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2 yr old not gaining adequate weight - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Growth and Development in Children
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:My baby will be 2 years next month,
User:her weight is 11 kgs, it is normal
Doctor:May I know her weight at birth?
User:From last week, she is not eating food properly
User:3 kg
Doctor:Her current weight is within limits
Doctor:you need not worry about it.
User:ok, she takes in month and throws all out.
Doctor:Does she voluntarily throws out or does she vomit?
User:No she does not vomits
Doctor:Is your child active?
User:Please suggest if any tonics to be given
User:yes, she is very active
User:she looks tall and a bit thin,thats y was worried
Doctor:Children at her age is common have this issue.
Doctor:I mean almost all parents face this problem
Doctor:and almost all cases, every child outgrows this.
User:i see babies of her age, they are quite healthy
Doctor:Children at this age usually like to eat and play of their own choice
Doctor:so I advice all my patients not to force adult food or adult activities to children.
Doctor:Let me put this across in simple words.
User:if you please, suggest a tonic for her to feel hungry.
Doctor:We as an adult are used to eat at regular intervals as our neurological system is trained to behave this way.
User:or if you could help with a diet chart for her
Doctor:As this behaviour takes time to develop, children often do not wish to eat at regular meal time.
Doctor:Parents are advised to tune the system accordingly, which in almost every child takes time.
User:no tonic as such?
Doctor:No tonics or medication may successfully help here.
Doctor:worm infestation may contribute to
Doctor:reduced appetite and reduced weight.
Doctor:You can get a prescription of antihelminthics such as albendazole
Doctor:from your doctor.
Doctor:This can be given in two doses - one currently and another dose a week later
Doctor:This schedule will take care of any worm infestation and help your child eat well and grow well.
User:wat abt pediasure
Doctor:Pediasure is a nutritional supplement.
Doctor:you can give them, but that would not increase her appetite.
Doctor:The child will outgrow the problem, so do not worry.
Doctor:My current suggestions to you are
Doctor:1. Do not force any diet to your child.
Doctor:This will only worsen the situation.
Doctor:2. Children usually like everything new - so a different diet with different taste will make then eat well.
Doctor:so you need to be changing your menu very often.
User:ok, i will do that
Doctor:3. As
Doctor:hunger and feeding habits take time
Doctor:and as the body hunger system is not tuned,
Doctor:do not feed at usual times as us adult
Doctor:instead, you can try to feed her when she is hungry.
Doctor:4. Avoid high calorie diet such as sweets and chocolates.
Doctor:High calorie diet take time for absorption
Doctor:and hence reduces appetite
User:can i give one egg per day?
Doctor:5. Let the diet be mixture of fruits, vegetables, egg, meal and other non vegetarian diet.
Doctor:6. You can supplement additionally with pediasure or other nutritional supplement
Doctor:if you feel her nutrition is not good.
Doctor:6. Keep her weight monitored.
User:nutritional suppliment would be
Doctor:this link has a weight calculator for children
Doctor:which can give you a rough estimate of body weight
Doctor:If her weight is under the limits
Doctor:and not improving,
Doctor:then you can visit your pediatrician for more help.
Doctor:Have you followed what I have suggested?
Doctor:Do you have any other query?
User:yes, sure
User:nutritional suppliment as in
Doctor:Pediasure, health drinks with DHA formulas - complain, horlicks and so on.
Doctor:They are only supplements and not alternatives to oral diet.
User:which includess bournvita too right?
User:ok, got it
Doctor:Is there any other query?
User:no, thats it
Doctor:Thanks for consulting me.
User:thanks a lot
Doctor:Bye for now.
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