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Anemia in young children - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Hi.I have 16 months old daughter and my doctor says that she seems to be anemic and has recommended me s. ferritti test.
My daughter is not taking any food also infact she takes only liquid intake except any solid food. can i get any answer. i am very worried about her. plz help.
Doctor :   Hi
User :   Hi doc
User :   Need ur advise and help of my query
Doctor :   Do you have the reports of her blood test?
User :   I havent done test yet
User :   Doctr has advised me to do the test after 15days
User :   Doctr has given me pediture which need to give my baby 5spoons a day in milk
Doctor :   Ok
User :   is there any other way by which she starts to eat something
Doctor :   Inability/refusal to eat is one of the common symptoms of anemia.
Doctor :   However this can be confirmed only by blood test.
User :   that means i need to go for blood test first
Doctor :   The initial test to diagnose anemia is blood counts
User :   ok
Doctor :   which looks the blood hemoglobin and other parameters?
Doctor :   Has this test been done?
User :   Will do these tests tomorrow and will let u know
User :   any other way so that my child starts something to eat
Doctor :   Apart from anemia there are few other factors that could be causing the refusal to feed.
User :   What?
Doctor :   Other medical factors such as infection, juvenile thyroid problems are few to name.
User :   I dont think so that there should be any infection
User :   Anyways how ill i get to know abt it
Doctor :   Often no specific medical cause are found
Doctor :   and the condition is attributed to the behaviour of the child
Doctor :   which is also one of the common cause.
User :   wat is Juvenile thyroid
Doctor :   Such conditions are managed by diet changes.
User :   She is very active child
User :   She learns things very quickly
Doctor :   SInce I am unable to physically examine her, it is hard to predict which among these is the cause.
User :   Will Pedisure help??
Doctor :   Pedisure is an iron supplement.
User :   ok
Doctor :   This will help the cause of anemia.
User :   this will increase anemia
Doctor :   This will improve anemia
User :   will you help me in suggesting wat should i give her
User :   so that she starts eating something
Doctor :   by replenishing iron stores.
User :   Maybe she starts feeling hungry
User :   she doesnt even takes eggs
User :   she likes only milk, oranges, grapes and curd and rest nothing else
Doctor :   Multivitamin supplements, liver enzyme supplements, deworming, and other herbal products are known to improve appetite.
User :   any specific name
Doctor :   if I were to be your doctor, I would first like to investigate the problem
Doctor :   then try giving all the supplements.
Doctor :   Since the doctor has suggested anemia as the cause,
Doctor :   I would first suggest you to address this issue.
Doctor :   I suggest you to get the blood test first.
Doctor :   In the mean time continue with the iron supplements.
User :   Will do the tests and will let u know
Doctor :   You can also include iron rich food products such as
Doctor :   Milet (ragi),
Doctor :   fruits such as pomegranate,
Doctor :   Non vegetarian products(if you consume them) such as meat, liver and so on.
Doctor :   Along with cereals and pulses.
Doctor :   Appetite is expected to improve as anemia gets corrected.
User :   ok
Doctor :   Other than this other measures that you can follow are
Doctor :   1. Deworming - worm infestation is another common cause of reduced appetite as well as anemia.
Doctor :   Discuss with your doctor regarding these.
User :   ok doctr
Doctor :   Deworming can be done easily by means of antihelminthic drugs
Doctor :   Since these medications are prescription drugs,
Doctor :   I cannot suggest them online.
Doctor :   Obtain a prescription from your doctor to avail this medication
Doctor :   3. Diet changes
User :   ok
Doctor :   Children often feed according to there wishes and taste.
Doctor :   So do not force them.
Doctor :   What you can do however are these
User :   she drinks everything
User :   but she dont swallow food
User :   i hope it will not create problem in future
Doctor :   1. Since she is comfortable in drinking you can give her, her food int he form of liquids.
Doctor :   Do not think of the future now.
Doctor :   Any form of food at this stage is better than no food at all.
User :   ok
Doctor :   You can use products such as gruel, fruit juices instead of whole fruits, milk mixed with cereals and so on.
Doctor :   \2. Children prefer varieties.
User :   earlier i was giving her everything but i used to grind everything
Doctor :   Yes continue the same,
Doctor :   as she grows, her feeding habits will slowly improve too.
User :   but she is already 14months old
Doctor :   As chilren prefer varieties - keep changing the menu of the diet you have.
User :   at this stage i think child should swallow everything
Doctor :   I am sorry to say this, but this feeling is one of the common causes that make children eat less.
Doctor :   Each child is different.
Doctor :   So do not consider her to be abnormal, if she is not preferring only liquid diet.
User :   earlier i used to give her oats, shakes and everthing but now she has stop everything
User :   ok
Doctor :   Like I mentioned, keep changing the menu.
User :   a bit relaxed now
User :   But one thing
User :   my doctor told me that she should consume solid foods also
User :   otherwise doctor will go for OT therapy
User :   can i know wat is OT therapy
Doctor :   yes, solid foods can be also given,
Doctor :   and you can add one or two solid recipe in her diet.
Doctor :   Over a period of time, she will start preferring solid food.
User :   Dat is wat i am telling that she does not consume solid food
Doctor :   OT therapy common refers to Occupational therapy -
Doctor :   Is this is what you meant?
User :   yup
User :   should we go for it
Doctor :   Since, I have not assessed her growth and development by a physical examination,
Doctor :   your pediatrician is the best person to suggest if this form of therapy is needed.
User :   ok will catch u later

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