Brief Answer:
EXPLAINED BELOW
Detailed Answer:
Hello
Thanks for writing to us with your heatlh concern.
Yes, your child is below the third percentile of weight for his age, this condition is called as failure to thrive.
There could be various reasons for this condition.
The leading reason is that he is not taking enough calories compensated for his age, and activity.
The food items mentioned by you are quite nutritious , however, he might not be taking them regularly or in required amounts.
Please maintain a daily meticulous food diary, detailing the amount and type of food in exact measurements.
Then consult a Nutritionist to compare if the daily diet chart is good enough or requires modification.
Food fads or improper feeding ( bottles, juices, over pureed or thinned foods ) can cause this, as can overestimation by parents as to what the child actually ate.
Behavioural and psychological problems in the child can lead to decreased intake.
If the parents are overworked or depressed, there is poor focus on feeding.
He might be having a structural problem in his palate, tongue ,teeth, jaw or neural or
muscular weakness in the mouth or entire gut, which may hamper absorption
Certain
malabsorption conditions can lead to inability to utilize calories from food inspite of proper intake
Hormonal deficiencies of thyroid hormone or
growth hormone can lead to growth arrests.
Recurrent infections, or worm infestations often cause inadequate weight gain.
Undiagnosed heart and lung ailments can impair growth, as can deficiency of
vitamins and minerals in the diet.
Some children are genetically small built, this could be the reason inspite of good parental built ( dont fair parents sometimes have a dark child ? )
Please ask your paediatrician to perform detailed testing for these conditions - blood tests,
ultrasound, biopsy , enzymatic testing for rare diseases etc.
This should not be neglected as he is definitely anemic and undergrown.
Continue the
iron supplements.
Ask your doctor if
multivitamin, calcium , vitamin D and protein powder supplements should be added - according to me they should be.
All the best.
Please feel free to discuss further.
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