I'm new here, but I am really at a loss for how to handle this new development with my son. He just turned 4 last week and when I picked him up from daycare yesterday he had a new shirt on. I asked what happened and the teacher said, "Oh he went to the corner and put his fingers down his throat and made himself throw up... again." This was the first time I heard about it. I called his father (we are divorced) and he said they told him he had done it 2 weeks ago when he picked him up. Over the last few weeks he has casually said things like, "I think I'm gonna throw up" and "that makes me wanna throw up" but never actually thrown up or shown any signs of needing to throw up. I've googled some responses to this, and just to clarify here are a few things about my son: - he is not a picky eater. He loves to eat, loves vegetables, cleans his plate, eats very healthy and regularly. - he does not get sent home from daycare or get any special attention when he makes himself throw up. They don't take him to the office or the nurse, they just clean him up and change him if necessary - he really has no behavioral problems, he is well mannered, very bright, social, generous and sharing with other children - he has never thrown up when he was sick or seen anyone in our home throw up. I am assuming there have been kids in his class who have thrown up, but that is the only place I can think he has seen it. He has also never made himself throw up at school. - he is not worked up or upset when it happens, and he is intentionally putting his hand down his throat, so it is not just a internal gag reflex or a sensitivity to puking. Well, hopefully someone can shed some light on this for me. I want to be sure to address it appropriately with him. When I ask him why he did it or who showed him, he just nonchalantly says, "No one" or "I don't know." The teachers said he is the only one doing it, but he does do it in front of the other students and away from the teachers.