomes
available. The information is intended to inform and educate and is not a replacement for medical
evaluation, advice, diagnosis or treatment by a health care professional.