Anne-MarieThey only give sodium chloride to the babies because there isn’t sodium added to commercial baby foods and formulas and thats all babies eat up to the age of two. In fact if you read most baby books you will see that it advises parents not to salt their children’s food. Their kidney’s would be over loaded.
I advised Jude to not worry because salt can be sprinkled and added in the normal diet when the child weans to the same food that the rest of the family are eating. If there is a problem around the time of weaning from the sodium chloride being added and weaning off that onto normal salt diet the Doctor should pick that up in the bloods anyway. They can’t prescribe florinef until they determine that the child is not retaining salt even when they are on a normal diet with sodium added in the normal way. Process of elimination basically has to take place before they can know the child even needs florinef surely. If after a month the child is not retaining salt too well, then they know basiclly that florinef will be needed. So my answer (and I speak for myself only) was not so much, "Don’t worry about salt retention," but rather there is nothing else to do but go to the normal diet, throw the sodium chloride away and if there is a problem it will be picked up in a month or so--the renin will be high.
Jude, are your child’s Doctor’s monitoring on a three monthly basis. When Ashley weaned off sodium chloride--at that time they were monitoring him monthly. If there had been a problem from weaning off the regular dosing of sodium choride to just normal salt diet of a toddler, then it would have been picked up at that point. As it was he was fine.
Your child may need florinef, but there will be no way of determining that until any sort of salt wasting deficiency shows in the bloods. For this to happen, the changes must occur first to normal diet.
Hope that things go ok.
Anne-Marie