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does a sunken fontanelle always mean dehydration

by Dr. Tressa Tremblay MD Published 3 years ago Updated 2 years ago

A sunken fontanel, when accompanied by other symptoms, can be a sign of dehydration or malnutrition. Some baby's fontanels always appear slightly sunken even when they are well. Sometimes, a baby is dehydrated but does not have a sunken fontanel.Dec 6, 2018

What does a sunken fontanel mean?

A sunken fontanel can be a sign of dehydration. Other symptoms will usually be present and can include: It is also possible, though uncommon, for a sunken fontanel to be a sign of malnutrition. Malnutrition can result from a calorie deficit or an underlying condition, such as malabsorption syndrome.

What does a sunken fontanelle look like on a newborn?

The fontanelles should feel firm and very slightly concave to the touch. A noticeably sunken fontanelle is a sign that the infant does not have enough fluid in its body. The skull is made up of many bones. There are 8 bones in the skull itself and 14 bones in the face area.

What should I do if my fontanelle is sunken?

A significantly sunken fontanelle, along with other signs of dehydration (such as dry diapers), warrants a call to the doctor right away.

When does the fontanel on the back of the head disappear?

The fontanel on the back of the head usually disappears by 1 to 2 months of age. You may never be able to feel or see this one. The one on the top of the head remains present until your baby is between 7 and 19 months old.

When should I worry about a sunken fontanelle?

A significantly sunken fontanelle, along with other signs of dehydration (such as a decreased number of diapers, dark urine, tearless crying and sunken eyes), warrants a call to the doctor right away.

What does a sunken fontanelle indicate?

A noticeably sunken fontanelle is a sign that the infant does not have enough fluid in its body. The sutures or anatomical lines where the bony plates of the skull join together can be easily felt in the newborn infant.

Is it normal for soft spot to be slightly sunken?

Sunken in soft spot This is often a sign of dehydration, she says. It may occur if your child is sick and not getting enough fluids. What you should do: See your pediatrician if the sunken appearance persists and you can't get your baby to take in more fluids.

Can you tell if a baby is dehydrated by their soft spot?

Mild to Moderate Dehydration: Parched, dry mouth. Fewer tears when crying. Sunken soft spot of the head in an infant or toddler. Stools will be loose if dehydration is caused by diarrhea; if dehydration is due to other fluid loss (vomiting, lack of fluid intake), there will be decreased bowel movements.

How do you know if baby is dehydrated?

Dehydration occurs when an infant or child loses so much body fluid that they are not able to maintain ordinary function. The warning signs can include dry skin, tongue and lips, rapid breathing, fewer wet diapers and tearless crying.

Can a breastfed baby be dehydrated?

Breastfeeding issues: Breastfed babies can become dehydrated if they're not latching on correctly, not breastfeeding often enough or long enough, or there's an issue with breast milk supply.

What should I do if my baby has a sunken fontanelle?

If your baby has a sunken fontanel, you should seek medical attention as soon as possible. This isn't a symptom you should try to treat at home. When the doctor examines your baby, they'll first do a physical examination. This includes looking at and feeling the affected area.

What are the 5 signs of dehydration?

Symptoms of dehydration in adults and children include:feeling thirsty.dark yellow and strong-smelling pee.feeling dizzy or lightheaded.feeling tired.a dry mouth, lips and eyes.peeing little, and fewer than 4 times a day.

When should I worry about dehydration in my baby?

Call the doctor if you notice any of the following signs of dehydration in your baby: Fewer than six wet diapers in 24 hours or diapers that stay dry for two or three hours, which might be a sign that urinary output is unusually scant. Urine that appears darker yellow and more concentrated.

When should I take my baby to the hospital for dehydration?

Take your child to a hospital emergency department straight away if they: have symptoms of severe dehydration – they are not urinating, are pale and thin, have sunken eyes, cold hands and feet, and are drowsy or cranky. seem very unwell.

What causes a sunken fontanel?

If the cause of the sunken fontanel is malnutrition, treatment will vary depending on the underlying cause. It will typically involve increasing overall calorie intake or a specific nutrient. In some cases, it may be necessary to deliver nutrients through an IV line or a tube.

Why do baby fontanels turn sunken?

Sometimes, a baby is dehydrated but does not have a sunken fontanel. It is vital to know the signs of illness and dehydration in a baby and seek medical help, regardless of the appearance of their fontanel.

Why do infants have fontanels?

Fontanels occur naturally in infants. It is normal for a fontanel to form an inward curve in infants while their skull is still hardening. But in some cases, it may become sunken, and the cause may need medical treatment. A sunken fontanel, when accompanied by other symptoms, can be a sign of dehydration or malnutrition.

Why do I cry when I have sunken eyes?

no tears when crying. sunken eyes. It is also possible, though uncommon, for a sunken fontanel to be a sign of malnutrition. Malnutrition can result from a calorie deficit or an underlying condition, such as malabsorption syndrome.

What are the signs of dehydration in children?

Dehydration in children can range from mild to severe. More severe cases will require immediate medical attention to avoid complications. A sunken fontanel can be a sign of dehydration. Other symptoms will usually be present and can include: dry tongue and lips. dry, cool skin. rapid heart rate and breathing.

Why does my baby have a soft spot on his skull?

A baby’s skull can have a soft spot, which is called a fontanel. Image credit: Nojhan, 2005. Dehydration is the primary cause of a sunken fontanel. Dehydration occurs when an infant does not have sufficient fluid in their body to maintain normal functioning. This can happen for a many reasons, including:

What causes dehydration in infants?

Dehydration occurs when an infant does not have sufficient fluid in their body to maintain normal functioning. This can happen for a many reasons, including: 1 vomiting 2 not drinking enough fluids 3 diarrhea 4 fever 5 urinating too often

How to tell if baby's fontanelle is sunken?

Signs of a sunken fontanelle or sunken soft spot. If baby’s fontanelle on the top of his head isn’t flat but rather dips inward, it means his fontanelle is sunken. Continue Reading Below.

Why is my baby's face sunken?

A well-hydrated baby will have a fontanelle that is flat and firm. If your baby isn’t getting enough fluids and is dehydrated, his soft spot can start to appear sunken.

What does it mean when your baby's noggin is sunken?

All it takes is a quick check of the top of your baby’s head. If you notice a significantly sunken soft spot on top, it could be a sign that baby isn’t getting enough fluid.

How long does it take for a fontanelle to fuse?

The top (or anterior) fontanelle starts to close at 6 months and will usually be completely fused together between 19 and 24 months.

Why do babies have soft spots?

Soft spots serve an additional purpose after birth: They allow for the phenomenal growth your baby’s brain is undergoing in the first year.

Where are the soft spots on a baby's head?

What is a fontanelle or soft spot? Your baby has two soft spots, or fontanelles, on his head. The larger of the two is located on the very top of the head. The second, smaller one is located toward the back of baby’s head. If you gently touch these areas, you’ll notice that they aren’t hard like the rest of baby’s head (or skull).

Can you nurse a baby with a sunken soft spot?

No need to worry if your baby’s fontanelle seems slightly indented. But if your baby has a noticeably sunken soft spot, it’s important that you give him additional fluids as soon as possible. If you’re breastfeeding, nurse more often. If you’re bottle-feeding, add in an additional few bottles.

Considerations

The skull is made up of many bones. There are 8 bones in the skull itself and 14 bones in the face area. They join together to form a solid, bony cavity that protects and supports the brain. The areas where the bones join together are called the sutures.

When to Contact a Medical Professional

A sunken fontanelle can be a medical emergency. A health care provider should check the infant right away.

What to Expect at Your Office Visit

The provider will perform a physical exam and ask questions about the child's symptoms and medical history, such as:

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