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Vomiting 4-5 times
4.5 year old vomited 4-5 times , is ondem safe to give ? We are at remote place will reach town in another 2-3 hours . If yes how much ondem to give
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Syp.Ondensetron 2.5 mL BD (1-0-1) for 3 days
Stay hydrated
After 3 days if not resolved review directly to me through practo for further evaluation.
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YES, Ondem is SAFE for 4.5-year-old child.
Ondem Dosage for 4.5 years:
- Ondem Syrup: 2.5 ml (half teaspoon)
- OR Ondem MD 2mg tablet: Half tablet
- Give once now
- Can repeat after 8 hours if vomiting continues
- Maximum 2 doses in 24 hours
Important:
1. Give small sips of water/ORS every 10-15 minutes
2. Don't force feed - wait 1 hour after Ondem
3. Start with liquids only (rice water, coconut water)
4. Watch for dehydration signs
Dehydration Warning Signs:
- Dry lips/mouth
- No tears when crying
- No urination for 6+ hours
- Very sleepy/drowsy
- Sunken eyes
Seek doctor in town if:
- Vomiting doesn't stop after Ondem
- Signs of dehydration appear
- Blood in vomit
- High fever
- Severe stomach pain
Ondem is safe and commonly used for children. Focus on hydration while traveling.
Next Steps
RIGHT NOW: 1. Give Ondem 2.5ml OR half tablet MD 2mg 2. Wait 15-20 minutes 3. Start giving ORS/water - small sips every 10 min 4. No food for 1 hour While Traveling: - Keep giving fluids continuously - Carry plastic bags for vomit - Note urine output Once in Town: - See doctor if not better - Continue fluids - Gradual diet: Curd rice, banana, toast
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Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. If your 4 and a half year old child has vomited 4 to 5 times, the main goal is to prevent dehydration until you reach medical help. Ondem (Ondansetron) is a safe and commonly used anti vomiting medicine in children when used in the correct dose.
â
Advices
You can give Ondem syrup if available. The usual dose is 0.15 mg per kg body weight, which means approximately 2 ml of Ondem syrup (4 mg per 5 ml) for a child weighing around 15 kg.
Give the medicine only once, and wait for 20 to 30 minutes before giving small sips of ORS or water.
Keep the child upright and avoid giving food until vomiting settles for at least one hour.
What to Monitor
Frequency of vomiting and ability to retain fluids.
Urine output and alertness of the child.
When to Consult a Doctor Immediately
If vomiting continues even after taking Ondem.
If the child becomes drowsy, irritable or unable to drink fluids.
If vomiting is greenish or associated with severe abdominal pain.
You are already doing the right thing by keeping ORS and moving toward medical care. Continue keeping the child hydrated and avoid milk or solid food till vomiting stops.
ð You can reach out to me directly for this case and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive
A personalized recovery plan
Safe medicine and fluid guidance
Quick follow ups to track your childâs progress
Take care and wishing your child quick recovery.
Best regards,
Dr. Romain Rajan
General Physician
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whats the condition naow??
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It depends on his body weight. Can give 3ml paediatric syrup ondansetron and try giving ORS sip by sip til you reach a doctor in person
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Yes you can give 2 ml ondem it's safe in this age group. But take him to pediatrician doctor he might have got infection with contaminated eatables .
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Consult me for further guidance , yup it's safe , just take it in syrup form 1 tsp morning and 1 tsp at night
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You can safely give 2 mg Twice daily
Next Steps
Consult Paediatrician if frequent vomiting
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Yes you can give 2mg safely. Or half tablet of 4mg also twice a day.
Give small sips of water or ORS after 15–20 minutes once vomiting stops.
Avoid giving food immediately.
If your child looks drowsy, dehydrated (dry mouth, sunken eyes, less urine), or vomiting persists >6–8 hours, seek medical help with a paediatrician as soon as you reach town.
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Give ondem 4mg Twice daily
Next Steps
Consult pediatrician
Health Tips
Do not Ignore Frequent vomiting
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you can give 2mg safely
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Yes, you can give. Dose will be as per weight of the child. Try to Follow instructions as per product voucher, otherwise consult a child specialist.
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its u can Dont need to worry. you just need to share me the weigth and can calulate the safe dose and can give him.
Next Steps
Share the weight
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Depends on the baby weight
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Yes safe
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Share weight of the baby
Next Steps
Give plenty of fluids to prevent dehydration
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Yes but dose is to calculated so that it should not harm in anyway. Kindly consult online through practo or whatsApp eight three six eight seven two eight one three seven
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Yes it's safe give ondem 4mg twice daily consult online will guide you
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Yes, 3 ml
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Yes
It should be given on basis of body weight
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I need to ask few more questions before answering your query.
Early consultations can prevent complications.
Kindly contact me on whatsapp chat (84960595sixfive)
Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn specialist )
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The dosage is depends on weight... Tell me about the weight of child...
If the vomit doesn't resolve after giving ondem, do an ECG abdomen... Repeated vomiting is risk for baby...
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It's safe
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Consult pls if still have queries.
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It depends on your child's weight
8–15 kg. 2 mg
15–30 kg 4 mg
>30 kg. 6–8 mg (usually 4–6 mg)
Next Steps
check for infection
get some tests done like
CBC
Health Tips
give ORS after every episode around 1 to 1.5 cups
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Take a glass of milk daily.
Thanks.
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If you want to discuss your problem in more detail, feel free to to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Pediatrician
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Dr. Sumayya Parvin
Emergency & Critical Care
8 yrs exp
Cochin
Syrup ONDEM(2mg/ 5 mL ) 5 mL can be given safely to the child at least 40 min about the food , thrice daily for 1 day followed by sos
And kindly provide complete details regarding weight of child , whether he is having fever / abdominal pain / loose stools / blood in stools.
Next Steps
Watch for signs of dehydration like reduced urine output , dry tongue and lips , dull activity
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
First — what matters most
From your note: 4½-year-old, vomited 4–5 times, you’re 2–3 hours from town. That can be a self-limited viral gastroenteritis, but it can also progress to dehydration or be something that needs urgent care. So we manage by watching for danger signs and starting simple supportive measures immediately.
Do this straight away (no medicines):
1. Check for dehydration now: look for dry mouth, few or no tears when crying, sunken eyes/fontanelle, decreased urine (no wet diaper/pee for ≥6–8 hours), lethargy/very sleepy, or fast breathing. If any of these are present — go to the nearest health centre or ER now.
2. Give tiny frequent sips only: offer ORS (oral rehydration solution) or clean water in very small amounts — spoon or syringe: ~5–10 ml every 1–2 minutes. If she tolerates that, increase gradually (target ~50–75 ml every 10–15 minutes as tolerated). Don’t force large volumes at once.
3. Avoid solid heavy food for now; small bland sips/ice chips only. If breastfeeding, continue breastfeeding in small frequent feeds.
4. Avoid antiemetics or other medicines unless seen by a doctor — they can mask important symptoms and dosing depends on weight.
5. Keep her comfortable: rest, keep cool, offer plain fluids. If there’s fever you can treat later but don’t give any medicine without confirming weight and allergies.
6. Note anything abnormal: blood in vomit, green bilious vomit, severe abdominal pain, high fever, breathing difficulty, convulsions, confusion, or if vomiting becomes projectile — these require immediate transfer to hospital.
When to not wait 2–3 hours and go immediately:
• Signs of moderate-to-severe dehydration (listed above).
• Child becomes drowsy, floppy, not responding, has rapid breathing, or has bloody/green vomit.
If none of the above are present and the child is alert and taking small sips, you can continue the sip-and-watch plan and head to town — but keep monitoring every 15–30 minutes.
About ondansetron (ondem) — short, frank:
Ondansetron can help vomiting in children but should only be given after a doctor assesses the child’s condition and weight. Don’t give it blindly in a remote setting — it can hide red flags and dosing errors are risky.
If you want me to advise more precisely, send these now: child’s weight (or estimate), current activity level (playing/alert vs very sleepy), number of wet diapers or urinations in last 6–8 hours, presence of fever, abdominal pain, blood in vomit, and any medicines given or allergies.
If you want a quick private assessment and step-by-step management plan, message me on WhatsApp: nine three two six zero two zero five three six. I’ll reply faster there and we can decide if you need to head to hospital now.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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