When to worry about dehydration?

[pearandsausage]

Shamelessly posting in chat for traffic.

DS is 2y9m and has been vomiting nearly every hour since 6.30 this morning.

No appetite and not really eating but not so worried about that - what concerns me is his inability to keep water down. He still wants to drink and is sipping away but it's not staying in. He's pretty lethargic now.

DH just gone out for ice lollies and rehydration sachets.

Any advice gratefully received.

Is he still weeing ?
Sips of fluid, not mouthful’s.

www.nhs.uk/conditions/dehydration/

Poor thing, I hope he recovers soon.
Keep an eye out for warning signs - see link- and don't hesitate to get him checked over if at all unsure.

NHS says 12hrs with no wees is gp or urgent care worthy. Hope he perks up soon!

Just noticed you said he's seeming lethargic, i wouldn't risk it any further and would seek medical help.

No wee since 10.30ish.

He's a pain for gulping drinks down so trying to encourage regular sipping.

A lethargic, unwell child not weeing warrants a call with someone medical.

I would seek real life advice now.

Thanks all, will get on to 111 once DH is back with supplies

Try using a syringe and give 5ml every 10 mins or so.

I would take away the cup for now and give 5mls on a spoon or in a syringe as above. 'Sips' are too much at this stage.

When we took my eldest to A&E with suspected dehydration (my DC was 4 and had been ill for 60 hours. Was no longer vomiting but wouldn't drink much at all) they got us to do a fluid challenge. 5ml of Diarolyte every 10 mins.

We did end up having to be admitted for IV fluid but I use this method with every sickness bug if they can't keep fluid down or aren't wanting to drink.

I'd definitely call 111 and try every method available of offering fluids.

Wishing you little one a speedy recovery.

I like that idea @Crunchymum - DS is obsessed with the syringes in his doctors kit so I could see it working.

No rehydration sachets anywhere in the small town we live in so assuming it's a bug doing the rounds - DH has spoken to the pharmacist though and got something.

Thanks all for the advice 🙏

Try chilling it and using a straw, makes it easier to sip than gulp.

He has a red flag symptom, please call 111 now, don't wait.

The danger with dehydration is actually more to do with renal function and sepsis.

Ice lollies to suck on would be a good choice but honestly you need to call 111 now.

As only small children can do he's managed to keep fluids and ice lolly down and has bounced back - running round the house making DH play with him. No solids yet but as long as he's keeping fluids down, that's fine by me! Phew! Thanks again for the sense check

That’s good news !