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Underweight problem - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   I have s 3.6 year old son and weighs 12kg.
User :   As per his age his ideal weight has to be 15kg
Doctor :   ok
Doctor :   yes, the weight is less.
User :   But he hardly shows any improvement is his weight....He is also very fussy about food and I have to run after him and forcefully feed him....I keep on trying methods like having his favourite foods cooked
Doctor :   please proceed with your query.
User :   but after initial intake..of having food for the 5 mins...he looses interest
Doctor :   ok
User :   health wise he would be fine for 6-7 months and then will start having watever health he has made during this period he again looses it
User :   i am also worried about his immunity...
Doctor :   ok
User :   medicines given to him during illness is cheston, planokuff and crocin syrup on fever
Doctor :   can i ask a few relevant questions?
User :   i have tried pedisure...but he refuses
User :   yes
Doctor :   Is your child a premature born?
User :   no
Doctor :   apart from fever and cold, does he complain of abdominal pain?
User :   he weiged 3.3 on birth and had completed the period
User :   he had a stomach infection when was 1 yr old
User :   and have never seen him healty post that
Doctor :   what was done for his infection?
Doctor :   are you with me ?
User :   he was put on anti biotic
Doctor :   ok
User :   dont really recall the name
Doctor :   apart from this, any other history you want to share, has he been vaccinated upto date?
User :   wasnt very severe...but unwell for a 7-9 days
User :   yes
Doctor :   ok
Doctor :   does he go to any play school?
User :   yes
User :   he enjoys school--nursery
Doctor :   that is good.
Doctor :   let me explain it to you.
User :   he is also bit hyperactive
User :   ok
Doctor :   at this age, it is quite natural for children to show some opposition when it comes to feeding.
Doctor :   if he has no symptoms of vomiting , then do not worry
Doctor :   he will need a de worming tablet one dose
Doctor :   and an examination by the docor.
Doctor :   catching cold, cough once is 7 months is fine.
Doctor :   this is common in children
Doctor :   we also need to get his tonsills examined.
Doctor :   for an infection which is causing frequent cold
User :   tonsills?
Doctor :   yes, tosills in the throat, for tonsillitis, an infection in kids
User :   ok
Doctor :   which commonly causes frequent cold and sore throat and infections.
Doctor :   apart from this, since he is active in school, I feel he is fine otherwise.
Doctor :   as far as his under weight is concerned , the feeding and related issues what you are trying is fine.
Doctor :   you could talk to your child, give him whatever he likes.
Doctor :   try to feed him more frequently though in small quantities.
Doctor :   avoid health supplements unless advised by doctor after examining him , keep it more natural.
Doctor :   good amount of protein, vegetables and fruits will help him in gaining weight.
Doctor :   does he complain of any burning during urination?
User :   no he hasnt
Doctor :   ok
Doctor :   you could give pediasure a try.
Doctor :   let it be a supplement , if he likes it
Doctor :   are you there?
User :   yes
Doctor :   with a de worming dose, any small infection or worm infestations will be taken care of.
Doctor :   this is a common reason why kids avoid food.
Doctor :   other wise I do not feel there may be any other reason.
User :   Sure i ll give him d deowrming dose and observe
User :   can u suggest me how do i increase his immunity
Doctor :   if doctor feels, after examination , a routine blood test for anemia, infection with urine test will be done as a general examination
Doctor :   immunity will increase by the diet, and itself as he grows old
Doctor :   give him good fruits like rich in vit c orange,sweet lime , etc
Doctor :   this has vit c, which increases immunity against cold
User :   ok
Doctor :   since he is young, i wont recommend vitamin tablets unless required, let it be natural from diet.
User :   yes true..
Doctor :   the moment he eats well , immunity will be taken care of.
Doctor :   give him time, he is growing.
Doctor :   if his reports say anemia or anything significant, doctor will add supplements and tonics.
User :   ok
Doctor :   as i said feed him frequently, on what he likes
Doctor :   I hope you followed my suggestions.
User :   i ll try to take care of his diet and if i feel he doesnt show any impreovement ll consult for tonsilitis and the above test
Doctor :   did I answer all your questions?
User :   yes doctor...thanks for your advice
Doctor :   I feel you can take him to a pediatrician for an examination now itself.
User :   will follow the same
Doctor :   just to rule out and for de worming as well.
User :   sure
User :   thanks a lot doc
Doctor :   I feel the same too, his diet may need changes,else the child is doing fine.
Doctor :   pleasure here.
User :   yes
Doctor :   are there any other questions I could help you with?
User :   i think i have asked u all my doubts
Doctor :   ok
Doctor :   you could chat with us anytime again
User :   i see him very happy when it comes to junk food....which then i am nt happy...
User :   but at times i feel i shud let him eat whatever he is willing to,,
Doctor :   yes, kids like junk food, try giving baked chips, etc than fried ones
User :   shud i go ahead it at times
Doctor :   yes, he can eat in moderation , may be munch around when he feels like and then follow it up with meals .
User :   sure
User :   thanks a lot doc
Doctor :   try to motivate him, may be a couple of pieces of chips along with food.
User :   yes
Doctor :   let him have in moderation, go for quality food.
Doctor :   thanks for consulting me.
User :   thnks
User :   bye
Doctor :   you could let us know his follow up too
Doctor :   bye for now.
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