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| |    Sleep Refusal and Vomiting by Dr. Benjamin Spock reviewed by Robert Needlman, M.D., F.A.A.P. Some babies and young children vomit easily when enraged. It is not uncommon for an older baby or young child who does not want to go to bed to make himself upset enough that he vomits. The parent is apt to be upset and may show it by anxious looks, by rushing to clean up, by being more sympathetic afterward, or by being quicker to come to the baby at the next scream. This lesson is not lost on children, and they are likely to vomit more deliberately the next time they're in a temper. And they also come to be frightened by the vomiting they induce, because their parents are frightened by it. I think parents should try to handle the vomiting very matter-of-factly, especially if the child is using it to bully them. If they are trying to get the child over a refusal to go to bed, they should stick to the original schedule and not go in and clean up until after the child has gone to sleep, or do so quickly and then leave the room. Talk about:
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