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DEHYDRATION
Your child has had vomiting and/or diarrhea for three days, refuses to eat,
will only take a few sips of juice, seems less active, and is urinating less
often than usual. You begin to worry about dehydration. Here are some tips to
help you determine how dehydrated your child might be and when to worry and what
to do.
WHEN NOT TO WORRY
SIGNS OF ADEQUATE HYDRATION – if your child has most or all of the
following signs, then you can be reasonably sure he is not significantly
dehydrated:
Moist, shiny mouth from saliva, pools of saliva under tongue or lips
Moisture present in eyes, tears dripping out when crying
Urinating at least every 4 hours
Active, playful, running around tearing up the toy room
MILD DEHYDRATION – most children will become mildly dehydrated during
the course of any illness simply due to the fact that they won't drink as much
as usual. This is not dangerous. Common signs of mild dehydration include:
Less active than usual, but still alert and playful
Lips slightly dry
Urinating slightly less frequently
WHEN TO BE CONCERNED
MODERATE DEHYDRATION – many children will progress to this stage
during a gastrointestinal illness. In general, this stage is not dangerous
either. Signs include:
Less active and playful, but still alert.
Will make eye contact and respond to you
Lips are dry and chapped, inside of mouth is slightly dry
No tears when crying, but eyes still appear moist
Urinating about half as often as usual
Urine concentrated like apple juice
WHEN TO SEEK MEDICAL ATTENTION
SEVERE DEHYDRATION – seek medical attention if your child shows these
signs:
Limp, inactive, makes minimal eye contact and not response to your voice or
touch. This is the definition of lethargic.
Lips chapped, inside of mouth is dry and sticky with no saliva
No tears, eyes are dry and sunken in
No urination for 12 – 18 hours
Extremely unusual fussiness along with the other symptoms
Pale
Very fast heartbeat
NOTE: A child is more likely to get severely dehydrated with vomiting and
diarrhea – dubbed a "double-ender" than with either alone
GETTING THROUGH THE NIGHT
Mild or moderate dehydration –most children can make it through the evening
and overnight by offering your child small, frequent sips of clear liquids such
as:
Breast milk
White grape juice
Pedialyte
Frozen juice slushy
Severe dehydration is too dangerous to treat at home and should be treated
immediately in an emergency room.
Above all, if you are not sure about how dehydrated your child is, you should
contact your doctor.
PREVENTING AND TREATING DEHYDRATION ASSOCIATED WITH VOMITING AND/OR
DIARRHEA (See Diarrhea)
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of health care. The information presented in this site gives general advice
on parenting and health care. Always consult your doctor for your individual
needs.