Unexplained Vomiting in Kids: Why Your Doctor Might Order a Urea Creatinine Test
Unexplained vomiting in children can signal more than a stomach bug. Learn why and when a urea-creatinine test may be ordered to check kidney function and ensure timely care.

Written by Dr. Dhankecha Mayank Dineshbhai
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 10th Sep, 2025

Unexplained vomiting in children can be worrying, both for the child experiencing it and for parents trying to figure out the cause. While most cases of vomiting in kids are due to common issues like stomach infections, food intolerance, or overeating, sometimes the reason isn’t so obvious. If vomiting persists or comes with other symptoms like fatigue, reduced urination, or swelling, doctors may suspect something more serious and order specific tests, one of which is the urea creatinine test for kids.
At first, this might sound surprising. After all, vomiting is usually linked to the stomach, so why would a kidney test for children be relevant? The answer lies in how closely the kidneys and digestive symptoms can be connected. In some cases, the kidneys may not be working properly, and this can lead to toxins building up in the body, causing nausea, vomiting, and other symptoms that might be mistaken for a simple stomach upset. In this article, we’ll explain what the urea creatinine test is, why it might be ordered for children with unexplained vomiting, what the results mean, and how Apollo 24|7 makes the process simple and stress-free for parents.
Why is Vomiting Caused in Children?
For most children, vomiting is caused by common, short-lived problems such as:
- Viral gastroenteritis (“stomach flu”)
- Mild food poisoning
- Motion sickness
- Overeating or eating too quickly
In these cases, the vomiting settles within a day or two, and the child quickly recovers. But when vomiting continues without an obvious cause, especially if it’s accompanied by tiredness, changes in urination, swelling around the eyes or feet, or unexplained weight loss, it may point to something affecting the kidneys.
How are the Kidneys Connected to Vomiting?
The kidneys filter waste products from the blood and remove them through urine. If they are not working properly (due to dehydration, infection, injury, or disease), waste products like urea and creatinine can build up in the bloodstream. High levels of these waste products can irritate the stomach and cause nausea or vomiting.
What is the Urea Creatinine Test for Kids?
The urea creatinine test for kids is a blood test that measures two key waste products in the body:
- Urea: Produced when the body breaks down proteins from food.
- Creatinine: Produced from normal muscle activity.
Both substances are filtered out of the blood by the kidneys. If kidney function is reduced, the levels of urea and creatinine in the blood can rise. This test is one of the simplest and most reliable ways for doctors to check how well a child’s kidneys are working. It is often part of a kidney function test for children, which may also include other measurements like electrolytes.
Why Your Doctor Might Recommend This Test for a Vomiting Child?
When a child has vomiting without a clear cause, especially if other symptoms are present, doctors consider both stomach-related and non-stomach-related reasons. A urea creatinine test helps them quickly rule out kidney problems or detect them early. Here are some situations where your doctor might order this test:
- Persistent Vomiting with Fatigue: If a child vomits repeatedly for more than 2–3 days and seems unusually tired, kidney issues like acute kidney injury could be suspected.
- Vomiting with Reduced Urination: If your child is urinating much less than usual or urine looks unusually dark, this could mean the kidneys aren’t filtering waste properly.
- Suspected Severe Dehydration: Vomiting can cause dehydration, which in turn can temporarily affect kidney function. The test helps assess whether dehydration is impacting the kidneys.
- Vomiting with Swelling: Swelling of the face, eyes, or feet can be linked to kidney problems, even if the main symptom is vomiting.
Suspected Kidney Infection: Some kidney infections can present with vomiting, fever, and general discomfort rather than obvious urinary symptoms.
How is the Test Done?
The urea creatinine test for kids is simple and quick:
- A small blood sample is taken from a vein in the arm.
- The procedure usually takes just a few minutes.
- Most children only feel a small pinch when the needle is inserted.
Preparation for the test:
- Usually, no fasting is required.
- In some cases, your doctor might ask for fasting if other tests are being done alongside.
- Always inform your doctor about any medicines your child is taking, as some can affect kidney function results.
What can the Test Results Tell You?
Normal urea and creatinine levels mean the kidneys are filtering waste effectively.
High levels may indicate:
- Temporary dehydration
- Kidney infection or inflammation
- Blockage in the urinary tract
- Kidney injury from illness or medication
- Chronic kidney disease (less common in kids)
If results are abnormal, your doctor may recommend:
- Rehydration (oral or IV fluids)
- Antibiotics (if an infection is found)
- Ultrasound of the kidneys
- Referral to a kidney specialist (paediatric nephrologist)
Why Does Early Detection Matter?
Kidney problems in children can worsen quickly if untreated. Vomiting might seem like a stomach issue, but if the cause is kidney-related, prompt diagnosis and treatment can prevent serious complications. The urea creatinine test for kids is a low-cost, low-risk way to catch problems early, sometimes before they cause lasting damage.
Supporting Your Child Through the Process
As a parent, you can help by:
- Explaining to your child why the test is important (“We’re checking how your kidneys are working to see why you’re feeling sick.”)
Staying calm during the blood draw to reassure them. - Bringing a small snack or drink for after the test, if permitted.
Book a Kidney Test for Children with Apollo 24|7
Apollo 24|7 makes it easy to book diagnostic tests from the comfort of your home. If your doctor recommends a urea creatinine test for your child, you can choose home sample collection or visit a nearby Apollo diagnostic centre.
Here are some options:
1. Urea - Serum
- Measures urea levels in blood.
- Helps detect early signs of kidney issues.
Checks creatinine levels, another key kidney health marker.
- Includes urea, creatinine, and other kidney health parameters.
- Recommended if the cause of vomiting is unclear and kidney problems are suspected.
Conclusion
When children experience unexplained vomiting, it’s natural to think first of food or stomach bugs. But sometimes, the underlying cause is linked to kidney health. The urea creatinine test for kids is a quick and reliable way to check kidney function and rule out serious problems early. Thanks to services like Apollo 24|7, booking a kidney test for children is now simple, fast, and parent-friendly. If your child has ongoing vomiting, reduced urination, or swelling, don’t wait, get them tested. Early detection means quicker treatment, less stress, and better health for your child.