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happymumma View Drop Down
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    Posted: 26 October 2010 at 12:28pm

I posted this in the feeding section but thought I might get a few more responses if I post in here instead...

My ten month old DD is almost completely refusing fluids.  I've tried all sorts of bottles, cups, straws etc plus syringing and spoon, all sorts of different fluid options etc etc.  In the last two days she has had about 120mls as a drink and anything else I have managed to get in has been via food.  This seems to be a behavioural issue rather than secondary to an illness so I'm not quite sure what to do (she has steadily been getting worse every time she's been sick and I've just shifted my expectations down each time).  Until the weekend she was taking about 300mls per day but now I'm really struggling to get anything in. 

Any tips? 

So far she is staying out of serious dehydration zone but I'm guessing that 60mls plus a bit in food each day won't keep us from that point for too much longer?

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monikah View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote monikah Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 12:54pm
i dont have much to help with apart from hugs and i hope it gets better soon. if you become desperate though you could always try using a syringe. when DS1 had rota we had to do that cos he stopped drinking for a while.


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blondy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote blondy Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 1:10pm
We resorted to (somewhat forceful) syringing fluid (pedialyte) into DD as well at about 7/8 months when she went on a nursing strike. Not fun at all (we did need one of us to hold her down, while the other syringed in the fluid via a tube in at the side of her mouth so she had to swallow it), but it was enough to keep her going at home for a couple days until she felt better and would drink again on her own.

Bummer though - I remember you saying this happened when she was sick before too. Hugs, it's so stressful when they won't drink
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happymumma View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote happymumma Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 1:23pm

She's refusing the syringe too.  And I'm not sure how much to 'force' just because it doesn't seem to be related to illness now - it's just been getting gradually worse over time.  She not even eating the same amounts as normal - probably because most of what I'm giving her is slushy so that I can hide fluid in it!!

I'm going to make some jelly and iceblocks.  She will probably eat those.  But I really am at a loss as to what to do otherwise.  There isn't anyone else here to hold her down if I go down the forcing it in route and I'm not sure that will solve the issue anyway (well - would solve the immediate issue of potential dehydration but not the longer term issue of getting her to drink!).

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Post Options Post Options   Thanks (0) Thanks(0)   Quote blondy Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 1:30pm
Fair enough - our DD's refusal was definitely illness-related, and she was back to normal within a couple of days. (so I wasn't worried about her long-term habits)

I wonder if it's worth getting some GP/specialist advice? As the weather gets warmer, I imagine your stress levels are going to increase too if she doesn't start drinking more on her own. Will she have water/watered-down juice from sippy cups if you just leave the cups lying around (so there's no pressure on her to drink them)? DD also liked drinking from "mummy's" water bottle (those small pump bottles)

I realise you've probably tried all of this already! Healthline are a bit hit or miss, but may be able to suggest something else you haven't thought of?
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happymumma View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote happymumma Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 2:29pm

I'm thinking I will try and get her in to see the GP tomorrow.  Healthline offered no advice - except to go to the GP!

That's a good idea re the pump bottle.  That is one I hadn't thought of so will give that a go.  She seems interested in cups etc - but not to drink - just to play. 

I just keep telling myself it's a phase I have to get through but you are right - the longer it goes on, and the warmer it gets, the more stressed I get about it (which I'm sure doesn't really help either!).

Thanks for the ideas.  Fingers crossed the pump bottle works!!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote luvmylittlies Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 2:53pm
I guess the problem now is that it's the classic feeding battle. If you can take the pressure to drink away somehow she might then chose herself to drink a bit - but somehow you've got to stave away dehydration in the meantime. Still offer a drink intermittently but don't make a deal of it when she pushes it away and if she has a little bit don't push her to have more.
Lots of fluid filled foods (watermelon, canned pears, soup, etc) although it sounds like you're already trying that. The other thing is giving her the flannel when in the bath to suck on (obviously avoid soap).
Good luck!

Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10
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happymumma View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote happymumma Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 3:24pm
you have described it exactly thesaff!  I'm so conscious of avoiding the battle but sometimes I'm not sure if that makes me a softy!  I think I just have to keep on going trying all the options and hope she keeps pulling through.  I had forgotten the drinking the bath water trick too.  Must give her an extra long one tonight!!!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote luvmylittlies Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 7:32pm
Nah, not a softy. Eating/drinking is about the only control battle that they can always win so you need other strategies instead. If they're a bit older you can offer them more choices to give them the control they want, but I'm not really sure at this age how to do it (apart from trying to not make the issue an issue and just letting her work it out herself). Maybe Plunket or the Family Center might have some ideas too?
Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10
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Post Options Post Options   Thanks (0) Thanks(0)   Quote happymumma Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 7:48pm

Well, she's had about 100mls of fluid today, plus breakfast, a very small runny lunch and about 1/2 a cup of jelly.  Hopefully that is enough to keep her going.  I phoned Plunketline this morning thinking they would be full of tips but they just put me through to Healthline.  The Family Centre is a great idea though - I will give them a call tomorrow.  I must admit that I forget they exist.

I've just been given a few tricks to try from a Paed Speech Therapist so will try those at breakfast time.  I might give the control thing some thought too.  That would absolutely fit her personality so I wonder if there is a way around it at this age.  She struggles to hold and control a cup of any sort but maybe actually letting her have a bowl of food to play with might help.  I quite often give her a spoon but she definitely wants the one with the food on it - maybe I can use that somehow.

She's had two semi wet nappies all day today so she must be fairly borderline but other than sunken eyes and being a bit more tired and grizzly than usual she is still going strong!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote luvmylittlies Quote  Post ReplyReply Direct Link To This Post Posted: 26 October 2010 at 8:01pm
I do wonder what the Plunketline actually does. I've rung them twice and they always put me through to the Healthline as well.

Just another thought - maybe now it's a bit warmer you could also try eating outside and just give her some cups that she can pick up and just let her pour them all over the place. Who knows, maybe some will go in her mouth?
Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10
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Post Options Post Options   Thanks (0) Thanks(0)   Quote happymumma Quote  Post ReplyReply Direct Link To This Post Posted: 27 October 2010 at 9:26am

Haha - sometimes I wonder what Healthline does too!  I guess like all things it totally depends upon the experience / knowledge of the person you talk to.  Sometimes I have found they are full of useful advice but mostly they tell me what I already know and then ask what what I would have done if I hadn't called them (which makes me want to answer with all sorts of silly things)!

She has diarrhoea this morning and her skin is starting to look rather purple with big white patches where I touch her so we are off to the GP at lunchtime.  I'm not sure what he will be able to do - I can get in tiny amounts using all the strategies you guys and others have suggested but it's just not enough. 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote luvmylittlies Quote  Post ReplyReply Direct Link To This Post Posted: 27 October 2010 at 9:53am
eeeek. Dr definitely needed! Hope there's some answers for you.
Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10
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Post Options Post Options   Thanks (0) Thanks(0)   Quote blondy Quote  Post ReplyReply Direct Link To This Post Posted: 27 October 2010 at 2:05pm
Hugs Kate I think it sounds like you need some 'professional' help - esp with the diarrhoea. We ended up in hospital with DD's nursing strike, but fortunately she decided to start drinking again while we were there so we didn't have to do anything too invasive.

Hope the GP has some advice.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote happymumma Quote  Post ReplyReply Direct Link To This Post Posted: 27 October 2010 at 2:29pm

She's been given until 4pm to start eating and drinking something - she's refused everything completely since this morning.

So it looks like we are off to hospital...can't say I'm looking forward to it at all!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote blondy Quote  Post ReplyReply Direct Link To This Post Posted: 27 October 2010 at 2:34pm
What a bummer You know what though - with our DD, once we were admitted to hospital, and suddenly there was someone else/a professional there to take some of the burden, I felt so much better, because worst-case scenario, they would put in a NG tube or IV, and get some fluids into her.

I know it's not the best outcome (especially with DS to look after as well), but the most important thing is that she gets hydrated again, which I know doesn't affect the long-term drinking issues, but hopefully if she's in the system, you can get some further help once she's over this acute hurdle?

Hope it goes ok in there.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote happymumma Quote  Post ReplyReply Direct Link To This Post Posted: 27 October 2010 at 2:42pm

I know...I completely identify with the sense of relief.  That's how I felt the last time she had an NG - just the sense that I wasn't totally responsible for her health anymore.  I know I will feel that this time too - and I'm hoping to get some plan started for the longer term issue once we are there too.

Thanks so much.  Sounds silly but the thing I find hardest is being the only adult with her.  For me - not for her!!  I know that it's just a hurdle and we will work our way out of it - I just hate doing these bits on my own.  But...all will be fine.  And I'll keep you posted!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 27 October 2010 at 3:17pm
Good luck Kate
Mum to two wee boys
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Post Options Post Options   Thanks (0) Thanks(0)   Quote happymumma Quote  Post ReplyReply Direct Link To This Post Posted: 31 October 2010 at 2:59pm

Five days later and we are finally home again.  She had an ng (twice - they decided to remove it despite my scepticism and then had to reinsert it the same day!) and then yesterday they decided to starve her until she drank. Thankfully she had 180mls this morning so we are now on leave from the ward with a plan to discharge assuming that she stays hydrated over the next 24 hours.

It's very, very nice to be home!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote kellie Quote  Post ReplyReply Direct Link To This Post Posted: 31 October 2010 at 4:52pm
Fingers crossed she keeps drinking now!

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