Childhood Diseases

Question
Posted by: R | 2013-02-11

Q.

14 Month old

Hi Doc, hope you are well.
I am just wondering if I should be concerned at all - I have posted you a few times regarding my baby as we experienced various problems with him drinking milk, and now liquids. I find he does not often have a very wet nappy. He has stool nappies 2-4 times a day since he''s been on solids, no diarhea.
He does not drink much liquid during the day as he just refuses it. He may have 100-200 ml milk around 10 for his morning nap, thereafter just few sips of water, juice or tea, until bed-time, when he will drink 250-500 ml milk, and then another 200 ml x2 during the night. On some nights this has been less.
I tried Parmalat two weeks ago, and he loved it and drank more during the day, but he was constipated and I put him back on Nido.
Even though he tends to drink a lot during the night, I find his nappies are mostly dry at night, and in the morning he does not have a really saturated nappy.
I''ve noticed this since he was an infant, and am now wondering if I should be concerned there may be kidney related problems.
He is otherwise healthy and happy, weighs about 12 kg now, and eats very well when he''s not experiencing teething pains.
Many thanks - R

Expert's Reply

A.

Paediatrician

Your son's weight is far above the average of 10kg for baby boy of his age so there is certainly no need to be concerned about his general progress. He does take very little fluid. His daily fluid requirement is about 1100ml. The signs are also there that his fluid intake is inadequate. Why not give him the Parmalat First Growth milk twice a day seeing that he likes to drink this milk? Try him on dilute fruit juice as well as rooibos tea and water of course.

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