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Underweight , refusal to feed and urinary system problems. - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Growth and Development in Children
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2586 Questions
User :   Dear Doctor, I have a baby (11 months old). I am worried about his health. his weight is 6.5kg only. Please help me and if required please let me know to whom contact near Dwarka, new delhi
Doctor :   Hi
Doctor :   give me couple of mins while i read your query.
User :   Hi Dr. Vidhya, please let me know what should i do for my kid
Doctor :   yes. I WIL SURELY HELP YOU.
Doctor :   could you tell me about his birth details
User :   My kid is 11 months old and his weight is 6.5 kg only and is constant for last two months. He is not willingly taking his diet. Even i am not sure what exactly we should give him
Doctor :   Ok
User :   He is sygerien
Doctor :   ok
User :   further, weight at the time of birth was 3.150 Kg
Doctor :   born on time or pre mature?
User :   Pre mature by 15 days
Doctor :   ok
Doctor :   does he have any other problems ?
Doctor :   as in any infections, any significant history in past or present?
User :   We have consulted pediatrics in dwarka and as per her, he is having urine problem wherein she suggested for surgery to open the valve...
Doctor :   ok
Doctor :   Do you have the reports with you?
User :   Right now he is having little bit cold - running nose
Doctor :   ok
User :   yes doctor
Doctor :   I would want to know some details about his urinary problems, could you tell the findings ?
User :   His urine culture report was taken on 26/10/2010, wherein no growth was found after 48 hrs of aerobic incubation at 37C
Doctor :   ok
User :   Routine report was normal however we have been suggested to go for UTI/ CMCU
Doctor :   any ultrasound scan done?
Doctor :   Ok
User :   no, sonography has been done
User :   USG of whole abdomen
Doctor :   ok
Doctor :   does the child have recurrent on and off fever.?
User :   not now but he had earlier when the urine problem was major even may be some wrong treatment
User :   now he is having cold little bit as a result of which he is having running nose
Doctor :   ok
User :   We are really concern about his health
Doctor :   the ideal weight for his age would be around 10 to 11 kgs.
User :   what should we do now doctor
Doctor :   since his weight is below normal, he needs evaluation
User :   his apetite is also weak
Doctor :   since I cannot physically examine him, I cannot predict the exact cause, but can think of these possibilities
User :   are u based out of delhi
Doctor :   1. recurrent on and off infections which could be secondary to his urine problems
Doctor :   Yes, we are in Bangalore.
User :   is anything serious and we need to consult in personal. if yes please let me know good doctor in delhi
Doctor :   urine problems maymean a recurrent UTI, Possibly associated with a Posterior urethral valve which is common in male kinds, hence they would have advised for MCU
Doctor :   2. Wrom infestations
Doctor :   worm*
Doctor :   3. Anemia
Doctor :   4. any other underlying chronic infection.
User :   what do you mean by chronic infection
Doctor :   Do not worry, with a thorough investigation, we could conclude the cause.
User :   Pls advice
Doctor :   chronic infections as in an underlying infection
Doctor :   which sometimes goes undiagnosed and recurrs
User :   pls explain in lay man langauge
Doctor :   ok
Doctor :   The list given above are
Doctor :   only the possible causes
Doctor :   Let me put across it in simple words.
Doctor :   According to your description, your son in below the normal weight required.
Doctor :   Such conditions can occur due to multiple problems which can only be diagnosed after a physical examination and tests.
Doctor :   The problems could be
Doctor :   1. Recurring infections
Doctor :   Infection could be the urinary infections that he is been suffering from lately.
Doctor :   If the valve (as described) is associated, then that might lead to recurrent infections
Doctor :   a child who is getting infected repeatedly
Doctor :   doesn't feed well, thereby his weight gets affected.
Doctor :   So, this can be corrected only if the infection is treated.
Doctor :   Are you following?
User :   yes doctor
User :   how should we now approach
Doctor :   If urinary tract infection is ruled out, by means of tests/scans and the micturiting cystogram,
Doctor :   then doctor should look for other possible infection such as chest infections which could also one of the cause.
Doctor :   2. Worm infestations or any other malabsorptions
Doctor :   3. Anemia or other blood disorders.]
User :   can u advice for any tests/ medicines
User :   health supplement
Doctor :   Is your child breast feeding?
Doctor :   Have you started on other supplements?
User :   no
Doctor :   Ok
Doctor :   Let me suggest you the measures that you need to follow.
User :   only home made feeds such as daliya, khichadi, fruits, veg soups (Tomato)
Doctor :   1. First and foremost, you need to consult a pediatrician, who can evaluate, guide you through the tests and treat the underlying cause.
Doctor :   Where are you put up at Delhi?
User :   Yes in Dwarka, New DElhi
Doctor :   Ok
Doctor :   2. You need to start off with oral feeds slowly and gradually.
Doctor :   Start of with top up milks such as milk products, pasteurized cow milk
User :   what type of oral feeds.. and at what pace and quantity
Doctor :   you could consult
Doctor :   Dr MM Bhattacharya
Address: F-167 Pocket-1, Dwarka Sector 1 , Delhi-
Landmark: Near - Petrol Pump
Doctor :   or any good pediatrician in your area
User :   oks... we are already providing him the pasteurized milk 3-4 times a day (100 ml each)
Doctor :   coming to feeding , please give him food and fluids little by little frequently
User :   he is not grabing inside... he avoids eating...
Doctor :   you must try and experiment with what he likes.
Doctor :   make sure you mash the food very well.
Doctor :   the feeding habits will improve as infection resolves
User :   he takes only kiquid
Doctor :   in the mean time, continue with the feeds your giving him.
Doctor :   also ask for de worming medicines from the doctor.
User :   any health supplement/ medicines to gain apetite
Doctor :   no, at this point it is not advisable
Doctor :   keep it natural
Doctor :   once infection resolves , we can start the same .
User :   Can we go for pediasure
Doctor :   did i answer your questions?
Doctor :   yes, you could go for it.
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Diseases and Conditions
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