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How to feed an infant? - Online Doctor Chats

Date : 21-Dec-2014
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor: Please proceed with your query.
User:Namaste doctor
User:I have few doubts about feeding style. I am a mother of 1yr old kid (Son)
Doctor:Please proceed
User:My son wont drink milk from my left breast. He drinks only from the right one.
Doctor:Is there milk letdown from left breast?
User:I have observed that the left breast is still small but the right one is big in size
Doctor:See you need to check if there is milk in left breast
Doctor:Try sqeezing with your fingers
Doctor:If the baby does not drink milk for more than 2 or 3 days, then milk letdown diminishes
User:yes, mam. I have observed that. Whenever i squeeze its nipple, no milk comes out or sometimes only a few drops come after a very long time
Doctor:Mostly the milk letdown starts decreasing after 8 months
Doctor:You may still try and make the baby suckle from the left breast so that milkletdown happens
Doctor:Is the baby growing appropriately for his age?
User:yes but his weight is only 9.5-10kgs.. I consulted pediatrician but he says, his height and weight is alright, nothing to worry!
Doctor:Give me a moment to check the growth charts
User:thanx madam
Doctor:His weight is normal for his age
Doctor:So you are doing a good job at feeding him
Doctor:In near future there may be time when your baby will wean off from breast and start drinking cow's milk
User:ok.. my son is 1 year 4 months old. Is his weight okay?
Doctor:Give me a moment again
Doctor:He could have been 10.5 kg that is median weight
Doctor:But still his weight is in normal range
Doctor:You may also add more solid food to his diet
Doctor:May also start will milk offered in a cup to supplement and not to replace breast milk
Doctor:Are you there?
User:I keep checking his weight every one or two months, whenever I visit pediatrician for vaccination. He weighed 10 kgs before two months & 9.5 fifteen days back & 9.3 last week.
User:Yes, mam. I am here. I am sorry, internet was down..
Doctor:Yes we need to give him high calorie foods
Doctor:He is going down the growth chart curves
User:I was tensed but later I thought that may be due to slight fever, cough which he had. Due to that his weight was reduced I was thinking.
Doctor:No he is deficient in diet
Doctor:His food schedule should be similar to an dults
Doctor:His diet should also be similar to adults
User:I checked with couple of pediatricians but they told me not to worry, his weight is absolutely fine!! but he looks little weak to me, doctor
Doctor:If we see just one reading then it is fine
Doctor:But if we chk the last three readinsg,then he is going down the growth chart curves
Doctor:We should take care of it in time
User:thats correct doctor, one more doubt i have. Shall I ask?
User:because I am chatting with u from a very long time..
User:My son wont sleep in day time like other kids. He sleeps hardly for 15-30 mins even after his bath or after his meals. This also scares me. He sleeps like adults only in night. 11.30PM to 7.30 or 8 in the morning.
Doctor:It is normal
Doctor:All babies have their own sleep schedule
Doctor:It may also be because he is hungry during the day
Doctor:A hungry child will not sleep
User:okay.. any medicine to be given for sleep in day time?
Doctor:No need of medicines to induce sleep in a child
Doctor:It is better that they sleep when they feel like
User:Doctor, we are vegetareans. what food will u suggest me to give him? pls explain the time also
User:* I mean, after 2 hours or 4 hours ... like that
Doctor:In the morning breast feed or milk cup
Doctor:In another hour give him the breakfast...breakfast should be the food that you take
Doctor:After 3 hours some snacks like crackers, fruits etc..milk can also be given
Doctor:Lunchtime comes 2 - 3 hrs after snacks
Doctor:Lunch is again the same as that of adults in the house
Doctor:Then snacks after 2 - 3 hrs
Doctor:Then dinner time after 2 - 3 hours
Doctor:Dinner again should be same as adults
Doctor:Milk may be given after dinner
Doctor:The baby should be given adequate amount of water as driven by his thirst
Doctor:Should also include high calorie foods like milk products...cheese, butter, ghee, sweets, etc in the diet mentioned above
Doctor:The total amount of milk intake should be around 500 ml
Doctor:in a day
User:Total should be 500 ml (including mother's milk & cow's milk). right, madam?
Doctor:You cannot measure the amount of breast milk
Doctor:But do not stress on giving more of cow's milk
Doctor:Most of his diet should be solid food
User:okay. mam, if we want to give milk from outside, I dont trust on packet milk, as we get only that in cities.
Doctor:You can also get dairy milk in some parts of cities
Doctor:Boil it nicely and then give
Doctor:Tetrapacks are also reliable
Doctor:But I personally like dairy's cow milk (not XXXXXXX milk)
User:okay, mam. thank you so much for detailed explanation.
Doctor:Thanks for consulting me
User:If I have any doubt, I will get back to you. Is it possible that I can chat with u again?
Doctor:Yes it is possible
User:If some other doctor picks the chat, shall I ask for your assistance?
Doctor:If some other doctor picks the chat you can ask for me
Doctor:Im usually available at this time
User:okay doctor
User:thanks again.
Doctor:Take care
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