Q: I notice my baby gets dehydrated when she is sick, but I don’t always know if it’s serious enough to call for a trip to the doctor. Any tips for a first time mom?
A: Firstly, let me commend you for being attentive to your baby’s health. Dehydration can indeed be a concern, particularly in infants, as they are more vulnerable to fluid loss. Here are some tips to help you navigate this situation:
Know the signs: Watch out for common signs of dehydration in infants, such as dry mouth, fewer wet diapers than usual, crying without tears, sunken eyes, lethargy and fussiness.
Assess fluid intake: Monitor how much your baby is drinking. If she’s breastfed, ensure she’s nursing adequately. If she’s formula-fed, check if she’s taking her usual amount. Offer frequent feedings to prevent dehydration.
Check for wet diapers: Keep track of the number of wet diapers your baby produces. A decrease in the frequency of wet diapers may indicate dehydration.
Watch for fever: Illness often accompanies fever, which can increase fluid loss through sweating. If your baby has a fever, make sure she’s drinking enough fluids to stay hydrated.
Rehydration solutions: Oral rehydration solutions, available at pharmacies, can be helpful in replenishing lost fluids and electrolytes. These solutions are specifically formulated to prevent and treat dehydration in infants and children.
Trust your instincts: As a parent, you know your baby best. If you’re concerned about her hydration status, don’t hesitate to contact your pediatrician. They can provide guidance based on your baby’s specific symptoms and health history.
Emergency signs: In some cases, dehydration can be severe and require immediate medical attention. If your baby shows signs of extreme lethargy, sunken fontanelle (soft spot on the head), rapid breathing or no urine output for several hours, seek medical help urgently.
Remember, it’s always better to err on the side of caution when it comes to your baby’s health. Your pediatrician is there to support you and provide guidance, so don’t hesitate to reach out if you have concerns.
Dr. Tonia Cox is a pediatrician with CHI Memorial Pediatric Diagnostic Associates and a member of the Chattanooga-Hamilton County Medical Society.