Childhood Diseases

Posted by: Peta | 2010-11-26


26 month old not drinking well

Hi dr
Me again - 26 month old, 11.4kg, tube weaned 6wk ago.

The most liquid I usually manage to get into him is 500-600ml on a good day but up until this point I havent been concerned about it. Now, since last weekend, the amounts have become less and less.

Weekend –  about 250ml a day
Monday –  under 200ml
Tuesday –  under 180ml
Wednesday –  120ml
Thursday –  100ml

I am concerned that he is getting too little liquid in. He is clutching his groin every now and again (no temp) and not interested in drinking at all. I have dried different bottles, sippi cups, teats, cups etc with various liquids in and he wont touch them. He wont eat ice cream, jelly, yoghurt, soups etc so I cant get liquid in that way.

He is however still eating well and having wet nappies although less than previously. Foods he is consuming include dry bread (nothing on), chips, tuc biscuits, milk tart, a bit of porridge, pumpkin

My question is this –  do I need to be concerned about him dehydrating or will he get enough liquid in through the food that he consumes? My paed says that one way of knowing if they are dehydrated is if their weight is down. He has lost 200gm since yesterday but apart from being a bit grumpy seems fine.

Should I be concerned? I don’ t want to be this overprotective mom but also don’ t want to put him in any danger.

Thanks again for your advise

Expert's Reply



Your son is definitely not getting enough fluid per day. He will not get enough fluid through the other food that he eats.He is already losing weight and is probably becoming dehydrated. It is difficult to advise the best way forward but your paediatrician should definitely see him and decide whether he needs to be given IV fluids to get him over this immediate problem.

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