Heavy Wetters?

[daycarediva]

New dck, only 1 day/week but going to be coming more days as soon as they are available.

18m. He is the HEAVIEST WETTER EVER. I use pampers and he literally soaks through them before 9 (arrives at 8 and is in a fresh diaper), and every 1-2 hours throughout the day if I don't change him immediately, he wets through. I tried different diapers thinking it was a fit issue- huggies and luvs, and two different sizes of each.

He drinks on the way here, which I have asked mom to not do (rarely eats breakfast/filled up on milk, wants to eat an hour later)

He refuses all water, and that's ALL I serve between meals. If they drink their 6oz of milk at meals, they get water. So you would think by the afternoon he would be dry(ish) nope. He continues to be SOAKED every time I check his diaper.

Mom says he pees through every single night, even when they change him before they go to bed. They even add poise pads to the inside of his diaper but it doesn't help much.

He has severe anemia to the point he has scooped brittle nails, paleness, very little appetite, and fatigue. (Dr treated) He is much smaller than peers his same age and is not on the growth chart. Otherwise, he is normal developmentally.

[Leigh]

I used diaper boosters with my son who had always been a heavy wetter (and he drank water all day long). Here's one brand: https://www.amazon.com/gp/product/B0...?ie=UTF8&psc=1

I also used Huggies OVERNIGHT diapers for him-they were more absorbent than the Pampers I used during the day (I used Cruisers). I would put an overnight diaper on him if we were leaving the house to avoid an accident. Maybe try the overnights at daycare? With a booster, if necessary? The boosters added an extra 10 oz of absorbency.

[Baby Beluga]

I second the use of huggies overnight diapers. I would even double up if needed. Pampers close to his skin and larger huggies overnight diaper over the pamper.

On a side note - I always thought being a heavy milk drinker could lead to or make anemia worse? I wonder if the pedi has addressed that with the parents since DCB is already being treated by pedi.

[daycarediva]

I second the use of huggies overnight diapers. I would even double up if needed. Pampers close to his skin and larger huggies overnight diaper over the pamper.

On a side note - I always thought being a heavy milk drinker could lead to or make anemia worse? I wonder if the pedi has addressed that with the parents since DCB is already being treated by pedi.

Thank you both! I will try the huggies overnights.

That's what the pedi report says about the milk, the pedi said to limit it to 16oz/day INCLUDING daycare but Mom disagrees. It is pretty much his ONLY sources of nutrition, but mom cuts it with pediasure (dcb won't drink it straight) he barely eats anything, although he does eat a wide variety of foods and is not picky- he eats a TINY quantity. If he drank less milk, he might actually BE hungry. I addressed it with mom last week and again this week. He can have his AM milk WITH breakfast here.

[Ariana]

Thank you both! I will try the huggies overnights.

That's what the pedi report says about the milk, the pedi said to limit it to 16oz/day INCLUDING daycare but Mom disagrees. It is pretty much his ONLY sources of nutrition, but mom cuts it with pediasure (dcb won't drink it straight) he barely eats anything, although he does eat a wide variety of foods and is not picky- he eats a TINY quantity. If he drank less milk, he might actually BE hungry. I addressed it with mom last week and again this week. He can have his AM milk WITH breakfast here.

Can you cut it out altogether while he is with you and just tell mom you are giving it to him? Milk is really bad for anemia because it inhibits iron absorption. Vitamin C is better so even juice would be better than milk! Then he just gets his milk at home.

[Solandia]

I second/third the overnight dipes.

Now the eating/drinking part....I would encourage mom to seek out a pediatric nutritionist vs pediatrician. They see/deal with atypical eaters way more frequently than pedi. And have a wealth of knowledge, tips/tricks and can pick up on problems quicker than a 15min dr visit. Depending on the state, it might even be free through EI/birth to three...some states have lower requirements on what is consider "needed". Our "local" children's hospital( it's over an hour away), provides nutritional services for free/no referral. It is amazing.

But I wouldn't suggest juice over milk if he isn't eating much. With my failure to thrive dude, the nutritionist was saying we would be looking at toddler formulas or pediasure for nutrition and milk/juice for exposure to tastes/textures. But he had lots of other issues, too.

With the anemia as an ongoing thing, I'm surprised that a nutritionist isn't in the mix already.

[Baby Beluga]

Thank you both! I will try the huggies overnights.

That's what the pedi report says about the milk, the pedi said to limit it to 16oz/day INCLUDING daycare but Mom disagrees. It is pretty much his ONLY sources of nutrition, but mom cuts it with pediasure (dcb won't drink it straight) he barely eats anything, although he does eat a wide variety of foods and is not picky- he eats a TINY quantity. If he drank less milk, he might actually BE hungry. I addressed it with mom last week and again this week. He can have his AM milk WITH breakfast here.

Oh jeez

Just thinking out loud here - wonder if he wakes throughout the night and is given milk then as well. If he rarely eats at your house due to his milk consumption at home, she has to be loading him up. Just wondering what is with all the overly wet diapers.

[happymom]

Can you cut it out altogether while he is with you and just tell mom you are giving it to him? Milk is really bad for anemia because it inhibits iron absorption. Vitamin C is better so even juice would be better than milk! Then he just gets his milk at home.

Absolutely do not do this. This is why there are so many trust issues with child care.

[daycarediva]

Mom calls him a 'good eater' to me (and I assume to the pediatrician). He IS good in the sense that he will eat/try anything, but to consume more than a few bites of ANYTHING? (even sweets) no.

Today we had chicken, roasted vegetables (green beans, potatoes, yellow squash, zucchini, carrots), rolls, and apples.

He drank the entire cup of milk, said no to water. Ate two tiny bites of chicken, one each of the vegetables and one BITE of an apple slice. No roll at all. All with a great amount of encouragement. He sat happily for the remainder of the meal but didn't eat. He goes down with my youngest kids first, and the second he hit the mat he was OUT almost. He is ALWAYS tired and would ALWAYS sleep if given the option. If he lays on the kid couch at ANY time he WILL fall asleep.

He gets a 9oz bottle at bedtime with milk (she knows better and said as much) he takes a binky at nap/bedtime, so hopefully no milk overnight. She wanted me to give him one at nap and I had to say no, it's against regs anyway.

On the FP, unless the pedi says specifically NO to milk, or the child refuses, I have to serve him milk. I only give them the minimum required amount, and then water is available. He always chooses milk, of course, and then it's GONE in a minute or less. He literally ****s it down and then sits for the remainder of the meal.

Pediatrician plan with the severe anemia is iron drops, he gets those twice/day. He has blood draws monthly to check on it.


He was at a licensed provider who was supposed to be providing formula for him from 6 months-15 months. She was recently shut down, and one of the parents who turned her in said she wasn't actually giving the kids formula- she was giving them whole milk, the infant's mother said her 4mo was diagnosed FTT, and then the state came in. No formula on site. So we don't know how long she was doing that for, but his anemia is improving-SLOWLY. He was in care FT.

[Ariana]

Absolutely do not do this. This is why there are so many trust issues with child care.

Oh really? as a provider my job is to do what is BEST for the child, not what is best for mom. Since the Dr suggested she cut back on milk it is what I would be doing.

[Baby Beluga]

Mom calls him a 'good eater' to me (and I assume to the pediatrician). He IS good in the sense that he will eat/try anything, but to consume more than a few bites of ANYTHING? (even sweets) no.

Today we had chicken, roasted vegetables (green beans, potatoes, yellow squash, zucchini, carrots), rolls, and apples.

He drank the entire cup of milk, said no to water. Ate two tiny bites of chicken, one each of the vegetables and one BITE of an apple slice. No roll at all. All with a great amount of encouragement. He sat happily for the remainder of the meal but didn't eat. He goes down with my youngest kids first, and the second he hit the mat he was OUT almost. He is ALWAYS tired and would ALWAYS sleep if given the option. If he lays on the kid couch at ANY time he WILL fall asleep.

He gets a 9oz bottle at bedtime with milk (she knows better and said as much) he takes a binky at nap/bedtime, so hopefully no milk overnight. She wanted me to give him one at nap and I had to say no, it's against regs anyway.

On the FP, unless the pedi says specifically NO to milk, or the child refuses, I have to serve him milk. I only give them the minimum required amount, and then water is available. He always chooses milk, of course, and then it's GONE in a minute or less. He literally ****s it down and then sits for the remainder of the meal.

Pediatrician plan with the severe anemia is iron drops, he gets those twice/day. He has blood draws monthly to check on it.


He was at a licensed provider who was supposed to be providing formula for him from 6 months-15 months. She was recently shut down, and one of the parents who turned her in said she wasn't actually giving the kids formula- she was giving them whole milk, the infant's mother said her 4mo was diagnosed FTT, and then the state came in. No formula on site. So we don't know how long she was doing that for, but his anemia is improving-SLOWLY. He was in care FT.

Whoa

I wonder if pedi and mom would be on board with serving lunch first with water then a cup of milk once plates were cleared? Not sure if that is against food program regs. But perhaps if mom/pedi okay it along with written notice, it will encourage him to eat more before filling up on milk.

[Ariana]

Pediatrician plan with the severe anemia is iron drops, he gets those twice/day. He has blood draws monthly to check on it.


He was at a licensed provider who was supposed to be providing formula for him from 6 months-15 months. She was recently shut down, and one of the parents who turned her in said she wasn't actually giving the kids formula- she was giving them whole milk, the infant's mother said her 4mo was diagnosed FTT, and then the state came in. No formula on site. So we don't know how long she was doing that for, but his anemia is improving-SLOWLY. He was in care FT.

It is unfortunate that some providers are actually doing things like this because it is so detrimental for kids long term. Iron drops plus the amount of milk he is getting is not likely to do much!

[happymom]

Oh really? as a provider my job is to do what is BEST for the child, not what is best for mom. Since the Dr suggested she cut back on milk it is what I would be doing.

That is lying though. If cutting out milk is best for the child, you tell her she needs to cut milk or that she needs to find other care. Do not lie to her. She thinks she is doing what's best for her child.

[daycare]

I got it ok wit the food program. I have 3 very heavy wetters ages 3 and up. I don't serve their drink with lunch, I serve it before. I also make sure they go to the toilet right before laying down.

[daycarediva]

happymom- the issue is Mom is well aware of milk supposed to be limited amounts (from the pediatrician) and isn't following those guidelines. He is between me and grandma right now, and Mom says she KNOWS grandma is giving him cups of milk with meals AND snacks. When I asked for a note to NOT give him milk with meals, she said that's what he always gets at home. Which is precisely the issue.

I emailed the FP to ask about what I need/what I could do as far as milk with meals.

I would be HAPPY to give pediasure, and since I have a dr note, I think I could provide that, even 50-50 milk/pediasure.

His anemia is diet related. He is on an INSANE amount of iron drops.

He has wet through 3x today, and is being changed VERY frequently, even only drinking 2 4oz cups of milk.