How to Recognize Dehydration in an Infant or Toddler

Dehydration in an infant or toddler occurs when there is not enough fluid in the body. This can occur because your child is not drinking enough or because the body is losing too much fluid, usually by vomiting, diarrhea or both.

It is important to recognize dehydration and take appropriate steps. Severe dehydration can lead to shock.

What are the symptoms of dehydration?

Your child will be thirsty. If she is able to, she may be asking for drinks.

She may also complain of a dry mouth.

What are the signs of dehydration?

The following are all signs of dehydration in a baby or child. The symptoms at the top are the first to appear:

• dry mouth and lips
• skin that seems less elastic - it doesn't spring back into place when pinched
• sunken eyes
• no tears when she cries (and she really means it!)
• no urine for over 6 hours
• listless and lethargic

What should I do if my child is dehydrated?

Make sure she has enough fluids and if necessary give extra fluids. If giving extra fluids, it is best to give a rehydration solution like Gastrolyte, Dioralyte, Pedialyte or Rehydralyte.

When should I seek medical attention?

See you doctor if your child:

• is lethargic or listless
• has not passed urine for 6 hours
• feels cold to touch - press your thumb over her breast-bone for 5 seconds until the skin goes white. Take your thumb off and count in seconds until the color returns to the skin. (1000-1, 1000-2, 1000-3 etc is equivalent to 1 second, 2 seconds, 3 seconds etc). If the color has not returned within 3 seconds (1000-1, 1000-2, 1000-3), she needs urgent medical attention
• seems very unwell to you