HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Healthy Diet Chart For Underweight Infants

default
Posted on Wed, 1 Apr 2015
Question: My son when he was in XXXXXXX had a weight around 5.3 kg for 5 months he was mostly on formula Nan pro 1. When we moved to US we switched to similac and now he is 11 months old and he gained only 1 kg which is 6.3 his current weight. He is having 3 meals oatmeal khichdi etc and close to 16 ounces of milk yet not gaining any weight.
Very concerned about him, please suggest. XXXXXXX doctors tell me that XXXXXXX babies are like that only which I don't agree.
doctor
Answered by Dr. Sumanth Amperayani (25 minutes later)
Brief Answer:
Even for XXXXXXX babies this is under weight

Detailed Answer:
Hi...I agree with you completely. Even for XXXXXXX babies this is under weight.

I have a few questions for you - kindly answer the questions below.

Questions:
1. What was the birth weight?
2. How is the attaining of developmental milestones?
3. Is the stool oily and floats in the pan?
4. Is there any colour change in the hair or skin?
5. Is there any history of recurrent serious infections?
6. How many times does he pass urine per day and is the quantity appropriate?
7. Is there any recurrent diarrhoea or vomiting?
8. Does he retch and vomit after each feed?

Get back to me with the answers and I will guide you further.

Regards - Dr. Sumanth


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sumanth Amperayani (17 minutes later)
Questions:
1. What was the birth weight?
3.1 kg
2. How is the attaining of developmental milestones?
He is not really attending developmental milestones once we moved from XXXXXXX to US. Mostly less than 5 % on a growth chart
3. Is the stool oily and floats in the pan?
no not that oily kind of normal
4. Is there any colour change in the hair or skin?
no
5. Is there any history of recurrent serious infections?
no
6. How many times does he pass urine per day and is the quantity appropriate?
4 Diapers a day
7. Is there any recurrent diarrhoea or vomiting?
No
8. Does he retch and vomit after each feed?
No

The only time he tend to avoid food and formula is when he has cold and cough which last around 7 days. He got cold and cough almost 3 times in a span of last 6 months.
For that reason I ordered 3 boxes of Nan 2 Pro to validate if its the formula or something else. Also when he is normal he eats 3 meals - The khichi is normally heavy with all the pulses, rice and ghee tadka but not really helping.
doctor
Answered by Dr. Sumanth Amperayani (6 hours later)
Brief Answer:
He needs evaluation please

Detailed Answer:
Hi....there are 2 issues in your kid -

1. From the history you have provided, he doesn't seem to have anything serious going on. For some reason or the other he doesn't seem to like food. The only option in such a case would be to make whatever small amount he eats calorie dense.... That is by adding lot of ghee or butter to his food.

2. If I were your pediatrician, I would suggest you do the following tests so that we can be doubly sure that nothing pathological is going on.

Tests - CBC, renal function tests, liver function tests, Urine routine analysis.

One last question - were either of the parents like this, underweight in this age?

Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Healthy Diet Chart For Underweight Infants

Brief Answer: Even for XXXXXXX babies this is under weight Detailed Answer: Hi...I agree with you completely. Even for XXXXXXX babies this is under weight. I have a few questions for you - kindly answer the questions below. Questions: 1. What was the birth weight? 2. How is the attaining of developmental milestones? 3. Is the stool oily and floats in the pan? 4. Is there any colour change in the hair or skin? 5. Is there any history of recurrent serious infections? 6. How many times does he pass urine per day and is the quantity appropriate? 7. Is there any recurrent diarrhoea or vomiting? 8. Does he retch and vomit after each feed? Get back to me with the answers and I will guide you further. Regards - Dr. Sumanth