hello doctor - my nephew is 4 years and 10
Yes dietician consult is needed
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
His weight should be around 18 kg at this age. More than 14 kg is normal for him.
I will recommend the following:
- High calorie foods that include more of milk and milk products like butter ghee, cheese etc. Include cakes, pastries, icecreams, sweets in his diet. around 5 meals are needed for him. Drink cleaner water with low TDS. Avoid juices, cokes, etc.
- One dose of Tab Albendazole for de-worming
- Basic blood tests to rule out nutritional deficiencies. Blood test can include complete blood count, liver function test, kidney function test, blood calcium, iron, B12 and vitamin D levels, serum electrolytes, fasting blood sugar levels. Urinalysis.
- Yes, dietician consult is needed.
Hope this helps. Let me know if I can assist you further.