Decreased Urination in Infants: When to Seek Help

Q: Decreased Urination in Infants: When to Seek Help

Hello： 1. <br>If there is decreased urination along with poor appetite, please seek medical attention to confirm whether there is dehydration or other diseases. <br>Only after ruling these out should you consider a milk intolerance issue. <br>2. <br>For complementary foods, you c

Decreased frequency and volume of urination in infants?

Hello! My baby just turned six months old, and I've noticed that since she had a cold recently, her urine output and frequency have decreased.
She hasn't urinated from the evening until the early morning.
Should I take her to the hospital for this urinary issue? Additionally, her appetite has decreased lately! She only drinks 90cc of milk per feeding, with one spoonful of rice cereal added.
However, her activity level is normal.
Could this be related to her teething? She has about three teeth: one on the top and two on the bottom.
She does not reject solid foods, but what types of complementary foods should I provide to ensure her digestive health? I'm concerned that inappropriate or unsuitable complementary foods could have negative effects! Should I switch her to stage two formula? She was born at 3660 grams and 52 centimeters, full term.
However, she is now only 7 kilograms and 65 centimeters.
Is this a sign of developmental delay? Thank you for taking the time to respond.

Qi'é māmā, 20~29 year old female. Ask Date: 2005/08/31

Dr. Zhang Peixin reply Pediatrics

Hello: 1.
If there is decreased urination along with poor appetite, please seek medical attention to confirm whether there is dehydration or other diseases.
Only after ruling these out should you consider a milk intolerance issue.
2.
For complementary foods, you can refer to manuals published by formula manufacturers or the Department of Health.
Introduce new foods one at a time, starting with small amounts and gradually increasing the quantity and thickness.
Wait 5 to 7 days without any rashes or diarrhea before introducing a second food.
3.
Under normal dietary conditions, it is not necessary to switch to the second stage formula.
4.
The current weight should be normal; please refer to the growth curve chart in the manual.
Sincerely, Dr.
Zhang Pei-Hsin, Pediatrics.

Reply Date: 2005/08/31

More Info

When it comes to decreased urination in infants, especially in a six-month-old baby, it is essential to approach the situation with caution and awareness of potential underlying issues. The fact that your baby has experienced a reduction in urine output following a recent cold, along with a decrease in appetite, raises some concerns that warrant further investigation.

Firstly, decreased urination can be a sign of dehydration, which can occur due to various reasons, including illness, fever, or inadequate fluid intake. In infants, a significant reduction in urine output—especially if they go for an extended period without urinating—should not be taken lightly. The absence of urination from night until morning is particularly concerning. It is generally expected for infants to urinate several times throughout the day, and a significant decrease can indicate that they are not adequately hydrated.

Given your baby's symptoms, it would be prudent to seek medical attention. A healthcare provider can assess her hydration status, check for any signs of illness, and determine if any further tests are necessary. They may perform a physical examination and possibly recommend blood tests or urine tests to rule out any underlying conditions that could be affecting her urinary output.

Regarding your baby's appetite, it is not uncommon for infants to experience fluctuations in their desire to eat, especially during teething. The discomfort associated with teething can lead to reduced interest in feeding, which may explain her decreased milk intake. However, it is crucial to ensure that she is still receiving adequate nutrition. Since she is not rejecting solid foods, you can introduce a variety of age-appropriate foods that are gentle on her stomach. Foods such as pureed fruits (like bananas and apples), vegetables (like sweet potatoes and carrots), and iron-fortified cereals can be beneficial. Always introduce new foods one at a time to monitor for any adverse reactions.

As for transitioning to a second-stage formula, this decision should be based on her overall growth and nutritional needs. If she is meeting her developmental milestones and gaining weight appropriately, you may consider transitioning. However, if you have concerns about her growth—given that she is currently at the lower end of the weight spectrum for her age—it would be wise to discuss this with your pediatrician. They can provide personalized recommendations based on her growth patterns and nutritional needs.

In summary, it is essential to consult with a healthcare professional regarding your baby's decreased urination and appetite. They can provide guidance on hydration, nutrition, and any necessary interventions to ensure your baby's health and development are on track. Remember, early intervention is key in addressing any potential issues, so do not hesitate to seek help.

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