Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
192 Doctors are Online

Treatment for weight loss in a child - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   It seems you have moved out of the chat window. Please log in back if you have
medical queries
Doctor :   HI
Doctor :   Welcome back.
User :   hello doctor.
Doctor :   How can I help you?
User :   Can you help me regarding my daughter's diet?
Doctor :   Please explain.
User :   OK
User :   She is 18months old. From the last one month, her solid food intake has reduced considerably. She is only on Milk. Doesn't like any other food/fruits.
Doctor :   Ok
User :   Is that expected? Is it ok to just feed milk?
Doctor :   May I know her weight?
User :   Apporx 10KG. lean, but very active
Doctor :   And what was her birth weight?
User :   It was normal. I think 3+kg.
Doctor :   Ok
Doctor :   Is she having any symptoms such as on and off fever, loose stools, vomiting?
Doctor :   Does she have any breathing problems?
User :   No fever or vomit problems. But, her stools are whitish.
User :   no breathing problems.
Doctor :   Ok
Doctor :   Can I know few details of your child's develoment?
Doctor :   Is she able to speak?
User :   Go ahead and ask me. She can utter small works like papa/mama/... She started walking at 11 months. As i said before, very active. Plays from 8Am to 10PM.
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Refusal to eat occurs in a young growing child is very common.
Doctor :   Its not of concern, if it doesn't affect her growth, development and weight.
Doctor :   According to her age, her recommended weight is around 10 -14 kgs.
Doctor :   Hence since, her weight and growth developments are normal, its is not of serious concern.
Doctor :   Hence you need not concern.
Doctor :   Watch out for these symptoms however,
Doctor :   1. On and off fever
Doctor :   2. Reduced physical activity, excessive crying and irritability.
Doctor :   3. Diarrhea and vomiting episodes.
Doctor :   If any of the above symptoms occur, you need to report to your pediatrician for evaluation.
Doctor :   Her feeding habits should improve with little more parentral guidance, however,
Doctor :   if there is no further improvement, she may need evaluation.
Doctor :   Evaluation for worm infestation, blood work up may be needed.
User :   how long should we wait to observe her? Months?
Doctor :   Have you followed what I have suggested?
User :   Yes.
Doctor :   You need to consult a pediatrician immediately if any of the above mentioned symptoms are seen or if there is weight loss.
Doctor :   Else symptoms are expected to improve with good parentral guidance in a few months.
User :   OK. Thanks. What do you infer from whitish stools? Is it indication of something?
Doctor :   Consider getting a pediatric opinion, if such symptoms or weight loss occurs, or if the symptoms are persisting for more than 2-3 months.
Doctor :   May I know in whom are these white stools seen?
User :   i didn't understand the Q?
Doctor :   The yellow colour that is normally seen in the stools is due to presence of bilirubin metabolities(stercobilinogen)
Doctor :   Pale stools (if that is what you meant) is an indication of liver problem probably due to obstruction of biliary duct.
Doctor :   Hence, I would like to know few details of the individual in whom this condition is seen?
Doctor :   Have you followed?
User :   in my daughter.
Doctor :   Since when are you noticing this symptoms?
User :   Many months.
Doctor :   Is she passing yellow coloured urine?
User :   urine is yellowish
Doctor :   Have you seen a doctor for this current problem?
User :   whitish stool is not seen everyday. It's once/twice in a week
Doctor :   Ok
Doctor :   Whitish, pale coloured stool can be symptom of obstruction of the bile duct (a feature of jaundice) or due to indigestion.
Doctor :   I would suggest you to consider consulting a pediatrician for physical evaluation to check for probably jaundice.
User :   She never had symptoms of jaundice.
Doctor :   She may need liver function test too.
User :   Not even at birth
Doctor :   If jaundice is ruled out, then its probably due to indigestion symptoms, that this is happening.
Doctor :   hence my
Doctor :   suggestion will
Doctor :   be to consider getting a physical examination from a pediatrician to make sure that this isn't a sign of jaundice(though you are absolutely sure).
Doctor :   Have you followed what I have suggested?
User :   Yes...
Doctor :   Do you have any other query that I can help you with?
User :   why i am confident is, eyes are white, no yellowish of nails....
Doctor :   Its more likely to be due to indigestion symptoms as her symptoms are not consistent,
Doctor :   My recommendations are just to make sure and confirm it(as I am unable to visually examine her).
Doctor :   Have you followed?
User :   Yes.... Great chatting with you. Thanks....
Doctor :   Before closing this session,
Doctor :   we would like to take the details of your phone number and email id
Doctor :   so that we can get back to you.
Doctor :   Since you have requested for a specialist opinion, it will be useful to us to call or email you.
Doctor :   Thank you.
Doctor :   Do you have any other query?
User :   no. thanks
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor