Brief Answer:
Cause of vomiting needs evaluation. Growth monitoring needs to be done.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through the details. Ideally the birth weight of the baby should double by 5 months of age and triple by 10-12 months of age. But this is not adequate to comment on whether the weight gain is proper. The weight needs to be measured every three months and plotted on a growth chart appropriate for her age and sex. If the plotting moves in the designated trajectory and does not cross percentile lines, rest assured that even if the weight is low, nothing needs to be done. If the weight does not increase in accordance to the lines of growth chart, appropriate interventions would be needed in the form of nutritional supplementations.

The cause of vomiting needs to be evaluated. Although it might get controlled with antiemetics, I would not consider it normal. The clinical examination of the abdomen is the first step of assessment. This should be backed up with a straight x-ray of abdomen in erect posture. A routine examination of the stool should also be helpful in assessement of any malabsorption syndrome.

At this age, the importance of milk reduces and is taken over by semi solids. If the nutritional requirements are properly met through other food principles, milk is now just an optional item. Be it cow milk or XXXXXXX milk, they have a different composition compared to human milk and hence are difficult to digest. In fact, milk is not often well tolerated. In yogurt or curd, the ingredients are broken down into simpler forms by bacteria that are beneficial for us, and hence I would prefer yogurt intake instead of cow or XXXXXXX milk. Alongside give all sorts of adult food low on spices and in mashed form. I think that should be help the child grow properly.

Regards

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Brief Answer:
Proper burping is essential

Detailed Answer:
Thanks for writing back.

You should not feed the baby in lying position. Moreover, proper burping is essential. You must hold the child upright for around 20 mins after each feed. That should take care of reflux which could be the cause of the vomiting. Its good to hear that the vomiting has stopped.

I would not suggest any particular diet chart. Give the child all sorts of things that an adult takes but make sure to keep it low on spices and be sure to mash it up properly. Boil pulses and rice together with different types of vegetables and give it in mashed form. Such a home made diet would be the best.. Feel free to bring in variations. You need not boil fruits like apples, grating them would be fine. Give chicken, fish and eggs in mashed form too.

Vitamin D is prepared by intestinal bacteria and in the skin in response to sunlight. Since babies are usually exposed to inadequate amounts of sun, supplementation of Vitamin D as Calbod3 drops is essential. Suppementation of other vitamins in the form of Minervit is essential too. I would suggest you to continue these. But these would not contribute to gain in weight. For weight gain to occur, the child needs carbohydrates and proteins. Carbohydrates are present in cereals. Proteins are present in pulses, fish, eggs and chicken.

Hope that helps.

Regards

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