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Fluid refusal

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Category: Have A Baby?
Forum Name: First baby? Second or more?
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URL: https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=36415
Printed Date: 26 August 2025 at 4:58am
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Topic: Fluid refusal
Posted By: happymumma
Subject: Fluid refusal
Date 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?




Replies:
Posted By: monikah
Date 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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Posted By: blondy
Date 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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Posted By: happymumma
Date 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!).



Posted By: blondy
Date 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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Posted By: happymumma
Date 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!!



Posted By: luvmylittlies
Date 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!



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Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10


Posted By: happymumma
Date 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!!!


Posted By: luvmylittlies
Date 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?

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Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10


Posted By: happymumma
Date 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!



Posted By: luvmylittlies
Date 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?

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Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10


Posted By: happymumma
Date 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. 



Posted By: luvmylittlies
Date Posted: 27 October 2010 at 9:53am
eeeek. Dr definitely needed! Hope there's some answers for you.

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Adoring Mum to Talisin 8/9/11 and Kiara 18/01/10


Posted By: blondy
Date 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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Posted By: happymumma
Date 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!



Posted By: blondy
Date 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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Posted By: happymumma
Date 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!



Posted By: fire_engine
Date Posted: 27 October 2010 at 3:17pm
Good luck Kate

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Mum to two wee boys


Posted By: happymumma
Date 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!



Posted By: kellie
Date Posted: 31 October 2010 at 4:52pm
Fingers crossed she keeps drinking now!

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Posted By: happymumma
Date Posted: 31 October 2010 at 6:20pm

oh boy...4 spoonfuls of dinner (which is food she would normally love) and she is on strike again.  Thank goodness I managed to get most of her antibiotics into those 4 spoonfuls because she is also refusing the bottle, cup, syringe etc etc etc.  What is up with my child?!?  She was at least eating solids and taking meds before we left the ward. 

Unfortunately they were only interested in dealing with the hydration issue - not the total picture so I wonder if we are just going back to the beginning of the cycle again.



Posted By: blondy
Date Posted: 31 October 2010 at 6:30pm
Hugs Kate Not that I would know anything but it does sound like it's more of a behavioural thing rather than acute illness-related. Hope you don't end up back in there for too long

Have you PM'd kiwilaurie, who went through heaps of behavioural eating/drinking issues with her boy? She's in Wellington too. Obviously not the exact same situation, but she's at least familiar with the hospital palava.

I have all my appendages crossed that she turns a corner and starts drinking/eating again however!

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Posted By: happymumma
Date Posted: 31 October 2010 at 7:11pm

haha - thanks!  I think I have everything crossed and double crossed now too!

I was actually thinking of Kiwilaurie and wondering whether I should get her advice.  Might PM her shortly.  I think the issue begins as sickness related (in this case an ear infection) but becomes behavioral very quickly.  I did try and discuss that with them but I think because even when very dehydrated she charms everyone in ED and then the ward they don't take it very seriously. 

Oh well...well get through the night and see how things are in the morning. 



Posted By: Juzzo
Date Posted: 16 November 2010 at 10:59pm
Happymumma, I have the same issues with my son and it's blimin frustrating! I'm curious as to whether you're still having trouble??? Feel free to PM me if you're still having issues, even if it's just to vent!   

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http://lilypie.com">


Posted By: happymumma
Date Posted: 17 November 2010 at 8:56am

Definitely still having issues.  She has just finished treatment (again!) for another ear infection but is pretty low again on fluids.  Yesterday she got enough through a mix of bottles and food so we'll see what today brings.  The GP checked her over yesterday (we thought we'd get in early to rule anything obvious out) and she is fine.

Juzzo it looks like our two are around the same age.  Do you have any ideas about reasons??  I feel like it takes over my life to a certain degree.  I feel the stress levels rise as soon as we have a few low fluids days!



Posted By: mummymonster
Date Posted: 18 November 2010 at 9:56am
Wow you've had a really tough time of it. Poor thing, both of you.
So there's no other adults around. DS used to be really fussy eater at home. He's always been a good eater at daycare. Then I left him with DH for about four long weekends in a row. All of a sudden we found out he was a fussy eater just for me, with DH he'd eat anything.
We've got a stash of different bottles/sippy cups in the cupboard because I thought DS wouldn't drink because of the cup. It's slowly got better at drinking water over months, it's only now (16mths) that I reckon he actually 'drinks' water. He never refused his formula bottle though.
If you've got someone else who can take her for a couple of meals they might have more luck.

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http://lilypie.com"> http://lilypie.com">


Posted By: happymumma
Date Posted: 18 November 2010 at 6:57pm

No such luck.  When she refuses she really digs her heels in!  We've tried different adults, locations, spoons, cups etc.  Thankfully she is getting enough in at the moment but she is one determined little lady!!  Even her two year old brother attemped attempted to feed her at one stage - I figured it was worth a go given that she adores him but no luck!

I'm hoping that as her independance increases things will settle down a bit.



Posted By: happymumma
Date Posted: 26 November 2010 at 10:50am
Argh!  We are so close to being admitted again.  I'm so over this!


Posted By: blondy
Date Posted: 26 November 2010 at 10:58am
Kate

I have no advice, as we never had to do an extended battle with food and drink...

I really really hope she starts picking up her game soon, for all of your sakes! Did the hospital staff have anything useful to say re: the long-term issues, or were they more concerned with the acute problem? Could you ask to be referred to a specialist (although what kind of specialist might be a harder question!).

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Posted By: happymumma
Date Posted: 26 November 2010 at 11:05am

They're really only interested in treating the acute dehydration.  I'm just at that point where I have no idea what to do any more.  We've been under a Paediatrician each time and they really are only interested in the acute stuff.  I've had a brief chat to a paeds Dietitian and plenty of discussion with the paeds SLT.  I'm sure she'll grow out of it - or the fluid issue will become a wee bit less crucial - but in the meantime I jut feel like an idiot of a mother.

Sorry...very much in a sorry for myself moment here!



Posted By: E&L+1
Date Posted: 26 November 2010 at 5:38pm
Hope you get it sorted soon! And you are not an idiot of a mother. If you were you wouldn't be trying to get it sorted like you are.

Just a thought and I am sure that you have already done this but have you left bottles/cups of water hanging around where your DD can get at them. DD treats her cups etc as a toy and has just worked out that she can blow into her straws to make bubbles. I give her ice to play and suck on too which she thinks is great and gets more into her.

Also does she have much interaction with other babies the same age? They are very good at mimicking each other so if she sees another bub drinking she might be more interested.

Although I have to say I'm not speaking from experience as DD loves water. Good Luck

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http://lilypie.com"> http://lilypie.com">


Posted By: mummymonster
Date Posted: 27 November 2010 at 6:51pm
She's just coming up 1, right?
I say super nanny the other night, it was with a 3 or 4 year old who wouldn't eat or drink, her solution was just to try and make meal times less of a big deal.
Eat, don't eat it, just not 110% attention on the baby and food. Low and behold when the mum was busy doing something else at meal time (i.e. not concentrating on feeding the child) the child ate.
Your girl sounds a wee bit young for that sort of thing though.
Coming up summer, you could try some real fruit juice ice blocks?

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http://lilypie.com"> http://lilypie.com">



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