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Child is very thin, has low weight despite good appetite. Suggestions?

Hello sir, My 2 year old daughter has less weight (approx 9 kg). sometimes, when i hand up her i feel her more light weight than 9 kg. she is very thin too. even she has good appetite . daily she takes two chapati with curd & some cooked pulses, noodles & some fruits. she also drinks half litre of tonned milk. please suggest me. thanks
Asked On : Sat, 3 Nov 2012
Answers:  2 Views:  57
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Diseases and Conditions
Pediatrician 's  Response

What was her birth weight? And was she a term baby?
Do you have records of her previous weights and have you plotted in the growth chart?
What is her height?
If she maintains the same percentile line in the growth chart ,
if her weight for height is okay,
if she has no recurrent illnesses,
she is active and has normal development, you need not worry.

Offer her what ever she likes. Fortify each food with ghee/ oil/ butter/ cheese/ dry fruits/ nuts.
You may give peanut butter along with bread.
If you are non vegetarian by food habit, give her non veg food and one egg a day.
You may ask your Pediatrician for any micronutrient supplementation.
Hope you find my answer helpful.

Answered: Sat, 3 Nov 2012
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OBGYN Dr. Asra Ishtiaq Ahmed's  Response
Hello there,

Since your daughter is 2 years, her expected weight should be around 12 kg. However as you mentioned, she weighs only 9 kg. This is 75 % of the expected weight for age. So your concern for the child is genuine.

Children of this age usually have nutritional problems as they do not eat well and forced feeding is not recommended. The most common being iron deficiency anemia.

At the same time, children go through a period of rapid growth and if they do not eat well, they look tall and thin.

If your child has a good appetite, you must ensure she gets a balanced diet. Iron rich foods must be introduced in her diet like red meat and liver along with green leafy vegetables and fruits like apple and watermelon.

Avoid all forms of junk foods and carbonated drinks.

Apart from what you are already giving, you can also add an egg and 2 slices of bread with butter at breakfast.

Also during evening, add some snacks like biscuits which can give her requisite calories for the day.

Just as a stand by, you can ask for a simple blood test for hemoglobin to make sure she does not have any iron deficiency anemia.

I hope I have answered your query.

Take care.

Answered: Sat, 3 Nov 2012
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