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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 : 40 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
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