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Suggest Ideal Diet Plan For A 11 Month Old Child
Question: My daughter completes 11 months on the 17th of September. She is a very active baby and responds to simple instructions. She has been on the low-weight percentile for the last four and a half months. She weighs 7.5 kgs. From the seventh month she did not show any weight gain. Her birth weight was really good - 3.26 kgs.I know weight is not a complete indicator. But i am really concerned if something should be changed. Is there anything specific that i need to consider. Do i have to consider any diet plan ? She has formula (Nan Pro) on demand (does not exceed two to three ounces) and regular three meals in little quantities.
Secondly, i know teeth sprout at different times. Right now she just has her first tooth popping out. Is it normal ?
Thank you for your advise.
Secondly, i know teeth sprout at different times. Right now she just has her first tooth popping out. Is it normal ?
Thank you for your advise.
Brief Answer:
Increase the caloric value and frequency of feeds
Detailed Answer:
Hello
Thanks for the query
I can understand your concern.Weight of 7.5 kg at 11 month for a bay whose birth weight was 3.26 kgs indicates that there is poor weight gain.
I would suggest you to give more of home based food (rather than Nan pro as a main diet) and to make it rich in calories.
Unlike adults the proportion of fat requirement is more in infancy and toddlers.
Add some butter,edible oil to the food to make it energy dense.As baby has completed 11 month now you can also give egg to meet the protein and fat requirement.
Gradually Increase the amount of feed.There should be three major meals(each serving consisting of 3/4th to one full small bowl) and two to three snacks consisting of fruits,breads or biscuits(to meet the vitamin requirement).
Give breast milk during night time if she demands.
I hope with all these measures her weight will improve.
Timing of eruption of teeth varies among individuals.I wont get worried as already one tooth has been erupted.
Also I won't get overly worried if there is no persistent vomiting,loose stools or repeated illness(respiratory or GI infections).
I would like to get thyroid profile,iron profile and serum vitamin D level done as deficiency of these nutrients are very common and they have very important role in growth of baby.
I hope this helps.
Please let me know if you have any more query.
Regards
Increase the caloric value and frequency of feeds
Detailed Answer:
Hello
Thanks for the query
I can understand your concern.Weight of 7.5 kg at 11 month for a bay whose birth weight was 3.26 kgs indicates that there is poor weight gain.
I would suggest you to give more of home based food (rather than Nan pro as a main diet) and to make it rich in calories.
Unlike adults the proportion of fat requirement is more in infancy and toddlers.
Add some butter,edible oil to the food to make it energy dense.As baby has completed 11 month now you can also give egg to meet the protein and fat requirement.
Gradually Increase the amount of feed.There should be three major meals(each serving consisting of 3/4th to one full small bowl) and two to three snacks consisting of fruits,breads or biscuits(to meet the vitamin requirement).
Give breast milk during night time if she demands.
I hope with all these measures her weight will improve.
Timing of eruption of teeth varies among individuals.I wont get worried as already one tooth has been erupted.
Also I won't get overly worried if there is no persistent vomiting,loose stools or repeated illness(respiratory or GI infections).
I would like to get thyroid profile,iron profile and serum vitamin D level done as deficiency of these nutrients are very common and they have very important role in growth of baby.
I hope this helps.
Please let me know if you have any more query.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor for your prompt and quick reply. She has egg (white and yolk) every alternate day. She eats all regular food like dosa, khichdi, khichdi with chicken, etc. She has no allergies so I am able to give her variety. She has different items, pressure cooked to make it softer and is fed.
I will certainly include butter. Can that be regular Amul salted butter ? I restrict her sugar intake as almost zero, is that ok ? Which means I do not give her any biscuits or bread as such. Can store bought bread and biscuits be given to her?
I work late hours, in the nights she has breast milk. This is like only two or three feeds. The other times during the day she has formula. How much milk should she be taking at this age?
Another observation is that, she sweats a lot specifically her head. Even in warm room temperature, she sweats. Is that normal? Or should that be concern.
Thank you for your response.
I will certainly include butter. Can that be regular Amul salted butter ? I restrict her sugar intake as almost zero, is that ok ? Which means I do not give her any biscuits or bread as such. Can store bought bread and biscuits be given to her?
I work late hours, in the nights she has breast milk. This is like only two or three feeds. The other times during the day she has formula. How much milk should she be taking at this age?
Another observation is that, she sweats a lot specifically her head. Even in warm room temperature, she sweats. Is that normal? Or should that be concern.
Thank you for your response.
Brief Answer:
Details below
Detailed Answer:
Thanks for follow up
Its really good to know that you give all the nutritious food to the baby.As she has approached 11 months you can give small amount of salt or sugar as by this age kidney is mature enough to handle.Better you add ghee to the diet.If you are giving khichdi,dosa and all; there is no need to give bread and biscuits.
You can continue giving formula milk but make sure that it is age appropriate and dilution is proper.As you are giving regular diets 200-250 ml of formula milk and 3-4 of night time breast feed is sufficient.
As your diet chart is good chances of nutritional deficiency are less.Still I would like to get thyroid profile,iron profile and serum vitamin D level done to be on safer side and for better care of the baby.
In most of the cases the excess sweating is just a normal variation.There are few uncommon condition like any congenital heart disease can also cause excess sweating during feed or suck rest suck cycle during feed.I wont get overly worried as she is 11 months old and I hope she has been clinically examined by physicians a number of time earlier .
Monitor her growth on growth chart and please let me know if you have any more doubts.
All the best and wishing for good health of your family.
Thanks and regards
Details below
Detailed Answer:
Thanks for follow up
Its really good to know that you give all the nutritious food to the baby.As she has approached 11 months you can give small amount of salt or sugar as by this age kidney is mature enough to handle.Better you add ghee to the diet.If you are giving khichdi,dosa and all; there is no need to give bread and biscuits.
You can continue giving formula milk but make sure that it is age appropriate and dilution is proper.As you are giving regular diets 200-250 ml of formula milk and 3-4 of night time breast feed is sufficient.
As your diet chart is good chances of nutritional deficiency are less.Still I would like to get thyroid profile,iron profile and serum vitamin D level done to be on safer side and for better care of the baby.
In most of the cases the excess sweating is just a normal variation.There are few uncommon condition like any congenital heart disease can also cause excess sweating during feed or suck rest suck cycle during feed.I wont get overly worried as she is 11 months old and I hope she has been clinically examined by physicians a number of time earlier .
Monitor her growth on growth chart and please let me know if you have any more doubts.
All the best and wishing for good health of your family.
Thanks and regards
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
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