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Dehydration in Children

WHAT YOU SHOULD KNOW

Dehydration (dee-hi-DRAY-shun) is a loss of water and other important body salts. It can happen to any child; but it's most serious in newborns and infants. Your child should return to normal when the cause of the dehydration is found and body fluids are replaced.

Causes

Severe vomiting or diarrhea, usually caused by an infection, can drain the body of fluid. Fever, sweating, and prolonged exposure to the sun are other possible causes.

Signs/Symptoms

A dehydrated child may be sleepier than usual, urinate less, have a dry mouth and cracked lips, cry without tears, or seem dizzy. With babies less than one year old, the soft spot on top of their head may become sunken.

Care

Lost liquids must be replaced. The child may need to be put in the hospital for care and treatment.

WHAT YOU SHOULD DO

  • For the first 24 hours give the child only clear fluids. Electrolyte solutions can be bought at the grocery store, or you can give gelatin water (a 3-ounce package in a quart of water), or a mixture made by adding 1/4 teaspoon salt and 1 tablespoon sugar to 1 pint of water.
    • If the child is vomiting, give fluid very slowly, starting with 1 or 2 teaspoons every 10 minutes.
    • If there is no vomiting and the child is less than 1 year old, you may give 1 tablespoon every 20 minutes.
    • If there is no vomiting and the child is over 1 year old, give 2 tablespoons every 30 minutes.
  • If there is no vomiting, you may gradually return the child to his or her normal diet over the next 2 or 3 days.
    • If a baby is taking only formula, dilute it to 1/2 strength for the next 24 hours.
    • If you are breastfeeding, give the baby clear liquids for 2 feedings, then start breastfeeding again.
    • If your child is taking solid food, begin with bland foods such as applesauce or bananas and add other foods as tolerated. If the child is over 1 year old, do not include milk, ice cream, butter, or cheese in the diet for the next 3 days.
  • Keep a record of how often you change your baby's diaper and how wet it is each time.

Call Your Doctor If...

  • For children less than 3 months old, call if the child's temperature goes above 100 degrees F (37 degrees C).
  • For children over 3 months, call if the child's temperature goes above 102 degrees F (39.4 degrees C).

Seek Care Immediately If...

  • Your child has signs of worsening dehydration, including listlessness, excessive thirst, little or no urination in more than 6 hours, no tears, wrinkled skin, dizziness, irritability, weight loss, or, if the child is a baby, a sunken soft spot on the top of the head.



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