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Diarrhea and vomiting in children: hydration, care, and warning signs

Spanish-speaking video visit · $88 USD

When a child has diarrhea and vomiting, the most important thing is to prevent dehydration. Most of these illnesses are viral, last a few days, and get better at home with good hydration. With Doctor Matt you can talk by video, in Spanish, with Colombian doctors who guide you on how to care for your child, what to watch for, and when to seek in-person care. The visit costs $88 USD as a single flat payment, is available with or without insurance, and we see children from about 1–2 years old and up. You can book your visit online here.

Babies younger than ~1–2 years: small babies dehydrate very quickly. If your baby is younger than 1 to 2 years, or if your child has severe symptoms, they need in-person or emergency care — telemedicine is not appropriate in those cases.

The most important thing: hydration

Diarrhea and vomiting cause your child to lose fluids and salts. That is why the number-one goal is to replace those fluids little by little:

  • Oral rehydration solution (such as Pedialyte): give it in small, frequent sips. If your child throws up, wait a few minutes and offer a little again — a teaspoon or a small sip at a time, very often.
  • Keep feeding them: offer bland, easy-to-digest foods (rice, banana, mashed potato, toast, light soups) as soon as they can tolerate it. There is no need to have your child fast.
  • Avoid very sugary drinks: juice, soda, and sugary sports drinks can make diarrhea worse. An oral rehydration solution is better for replacing fluids.
  • Breast milk or formula: if your child still nurses or takes formula, you can usually continue, offering it more often and in smaller amounts.

The doctor guides you based on the case. Do not give adult anti-diarrhea medicine to children on your own: it can be dangerous. The doctor decides the medication and the dose based on your child's weight and age, if anything is needed.

What NOT to give your child

  • Never aspirin. Aspirin should not be given to children because of the risk of Reye's syndrome, a serious complication.
  • No anti-diarrhea medicine or adult medications without a doctor's guidance.
  • Many over-the-counter cold and cough medicines are not recommended for children under ~4–6 years; they are not useful for diarrhea and vomiting and should not be used.
  • Do not give harsh home remedies or "cleanses" — they can make dehydration worse.

Warning signs — do NOT use telemedicine

These signs mean your child needs in-person or emergency care right away. If you see any of them, call 911 or go to the emergency room — not telemedicine:

  • Trouble breathing or fast breathing, or bluish lips or skin.
  • Signs of dehydration: no wet diaper or no urine for 6–8 hours, crying without tears, dry mouth and lips, sunken eyes.
  • Listlessness, extreme sleepiness, or not responding / not waking up normally.
  • A seizure, or a stiff neck.
  • A rash of tiny red or purple spots that does not fade (blanch) when you press on it.
  • Blood in the stool or vomit, or green vomit.
  • Vomiting that will not stop and your child cannot keep down even sips of rehydration solution.
  • Severe belly pain that does not ease up.
  • Fever in a baby younger than 3 months.
If you see any of these signs, call 911 or go to the nearest emergency room. Telemedicine is for guidance and mild cases, not for emergencies.

What is the video visit like?

You talk directly with a real doctor, face to face by video, in Spanish, in a private space. You can describe your child's symptoms in your own words, say how many times they have vomited or had a bowel movement, and get your questions answered with no language barrier. The doctor gives you clear recommendations on how to rehydrate, what to watch for, and when to seek in-person care.

We want to be honest: Doctor Matt works with Colombian doctors who care for patients by video. It is not a physical clinic in your city, and they are not U.S.-licensed doctors. The service focuses on guidance and over-the-counter (OTC) options. If your child's case needs an antibiotic (for example, a bacterial infection) or an in-person exam, the doctor will tell you clearly.

The process, step by step

  • Pay online: you make a single $88 USD payment through the secure Bold platform.
  • Choose a date and time: the calendar shows available slots in your own time zone.
  • Connect by video: you join from your phone or computer, with no apps to install.
  • Get guidance: the doctor reviews the case and explains how to care for your child at home.

We are available every day, including weekends, from 7:00 a.m. to 9:00 p.m. (Colombia time, GMT-5). Video care reaches all of the United States.

Is your child dealing with diarrhea or vomiting and you want guidance in your own language? Book your video visit today, with or without insurance. And remember: if you see warning signs, the emergency room or 911 comes first.

Talk with a Spanish-speaking doctor by video about your child's diarrhea and vomiting. Single $88 USD payment, with or without insurance, every day from 7 a.m. to 9 p.m. We see children from about 1–2 years old.

Book my visit — $88 USD
Important: this service is for mild cases and guidance only, and does not replace emergency care. If you see signs of dehydration, blood in the stool or vomit, trouble breathing, listlessness, or any emergency, call 911 right away or go to the emergency room.

Frequently asked questions

What age children do you see?

We see children from about 1 to 2 years old and up. For babies younger than 1 to 2 years, or for any child with severe symptoms or signs of dehydration, in-person or emergency care is needed. Telemedicine is not appropriate in those cases. A small baby dehydrates much faster and must be seen in person.

What should I give my child for diarrhea and vomiting?

The most important thing is rehydration with an oral rehydration solution (such as Pedialyte) in small, frequent sips, while continuing to offer bland foods. Avoid very sugary drinks like juice or soda, because they can make diarrhea worse. Do not give adult anti-diarrhea medicine or any medication on your own. The doctor decides the medication and dose based on your child's weight and age.

How do I know if my child is dehydrated?

Signs of dehydration include: no wet diaper or no urine for 6 to 8 hours, crying without tears, dry mouth and lips, sunken eyes, and unusual sleepiness or listlessness. If you see any of these signs, or there is blood in the stool or vomit, green vomit, vomiting that will not stop, or severe belly pain, do not use telemedicine. Go to the emergency room or call 911.

Can I give my child anti-diarrhea or adult medicine? Is aspirin safe?

Not on your own. Adult anti-diarrhea medicines can be dangerous in children and are not recommended without a doctor's guidance. Never give aspirin to children because of the risk of Reye's syndrome, a serious complication. The doctor reviews the case by video and, if an over-the-counter medication is needed, tells you which one and the exact dose based on your child's weight and age.

Do you see patients without insurance?

Yes. We see patients with or without insurance. You do not need health insurance or a membership. It is a single $88 USD payment for the Spanish-speaking video visit for your child. Book at https://www.doctormattusa.com/#agenda.

Is the doctor physically near me in my city?

No. This is video telemedicine: you connect from wherever you are in the United States with Colombian doctors who speak Spanish. It is not a physical clinic in your city, and they are not U.S.-licensed doctors. If your child needs an in-person exam, lab tests, or an antibiotic, the doctor will tell you honestly.

Can you prescribe an antibiotic for my child's diarrhea?

Most diarrhea in children is viral and does not need an antibiotic; the key is good hydration. The visit focuses on guidance and over-the-counter (OTC) options. We do not promise prescriptions for controlled medications or prescriptions valid at U.S. pharmacies. If your child's case needs an antibiotic or in-person care, the doctor says so honestly.