Digestive

How to Rehydrate My Baby

Medically reviewed by Dr. Sarah Chen, MD, FAAP · Board-Certified Pediatrician

Content reviewed against published AAP, WHO, CDC guidelines

Editorial policy

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Digestive issues are common in infants and toddlers. If your baby is experiencing how to rehydrate my baby, here is what you need to know.

The short answer

The best way to rehydrate a sick baby is to offer breast milk, formula, or a commercial oral rehydration solution (like Pedialyte) in small, frequent amounts. For breastfed babies, nurse more often in shorter sessions. For formula-fed babies and toddlers, offer an oral rehydration solution in small sips every few minutes. Avoid giving plain water alone to babies under six months, juice, soda, or sports drinks, as these can worsen diarrhea.

Key takeaways

  • The best way to rehydrate a sick baby is to offer breast milk, formula, or a commercial oral rehydration solution (like Pedialyte) in small, frequent amounts. For breastfed babies, nurse more often in shorter sessions. For formula-fed babies and toddlers, offer an oral rehydration solution in small sips every few minutes. Avoid giving plain water alone to babies under six months, juice, soda, or sports drinks, as these can worsen diarrhea.
  • Usually normal when: Your baby is taking small frequent sips of oral rehydration solution or breast milk and maintaining wet diapers during an illness
  • Call your doctor if: Your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts
  • Varies by age — see the age-by-age breakdown below
The biggest concern with vomiting is dehydration. Young children can become dehydrated quickly, so it's important to replace fluids. Offer small amounts of an oral rehydration solution frequently.
Vomiting in Children, American Academy of Pediatrics (AAP)

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What Parents Should Know

According to AAP, WHO, CDC guidelines, the best way to rehydrate a sick baby is to offer breast milk, formula, or a commercial oral rehydration solution (like Pedialyte) in small, frequent amounts. For breastfed babies, nurse more often in shorter sessions. For formula-fed babies and toddlers, offer an oral rehydration solution in small sips every few minutes. Avoid giving plain water alone to babies under six months, juice, soda, or sports drinks, as these can worsen diarrhea. At 0-6 months, breast milk and formula are the primary rehydration fluids for babies under six months. If your breastfed baby is vomiting, try nursing for shorter periods more frequently. For formula-fed babies, your pediatrician may recommend offering small amounts (one to two tablespoons) of oral rehydration solution between formula feeds. Do not dilute formula or give plain water to babies under six months without medical guidance, as this can cause dangerous electrolyte imbalances. It is generally considered normal when your baby is taking small frequent sips of oral rehydration solution or breast milk and maintaining wet diapers during an illness. However, you should contact your pediatrician promptly if your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts.

Sources: [1], [2], [3]

Normal vs. Concerning

Usually Normal
Worth Discussing
Your baby is taking small frequent sips of oral rehydration solution or breast milk and maintaining wet diapers during an illness
Your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts
Your baby vomits occasionally but is able to keep down small amounts of fluid between episodes
Your baby under three months is refusing to feed, your baby has bloody diarrhea or vomit, or your baby is extremely lethargic, has a sunken fontanelle, or has not had a wet diaper in more than six hours
Your toddler is drinking less than usual but is still producing wet diapers and gradually improving
You are unsure how much fluid to offer your baby or which products are appropriate for their age
Your child's energy and mood improve after rehydration and they begin asking for food
Your baby has been sick for more than 24 hours and you want to confirm your rehydration approach is working

By Age

What to expect by age

0-6 months

Breast milk and formula are the primary rehydration fluids for babies under six months. If your breastfed baby is vomiting, try nursing for shorter periods more frequently. For formula-fed babies, your pediatrician may recommend offering small amounts (one to two tablespoons) of oral rehydration solution between formula feeds. Do not dilute formula or give plain water to babies under six months without medical guidance, as this can cause dangerous electrolyte imbalances.

6-12 months

Continue breastfeeding or formula feeding as the primary source of hydration. You can now also offer small sips of water and oral rehydration solution between feeds. If your baby is vomiting, wait about 30 minutes after a vomiting episode, then offer one teaspoon of oral rehydration solution every two to three minutes. Gradually increase the amount as your baby tolerates it. A medicine syringe can help deliver small precise amounts.

12-24 months

Toddlers can drink oral rehydration solution from a cup or sippy cup. Offer small, frequent sips rather than large amounts at once. If your toddler refuses the rehydration solution, try offering it cold, as ice pops made from the solution, or mixed with a very small amount of juice for flavor. Continue offering normal foods as tolerated, as eating helps the gut recover. Avoid giving large amounts of apple juice or sugary drinks, which can worsen diarrhea.

24-36 months

Older toddlers may be more cooperative with drinking but may also have stronger preferences. Oral rehydration solution popsicles, small cups with straws, and gentle encouragement all help. Once vomiting has stopped for a few hours, gradually reintroduce a normal diet. Broth-based soups, crackers, and bland foods are good starting points. If your child continues to refuse all fluids, contact your pediatrician, as IV rehydration may be needed.

What to Tell Your Pediatrician

  • Describe when you first noticed how to rehydrate my baby and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if you are unsure how much fluid to offer your baby or which products are appropriate for their age.
  • Mention if your baby has been sick for more than 24 hours and you want to confirm your rehydration approach is working.
  • Bring a list of any questions or observations you want to discuss at the appointment.

What Should You Do?

When to take action

Probably normal when...
  • Your baby is taking small frequent sips of oral rehydration solution or breast milk and maintaining wet diapers during an illness
  • Your baby vomits occasionally but is able to keep down small amounts of fluid between episodes
  • Your toddler is drinking less than usual but is still producing wet diapers and gradually improving
  • Your child's energy and mood improve after rehydration and they begin asking for food
Mention at your next visit when...
  • You are unsure how much fluid to offer your baby or which products are appropriate for their age
  • Your baby has been sick for more than 24 hours and you want to confirm your rehydration approach is working
Act now when...
  • Your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts
  • Your baby under three months is refusing to feed, your baby has bloody diarrhea or vomit, or your baby is extremely lethargic, has a sunken fontanelle, or has not had a wet diaper in more than six hours

What You Can Do at Home

  • Keep track of when you notice how to rehydrate my baby — noting the time of day, duration, and any triggers can help your pediatrician.
  • Remember that your baby is taking small frequent sips of oral rehydration solution or breast milk and maintaining wet diapers during an illness — this is generally within the range of normal.
  • At 0-6 months, focus on observation rather than intervention unless your pediatrician advises otherwise.
  • Keep your baby upright for 20-30 minutes after feeding. Note any patterns between feeds and symptoms.
  • While monitoring at home, seek immediate care if your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts.

Frequently asked questions

Is how to rehydrate my baby normal?
The best way to rehydrate a sick baby is to offer breast milk, formula, or a commercial oral rehydration solution (like Pedialyte) in small, frequent amounts. For breastfed babies, nurse more often in shorter sessions. For formula-fed babies and toddlers, offer an oral rehydration solution in small sips every few minutes. Avoid giving plain water alone to babies under six months, juice, soda, or sports drinks, as these can worsen diarrhea.
When should I call the doctor about how to rehydrate my baby?
Your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts Your baby under three months is refusing to feed, your baby has bloody diarrhea or vomit, or your baby is extremely lethargic, has a sunken fontanelle, or has not had a wet diaper in more than six hours
When is how to rehydrate my baby normal?
Your baby is taking small frequent sips of oral rehydration solution or breast milk and maintaining wet diapers during an illness Your baby vomits occasionally but is able to keep down small amounts of fluid between episodes Your toddler is drinking less than usual but is still producing wet diapers and gradually improving
What causes how to rehydrate my baby?
The best way to rehydrate a sick baby is to offer breast milk, formula, or a commercial oral rehydration solution (like Pedialyte) in small, frequent amounts. For breastfed babies, nurse more often in shorter sessions. For formula-fed babies and toddlers, offer an oral rehydration solution in small sips every few minutes. Avoid giving plain water alone to babies under six months, juice, soda, or sports drinks, as these can worsen diarrhea. Common explanations include: Your baby is taking small frequent sips of oral rehydration solution or breast milk and maintaining wet diapers during an illness. Your baby vomits occasionally but is able to keep down small amounts of fluid between episodes.
What should I mention to my pediatrician about how to rehydrate my baby?
You should mention how to rehydrate my baby at your next visit if: You are unsure how much fluid to offer your baby or which products are appropriate for their age. Your baby has been sick for more than 24 hours and you want to confirm your rehydration approach is working.
Is how to rehydrate my baby normal at 0-6 months?
Breast milk and formula are the primary rehydration fluids for babies under six months. If your breastfed baby is vomiting, try nursing for shorter periods more frequently. For formula-fed babies, your pediatrician may recommend offering small amounts (one to two tablespoons) of oral rehydration solution between formula feeds. Do not dilute formula or give plain water to babies under six months without medical guidance, as this can cause dangerous electrolyte imbalances.
Is how to rehydrate my baby normal at 6-12 months?
Continue breastfeeding or formula feeding as the primary source of hydration. You can now also offer small sips of water and oral rehydration solution between feeds. If your baby is vomiting, wait about 30 minutes after a vomiting episode, then offer one teaspoon of oral rehydration solution every two to three minutes. Gradually increase the amount as your baby tolerates it. A medicine syringe can help deliver small precise amounts.
Should I go to the ER for how to rehydrate my baby?
Seek emergency care if your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts, or if your baby under three months is refusing to feed, your baby has bloody diarrhea or vomit, or your baby is extremely lethargic, has a sunken fontanelle, or has not had a wet diaper in more than six hours. When in doubt, call your pediatrician's after-hours line for guidance.
Does how to rehydrate my baby go away on its own?
In many cases, how to rehydrate my baby resolves on its own, especially when your baby is taking small frequent sips of oral rehydration solution or breast milk and maintaining wet diapers during an illness. By 24-36 months, older toddlers may be more cooperative with drinking but may also have stronger preferences. Oral rehydration solution popsicles, small cups with straws, and gentle encouragement all help. Once vomiting has stopped for a few hours, gradually reintroduce a normal diet. Broth-based soups, crackers, and bland foods are good starting points. If your child continues to refuse all fluids, contact your pediatrician, as IV rehydration may be needed.

References

  1. [1]American Academy of Pediatrics. Oral Rehydration Therapy. HealthyChildren.org. AAP
  2. [2]World Health Organization. Oral Rehydration Salts: Production of the New ORS. WHO
  3. [3]Centers for Disease Control and Prevention. Managing Acute Gastroenteritis Among Children. CDC

Doctor Visit Checklist

Bring this checklist to your next pediatrician visit to discuss How to Rehydrate My Baby.

Things to mention

  • Describe when you first noticed how to rehydrate my baby and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if you are unsure how much fluid to offer your baby or which products are appropriate for their age.
  • Mention if your baby has been sick for more than 24 hours and you want to confirm your rehydration approach is working.
  • Bring a list of any questions or observations you want to discuss at the appointment.

Observations to share

  • You are unsure how much fluid to offer your baby or which products are appropriate for their age
  • Your baby has been sick for more than 24 hours and you want to confirm your rehydration approach is working

Urgent signs to report immediately

  • Your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts
  • Your baby under three months is refusing to feed, your baby has bloody diarrhea or vomit, or your baby is extremely lethargic, has a sunken fontanelle, or has not had a wet diaper in more than six hours

My notes

From ismybabyalright.com — free, evidence-based baby health guides

All content follows our editorial policy and is reviewed against published clinical guidelines.

2,705 evidence-based guides6 authoritative medical sources5 medical advisory board members

Bottom line

Most cases of how to rehydrate my baby are normal. Talk to your pediatrician if your baby cannot keep any fluids down for more than eight hours or is showing signs of worsening dehydration despite your rehydration efforts.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

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