Motion sickness

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What is...

What is motion sickness?

Motion sickness -- feeling like you may throw up when riding in a vehicle -- is common among children. It can occur when riding in a car, bus, boat, or airplane, and even when riding on a swing, merry-go-round, or amusement park ride.

Motion sickness happens when the child's brain gets mixed information from different parts of the body -- the inner ear (balance organ), eyes, muscles and joints.

Instead of these organs working together to maintain balance and a feeling of proper position, they are working separately so the child feels that something is not right and a sense of imbalance. For example, this can occur in a small child who is unable to see out the window while riding in the car, or when a child goes below deck while riding on a boat or watches rapid motion on a large movie screen.

The child's inner ear feels motion, but the child's eyes and joints do not. This confuses the brain, and the child may experience symptoms of motion sickness.

Motion sickness tends to run in families and often occurs in children who have migraine headaches. For most children, motion sickness will improve as they get older.

Symptoms

Symptoms and signs

Symptoms of motion sickness often begin with an uncomfortable feeling in the stomach.

This may be followed by nausea, cold sweats, loss of appetite and fatigue. Smaller children, who are unable to describe their symptoms, may appear calm, look pale, be restless, irritable, and may even cry or scream.

Eventually the child will gag or vomit. If the motion is intense, for example a boat ride in rough seas, or a bumpy airplane ride, the chance of having motion sickness is greater.

Complications

Complications

Motion sickness can be very uncomfortable for anyone, but generally is a harmless condition. If the child vomits heavily, dehydration (not enough fluids in the body) can occur. In rare cases, the symptoms may become so severe that a doctor should be consulted.

Home treatment

Treatment / What you should do

If your child is showing signs of motion sickness while travelling, take a break if possible.

Stop the car and let your child get out and walk around a little.

Your child may wish to lie down on his back and close his eyes.

When taking longer car trips, you should plan frequent stops along the way.

If your child experiences the symptoms while on a swing or carousel ride, he should stop this activity immediately.

Small children do not understand why they become suddenly ill, and they may therefore become worried. Calm the child and encourage the child to relax.

Do not become angry with your child if he vomits. It is rare that children with motion sickness vomit more than once. If the child feels nauseous, a damp, cool towel on the child's forehead may relieve the symptoms.

Prevention

Prevention

When travelling in a car, your child should be seated in her child safety seat. Look for one that is somewhat elevated so that your child can look outside.

Children should never be able to move around freely in the car. This is dangerous for safety reasons, and it will also increase the likelihood of motion sickness.

Let your child have a light meal before the trip begins.

If the child starts not to feel well, you should try to distract the child with story telling, music or singing.

Encourage your child to look out the windows at things in the distance.

Reading in the car should be discouraged, if the child is prone to motion sickness.

Avoid sidetracking your child with toys, books and other things inside the car.

When on a boat, have your child sit up top on deck and watch the horizon.

While watching a big-screen action movie, remind your child that closing his eyes will make the sick feeling go away.

If your child has had previous bouts of motion sickness in the past and is now going on a trip, you can give him a medicine that may prevent symptoms. Some are available without a prescription (for example, Dramamine).

Never use a higher dosage than the package recommends. If your child is taking other medications regularly, consult a doctor before giving your child any medicine to stop the uncomfortable feeling in the stomach with motion sickness.

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