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[Dehydration due to "mouth broken"]
D P M Meijler1, P W J van Mossevelde, R H T van Beek
1Uit de afdeling Kindergeneeskunde van het Amphia Ziekenhuis, locatie Langendijk, in Breda. daphnemeijler@hotmail.com
Insights
Children experiencing oral pain from injuries or tooth extraction risk dehydration due to reduced fluid intake. Increased attention to hydration is crucial for pediatric patients with oral discomfort.
Area of Science:
- Pediatric Medicine
- Emergency Medicine
- Clinical Pediatrics
Background:
- Dehydration is a common water-electrolyte imbalance in children.
- Infants and young children are particularly vulnerable to dehydration due to physiological factors.
- Oral pain can significantly impact fluid and food intake in pediatric patients.
Observation:
- Two children presented with dehydration following oral injury and tooth extraction.
- One child reported significant oral discomfort, describing their "mouth broken".
Findings:
- Oral trauma, tooth extraction, or discomfort can lead to reduced fluid and food consumption in children.
- This decreased intake, coupled with potential anxiety around drinking, elevates the risk of dehydration.
Implications:
- Pediatric healthcare providers must be vigilant for dehydration in children with oral injuries or post-dental procedures.
- Close monitoring and proactive management of fluid intake are essential for preventing dehydration in at-risk children.
Abstract:
Two children were admitted to a medical centre due to dehydration after an oral injury and the extraction of a tooth. One child complained of "mouth broken". Dehydration is the most common water-electrolyte imbalance in children. Babies and young children are prone to dehydration due to their relatively large body surface area, the high percentage extracellular fluid, and the limited ability of the kidneys to conserve water. After the removal ofa tooth, after an oral trauma or in case of oral discomfort, a child is at greater risk of dehydration by reduced fluid and food intake due to oral pain and/or discomfort and anxiety to drink. In those cases, extra attention needs to be devoted to the intake of fluids.
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