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Child is under wt - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   hello
Doctor :   hi
User :   i am very worried about my 5 month daughter
User :   she is not gaining weight as required
Doctor :ok
Doctor :please proceed
User :   every 2 weeks we have a check up
User :   she gain only 100grames
Doctor :   ok
User :   currently her age is 5 months and 1 week
User :   she is only 5 kg
Doctor :   i will help u in this
User :   her weight should have been around 7 kg
Doctor :   can i ask few Q
User :   yes
Doctor :wats her birth wt
User :   3.1 kg
Doctor :ok
Doctor :   was it normal delivery
Doctor :or C-section
User :   no c section
User :   it was a c section
Doctor :   wats the indications
User :   the baby was breech
Doctor :   ok
Doctor :   usually the weight of baby should be
User :   due to panic we started baby food after 3 months but it did not help
Doctor :more than the double wt for the 5 month age
Doctor :ok
Doctor :is she still breast fed
User :   now we are forcusing on formula milk SMA and breast feeding
User :   yes
Doctor :ok
Doctor :is the baby active
User :   yes very
Doctor :play ful and cyring
User :   yes
Doctor :is the feeding well
User :   she sometimes does not take breastfeeding well
User :   only few minutes
Doctor :   but most of the times she takes well
User :   puts her thump in the mouth and sucks then go to sleep
Doctor :   thats normal not to worry
User :   no
Doctor :passing the stools and urine
User :   most of the time she does not take breastfeeding well
User :   yes stool and urine is ok
Doctor :thats good
User :   i am very worried
Doctor :as per history nothing to worry
Doctor :its proper diet which is required
Doctor :that will increse her wt
User :   what do we have to do
Doctor :i wil advise yu few good medical tips to improve the wt
User :   yes please do
Doctor :1. to continue brest feeding
User :   ok
Doctor :it should be atleast 4-5 times in a day
User :   ok
Doctor :   2. can use formula feeds
Doctor :   but it should be supplimenting breast feed
Doctor :   not over taking it
User :   ok
Doctor :3. as she is 5 months
Doctor :start her on finely cooked and smashed veg
Doctor :mainly potato and carrot
User :   can give her now
Doctor :yes yu can give start it
Doctor :initially she may take little
Doctor :and she can have little loose stools but later she will accept it
User :   ok
Doctor :where have yu put up
Doctor :place
User :   what you mean
Doctor :where do yu stay
User :   Fiji Islands
User :   Suva
Doctor :   ok
Doctor :do yu get ragi there
User :   no
Doctor :ok
User :   i dont know what ragi is
Doctor :its a grain used in india
Doctor :no problem
Doctor :finely cooked rice and smashed with chicken soup
User :   the problem is she does not take breastfeeding well and sucks her thump
Doctor :can be given once she completes 5 months
Doctor :ok
User :   ok will start giving her this
Doctor :a proper position is required
Doctor :let me explain this
Doctor :the baby in horizantal position
Doctor :the whole nipple including areola to sucked
Doctor :its not bitining of nipple
User :   ok understood
Doctor :alternatively chage the side of breast
Doctor :once right and next time left
User :   we doing that
Doctor :let the baby body have a firm attacht ment on the mothers chest
User :   mother should be in sitting position
Doctor :   yu can also express the milk and start feeding her
Doctor :but lot of hygiene is required for that
Doctor :sitting position is preferred
User :   we do express milk sometimes
Doctor :even lying down on a one side is also fine
User :   sometimes she breastfeed in sleeping position
Doctor :semi prone position
Doctor :not supine position
User :   yes lying side ways
Doctor :   thats good
Doctor :feed for atleast 5-6 times a day
Doctor :is the breast milk adequate
Doctor :from the mother side
User :   the problem is the child is very active and takes her mouth away from breast
User :   yes milk is adqueate
Doctor :   ok
User :   sometimes its wasted
Doctor :let the baby cry for some time
Doctor :so the baby feels hunger
Doctor :then take for feedign
User :   ok
Doctor :   these are normal issues
Doctor :that every mom and dad face with there babies
User :   what about thump sucking
Doctor :not to worry
Doctor :   thats normal for this age
Doctor :if she does it after 10- 12 months then its abnormal
User :   ok
Doctor :   other wise its a normal procedure
User :   she is 5 months and 1 week old now
Doctor :   yu can give her small sized yellow color banana daily one
Doctor :yes
User :   we can sart giving her patotoe carrot and rice
Doctor :   potato is the very good and healty food
Doctor :   it makes the baby chubby and to gain weight
Doctor :   no issues yu can start on
User :   ok we will do
Doctor :but breast feeding is must
User :   ok
Doctor :after completion of 5- 5.5 months the start on carrot and rice
Doctor :well smashed with ghee
User :   ok
Doctor :Nestum rice powder is also available
User :   yes we call it farex
Doctor :   have yu started it
User :   yes
Doctor :thats good
Doctor :are yu giving it with milk or plain water
User :   plain water is added to farex but given with milk
Doctor :thats ok
Doctor :do yu have any quries
User :   she is under weight at the moment
Doctor :   not to worry
Doctor :she can imporve that
Doctor :its a achiveable task
Doctor :her birth wt is 3.1 kg
Doctor :6.5 kg is ideal for her
User :   what should have been her weight at 5 months
Doctor :she needs to increase 1.5 kgs
Doctor :6.5 kgs
User :   ok
Doctor :is ideal for her
Doctor :she can do it with diet
Doctor :once yu start on potato
Doctor :banana
Doctor :she will put on wt
User :   k
Doctor :   once she starts on 6 monts
Doctor :use rice with ghee and non veg soup
Doctor :   not non veg
Doctor :   its only the soup
User :   ok
Doctor :Is there any thing else i can help u with
User :   n thats all
Doctor :Please fill the feedback form say done when done.
User :   ok
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Doctor :   bye for now take care
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