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Dehydration in young children

Healthwise
By Jan Nissl, RN, BS

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Babies and young children are more likely to become dehydrated than adults because their bodies contain a larger percentage of water. Children's bodies need more water because they have a higher metabolic rate. Children's kidneys do not retain water as well as adults. This means illnesses that cause vomiting, diarrhea, or a fever can rapidly decrease the amount of fluid in a young child's body, causing dehydration.

A young child will not be able to tell you if he or she is feeling dehydrated, so you must look for symptoms of dehydration.

Mild dehydration

  • Less frequent urination, and the urine may have a strong odor and dark yellow color
  • A baby acting fussy, hungry, and thirsty most of the time

Moderate dehydration

  • No urine for 8 hours or fewer than three wet diapers in 24 hours
  • A sunken soft spot (fontanel) in the baby's head
  • Slightly sunken eyes and decreased tears
  • Drier-than-normal mouth and tongue
  • Extreme hunger or thirst

Severe dehydration

  • Child will not play or may be so sleepy that he or she is hard to wake up
  • A very sunken soft spot (fontanel) and very sunken eyes
  • No tears and a dry mouth and tongue, with no saliva
  • No urine for over 12 hours
  • Fast breathing and heartbeat
  • Skin that is slow to return to normal after being gently pinched

Severe dehydration is a medical emergency. Call 911 or other emergency services immediately.

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer Michael J. Sexton, MD - Pediatrics
Specialist Medical Reviewer Thomas Emmett Francoeur, MDCM, CSPQ, FRCPC - Pediatrics
Last Updated February 19, 2009
Last Updated: 02/19/2009