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Child unot willing to eat food - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2272 Questions
User :   Hi...
Doctor :   Hi
Doctor :   I am Dr.xxxx here
User :   I need to speak to a paediatrician about my 4 year old son
Doctor :   Ok
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   ok. My son has stopped eating completely. he does not like any food. He does not feel hungry. Nothing - bribing, cajoling, yelling, beating - works
Doctor :   Ok
Doctor :   Since when is this problem?
User :   He used to eat normally till a couple of months back
Doctor :   Ok
User :   He started becoming fussy and now has stopped eating completely - even his favorite foods
Doctor :   Ok
User :   His weight has dropped, he has become bony and sickly
Doctor :   Ok
Doctor :   I was about to ask tha
Doctor :   'that
User :   We thought initially it was a phase and that he would outgrow it, but now it is a crisis
Doctor Ok
User :   He was born at 4 kilos
Doctor :   If he is dropping weight, then it is a concern
User :   and at 4 years old is only 13.5 kilos
Doctor :   Have you consulted the Pediatrician?
User :   He is at 5th percentile of weight now, was born at 90th percentile
Doctor :   Yes, I understand his weight gain is less
User :   His regular paediatrician is not taking it seriously - says let him eat what he wants, he will eat when he's hungry - the usual brush-offs
Doctor :   Ok
Doctor :   How about the weight change?
User :   He was 14.5 kilos 3 months back
Doctor :   ok
Doctor :   that is 1 kilo
Doctor :   less
User :   In the last few days the weight has dropped a lot and he has become very bony and weak
Doctor :   and is of concern
Doctor :   How are his bowel movements?
User :   Constipated, very smelly
Doctor :   Ok
User :   Once in 2-3 days only
Doctor :   Has he been investigated with an abdominal ultrasound?
User :   He has a constipation problem that he has inherited from his mother's side (her parents and grandparents also have it)
User :   No
Doctor :   Ok
User :   Not been advised on that
Doctor :   How are his dietary habits?
Doctor :   Does he take in semiliquid or liquid feeds?
Doctor :   sorry semisolid I mean
Doctor :   because if he takes in hard foods
Doctor :   then it is a problem for bowel movements
User :   Prior to this problem, he was eating chappatis with butter/jam + rice/dal/fish + noodles every day
User :   Good amount of solids and liquids
Doctor :   Ok
User :   pediasure or bournvita, juices etc
Doctor :   Give him more of a liquid and semisolid diet
User :   ok
User :   He is refusing to take anything
Doctor :   Ok
Doctor :   Is he not liking any foods?
User :   Accepts any kind of punishment, will give up anything, but will not eat
Doctor :   Ok
Doctor :   I would suggest you to take him to a Pediatric Surgeon
User :   Says he does not want to eat / does not like to eat anything
Doctor :   for further evaluation
User :   ok
Doctor :   His abdomen will have to be evaluated
Doctor :   with an examination
Doctor :   and also ultrasound investigation
User :   Also he has been complaining of stomach pain
Doctor :   Ok
Doctor :   That does mean
Doctor :   more in that line
User :   What kind of abdominal and ultrasound investigation?
Doctor :   like any problem with the stomach intestines
Doctor :   abdominal ulrasound would be done
Doctor :   to detect any problems
User :   ok
Doctor :   after a abdominal examination by the Pediatric surgeion
User :   First I should take the consultation, or directly get the ultrasound and then meet a specialist?
Doctor :   First a consultation is required
Doctor :   then he shall order for necessary investigations
User :   ok
User :   Is a paediatrician different from a paediatric surgeon?
Doctor :   Yes, it is different
Doctor :   Pediatric surgeon is the right specialist
Doctor :   for further guidance
Doctor :   in your son's case
User :   ok, that is helpful to know
Doctor :   Is there any thing else I can help you with?
User :   Any advice on helping him eat in the meantime is welcome, otherwise, thank you very much, doctor
Doctor :   Without knowing the condition, just feeding him forcefully wont work
User :   yes
Doctor :   give the foods which he likes and most of them
Doctor :   should be liquid or semisolid
User :   ok
Doctor :   That does serve the purpose for now
User :   yes, thanks
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
User :   Thank you Dr.
User :   Will do
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