Nutrition and daily life

Vomiting: protecting fluids and knowing when to call

Vomiting can cause loss of fluid and salts, weakness and medicines not being absorbed. This section explains how to restore fluids after vomiting, how to return to food and when to call for help at once.

Last updated: ~1 min read
A glass of water and ice chips by the bed.
Figure 1.Small sips and ice — Vomiting: protecting fluids and knowing when to call

01Short answer

After vomiting wait 30–60 minutes, then sip clear fluids slowly: water, broth, oral rehydration solution or ice chips. Once you keep fluids down, move to soft foods (rice, toast, potato). Take anti-sickness medicines on schedule. Ask your team before retaking a medicine you vomited up. Repeated vomiting in 24 hours, blood in vomit, not keeping fluids down, dizziness or passing little urine: call at once.

02Simple explanation

Fluids in small sips.

Rehydration solution.

Then soft food.

Vomited a medicine? Ask.

03Scientific explanation

Dehydration: frequent vomiting can cause sodium and potassium loss and worsen kidney function; oral rehydration solutions replace water and salts together.

ESPEN: enough energy and protein matter for preventing weight and muscle loss in people with cancer, and nutritional status should be assessed regularly.

NCI: practical eating tips exist for treatment side effects such as nausea, taste changes and mouth sores.

04What happens in the body?

A gradual return

Clear fluids → broth → rice, potato, biscuits → normal food.

A clear drink and an opened sachet.
Figure 2.Rehydration solution.

Mouth care

Rinse your mouth with water after vomiting; brush gently with a soft brush a little later.

Broth, rice and dry toast.
Figure 3.A gradual return — Vomiting: protecting fluids and knowing when to call

Dietitian

If you are losing weight, have no appetite or need a special diet, ask to see the hospital dietitian.

Food safety

Food-safety rules for neutropenia (see “Handwashing: the simplest protection” and “Eggs and dairy: safe choices”) apply at every stage.

05Nutrition: four steps

Assess, swap the risky, cook safely, eat regularly.

Assess — Weight and appetite.1AssessWeight and appetite.
Swap — A safe choice.2SwapA safe choice.
Cook — Hot throughout.3CookHot throughout.
Eat regularly — Small portions.4Eat regularlySmall portions.
StrengthEnergy.
ProteinFor muscle.
SafetyFood rules.

06Key points at a glance

TopicIn brief
A gradual returnClear fluids → broth → rice, potato, biscuits → normal food.
Mouth careRinse your mouth with water after vomiting; brush gently with a soft brush a little later.
DietitianIf you are losing weight, have no appetite or need a special diet, ask to see the hospital dietitian.
Food safetyFood-safety rules for neutropenia (see “Handwashing: the simplest protection” and “Eggs and dairy: safe choices”) apply at every stage.

07Key terms

Dehydration
Loss of body water.
Oral rehydration solution
A special mix of water, salts and sugar.
Dietitian
A nutrition specialist.
Protein
A nutrient for repairing muscles and tissues.
Neutropenia
Low neutrophils.

08Key points

  • Small sips.
  • Gradual return to food.
  • Call with warning signs.
  • A diet is not a treatment.
  • Talk to a dietitian.

09Frequently asked questions

I vomited after my medicine; should I take it again?

Not on your own; ask your team.

Do fizzy drinks help?

For some people; let the fizz out and sip slowly.

Can a special diet cure leukemia?

No. Good nutrition helps you cope with treatment, but it does not cure.

10Questions for your doctor

Take these questions to your appointment. The ones you save are collected on the “My questions” page and stay on this device only.

  1. I vomited after my medicine; should I take it again?

  2. Do fizzy drinks help?

  3. Can a special diet cure leukemia?

My questions

12Sources

  1. National Cancer Institute. Eating Hints: Before, During, and After Cancer Treatment
  2. ESPEN. ESPEN practical guideline: Clinical Nutrition in cancer (2021)
  3. Leukemia & Lymphoma Society. Food and Nutrition
  4. World Health Organization. Healthy diet fact sheet
  5. MedlinePlus (U.S. National Library of Medicine). Iron
  6. MedlinePlus (U.S. National Library of Medicine). Potassium
  7. NHS. Vitamins and minerals: Iron
  8. NHS. Vitamins and minerals: Calcium
  9. NHS. Vitamins and minerals: Others (magnesium, potassium, zinc, selenium and more)
  10. NIH Office of Dietary Supplements. Iron — Fact Sheet for Consumers
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.
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