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Dr. Andrew Rynne

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Hi Doctor, My daughter is 2 years old. Till 23

Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3703 Questions

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Posted on Wed, 23 Jan 2019 in Child Health
Question: Hi Doctor,
My daughter is 2 years old. Till 23 months she was mostly having blended food as she doesn't want to chew anything and hence, she was mostly having blended food.

Around 1 month back, she started having chapati though reluctantly but, we were feeding her chapati, daal, khichdi etc in non blended form.

For the last 3-4 days, she is almost taking nothing. She had very small quantity and then stops eating. If we will not feed her forcefully even after 4-5 hours, she will not demand anything. Can there be some problem based on the description above? Please suggest.

Regards,
Ankur XXXXXXX
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
Fussy eater

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through your query. Let me tell you that children can be fussy eaters and there is no reason to panic about. Unless there has been a rapid change in behavior in the last 3-4 days there is no reason to worry. If the behavior (including feeding habits) has rapidly shown a decline in the last few days, I would insist on getting her blood tested for the CRP (C-Reactive protein) level. A raised CRP would indicate an infection which needs to be treated.

If your child is simply a fussy eater, my suggestions for you would be:
* Please be informed that there are NO syrups, medicines or tonics that can help in changing the situation. I would insist you not to go for any one of them.
* Do not force feed the baby. This will increase the child's apathy towards food. Rather wait for the child to get hungry. At times you may have to wait several hours. Be patient. The urge should be her and not yours.
* Visit a dietitian and discuss the scenario so that she can design a calorie-dense diet chart in accordance to the preferences of the child.
* The build of a child depends upon the build of the parents. If you and your spouse were thin in your childhood you cannot expect your child to be otherwise.
* Try to avoid any minor feeds between meals. They take the appetite away.
* Treat the child as a member of family and make him dine together with others. Even if the child is not eating, make her sit with others while they take their meal.
* Keep the meal amounts small and keep other food items readily available for the child to pick up. For example, keep fruits ready to be picked up from the table.
* Take the child along with you while you go to fetch groceries. Pick fruits and vegetables as per his choice (ask for his choice). Make food preparations using those food items. The child is more likely to eat those without a fuss.
* Award the child a star for every day be feeds well. After he collects a certain number of stars, promise him some non-food reward like extra sleep time or something that you would possibly have given him anyway (a pencil, eraser etc. of his choice).

Feel free to write back.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Diptanshu Das 9 hours later
Hi Doctor,
Thanks for your reply.

By any chance could it be related to worms? We have not given any worm medicine to her till date as far as I can remember.

Regards,
Ankur XXXXXXX
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
Deworming can be done

Detailed Answer:
It is not necessarily due to worms. However you can feel free to give Bandy syrup (Albendazole) 10ml today and a repeat dose after 14 days.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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The User accepted the expert's answer

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