complementary feeding and weaning part - I

Caring for Kids, Their Health and illness, by Dr Kondekar Santosh - Pediatrician Mumbai

sir,

my daughter has completed 90 days now.she is on breastfeeding. i want to know from when i should start giving her others foods(juice,soups et).what is the schedule and what r the juices or fruits or soups i got to give. can u pls tell ur website if u have regarding this.

i have been giving her juice of dry grapes.i would like to know if i can continue and how many should i give.

now i have prob with her feeding.her intake is reduced.sometimes she is breast for a sec and turns away and then again. she keeps doing like this.seems her wt is reduced.
how can i increase the wt .

when she was born she was pink in color and fair,as day gone by she hs got a uneven complexion. her face is fair(brown)when compared to the others parts which r dark.
what can i do. is there any oil that ican massage her with before bath. is there any other homemade to increase her color.

she keepes rubbing her face at times.she gets restless. she startles most of the time even for a small sound or touch.


Answer: my daughter has completed 90 days now.she is on breastfeeding.
============ she should be exclusively breast feeding tilkl 4-6 months minimum.



i want to know from when i should start giving her others foods(juice,soups et).
======= from 6 months age

what is the schedule
======== 6-8 months liquids, 8-10 months semisolids, 10-12 months solid foods, so that by end of a year child can have a normal diet; half of the plate you can eat.





and what r the juices or fruits or soups i got to give.
===== juices: banana shakes, apple / grape juices, melon juice
===== soups and porridges : with minced pulses / potratoes / atta a/ vegetable extract




can u pls tell ur website if u have regarding this.
=========== well some info you may be able to find at http://drpeds.blogspot.com, you may need to search on different pages.

i have been giving her juice of dry grapes.i would like to know if i can continue and how many should i give.
========= start only after 4-6 months, 1-2 ounz per feed 3-4 times a day alternating with normal feed / breast / other diet. prefer a variety. avoid monotony. use combinations. preferably avoid adding sugar and excess water to juice.

now i have prob with her feeding.her intake is reduced.
======== to be worried only when weight is falling!


sometimes she is breast for a sec and turns away and then again. she keeps doing like this.
============= may be she is gaining new milestones,; but also rule out any illness like heart related problems by a pediatric check up.


seems her wt is reduced.
how can i increase the wt .
==== please check her weight, plot it over 4 weeks every weekly, check with standard available charts on web CDC website as growth charts. If you document less than 3 kg, or a weight loss at 90 day age; your child may need evaluation.


when she was born she was pink in color and fair,as day gone by she hs got a uneven complexion. her face is fair(brown)when compared to the others parts which r dark.
========= sometimes oil can also cause such colour change; but for safety get checked by your child specialist to rule out any problems of oxygenation.


what can i do. is there any oil that ican massage her with before bath. is there any other homemade to increase her color.
======== prferably avoid; let the time take care.

she keepes rubbing her face at times.she gets restless.
=== commonly with a nose block or cold, needs a check by doctor.


she startles most of the time even for a small sound or touch.
==== many times its normal, but if you find its unusually present even for soft sounds she may need evaluation for some uncommon illness which your doctor may tell ( like Tay Sach Disease).


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Dr Kondekar Santosh
MD pediatrics
Lecturer GS Medical college
KEM Hospital Mumbai India