Can anyone answer a question for me?  Is it possible for a baby wiith 
severe hypernatraemic dehydration, say with nearly 25% weight loss, 
to be passing normal quantities of normal urine?  Thus throwing to 
the winds the normal advice for a mother to count wet nappies/diapers 
as a way to know her baby is  taking in enough breastmilk.  I've just 
heard of 2 such cases and I'm wondering what could have happened.

This really bothers me because it seems so unlikely and I've been 
asked to comment to a healthcare professional.

My knee-jerk reaction would be to think that a baby breastfeeding so 
seldom, or so infrequently as to have become dehydrated might 
suddenly have been fed a large quantity of formula, so causing 
hypernatraemia.

Can anyone come up with a likely explanation??

Many thanks if you can help.

Pamela Morrison IBCLC
Rustington, England

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