Adequate hydration in babies and children:
Parents may think that giving young children water and other fluids to prevent dehydration is a good idea, but when a baby is breastfeeding, breast milk or formula provides all the fluids healthy babies need. The Johns Hopkins Children's Center advises parent with babies under 6 months to never give them too much water. If babies are thirsty, they needs to drink more breast milk or formula.
According to James P. Keating, MD, former medical director
of the St. Louis Children's Hospital Diagnostic Center, if a child needs more
water, parents should "limit the child's intake to 60 to 90 grams at a
time , and water should only be offered after the child has satisfied hunger
through breastfeeding or formula. (13) Older children may be given some water
from time to time to prevent constipation, or if they are too hungry heat, but
it is usually best for parents to discuss this with the pediatrician.
Children under the age of 8 should obtain water through
hydrating foods (such as fruits and vegetables) or drink about five to seven
glasses of water a day (eight ounces per glass). (14) When they are thirsty, it
is better for children to drink small amounts of water or fresh juice rather
than sugary fruit juices, sodas, sports drinks, iced tea, and flavored drinks.
Statistics / facts about water poisoning
Surveys have shown that 15-30 percent of all patients
develop hyponatremia during their hospital stay. Not all cases of hyponatremia
result in water toxicity, but in a small number of cases.
A 2002 study publishes in the New England Journal of
Medicine examining hyponatremia in Boston marathon runners stated,
"Hyponatremia has become a major cause of running-related death and
life-threatening illness among marathon runners." (15) The study found
that 13 percent of runners finished the race with hyponatremia, while 0.6
percent had critical hyponatremia (sodium level 120 mmol per liter or less).
The analyz showed that hyponatremia was associated with “significant weight
gain during running, fluid intake above 3 liters during running, fluid intake
per mile, run duration >4:00 hours, female gender, and low body size . -mass
index.” The study also showed that hyponatremia was just as likely in runners
who drank alcohol as it was in water users.
It is difficult to says how many deaths from water poisoning
occur each year, but this number is believed to be small (less than 10 deaths
per year in the United States).
Precautions for water poisoning
If you suspects that you or someone else is suffering from
water poisoning, seek immediate help in the emergency department. Look for
sudden electrolyte balance symptoms such as confusion and dizziness, especially
after strenuous exercise or conditions such as low blood pressure and/or
diabetes. Be sure to drink enough water during your hospital stay, after
surgery, when participating in a marathon / long distance run, or during a bout
of dehydration or illness (such as fever).
Final Thoughts on Water Poisoning
Water intoxication is a serious form of hyponatremia, an
electrolyte imbalance caused by insufficient sodium in the body compared to
water.
Water toxicity most often occurs when someone drinks more
than 1.5 liters of water in an hour, especially if they exercise strenuously,
have kidney failure, kidney problems, diabetes, or a mental illness that
affects their judgment.
Symptoms of water intoxications can include confusion,
disorientation, nausea, vomiting, headache and, in severe cases, brain damage
from edema, seizures, coma, and possibly death.
Hydration is important, but to avoid water intoxication and
hyponatremia, you should drink the right amount of water in proportion to the
amount of sodium you lose to deal with underlying medical conditions, maintain
a balanced diet, and pay attention to thirst. ...
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