Hello. My nine-year-old son vomited two nights in a row a little bit after falling asleep. No fever, no diarrhea, but he does have very little appetite. Normal during the day, other than little appetite. This has happened a few times over the year (back in January, and two- three times last year). Is it normal to have a stomach bug without diarrhea or fever? He doesn't have a headache, stomachache (other than nausea) or neck ache when this happens either. I called the nurses line that suggested if it happens for a third night to bring him in. If this bout of vomiting happens again in the next few months should I consider looking into this further? My other son never vomits, so it's just strange to me. Thank you.
This is one of the toughest symptoms for us to evaluate: the healthy child who on rare occasions has vomiting and is otherwise completely well. I usually ask parents to do a good food diary, for generally this will have something to do with a food intolerance. Otherwise, I wouldn't worry about it unless the symptoms are associated with pain or are more frequent.
Good luck, Dr. Olson