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ONLINE MEDICAL ADVICE: Expert Pediatrician, Child Health Specialist: 1 year old not eating ... RE: Feedback via the Ask Health Query to Dr SK. Get answered for free.
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Wednesday, December 31, 2008

1 year old not eating ... RE: Feedback via the Ask Health Query to Dr SK. Get answered for free.

 have a 1 yr old and have been struggling with her lack of appetite for about 5 months now.
=== what the child is taking in, if its not enough, the child wont gain weight adeqaute for age. so its must to chart his weight and height on growth charts and compare it with previous weight and height.check them here http://www.who.int/childgrowth/standards/en/
 
 We have to force all feedings. She fights, spits and cries at each meal.
==== this is a common complaint by most parents in following situations: 1. child is fed with something which he/she may not like, may not know, may not have been trained to chew or swallow or is not uniform in consistency. 2. child had enough intake and so he may not accept any more. 3. spitters: child is suffering from repeated throat infections/tonsils or adenoids/ that make swallowing painful and children wont take much in. 4. vomiters: child suffering from reflux disease ro hyperacidity or some related vomiting disease. 5. child has constipation that needs to be tackled first.
this needs to be understood and differentiated from refusal to feeds, that may eb associated with acute serious illness.
 
 
 I\\\'ve seen the pediatrician about this atleast once a month and they have not run any tests, prescribed any vitamins or giving me any helpful advice.
=== tests dont come positive very often, so may nto be needed. vitamins and supplements only fill up if any of them is deficient, they dont add on to calories nor they can replace diet.
 
 All they ssuggested was that I give her pediasure,
=== that is a monotonous calorie and protein rich diet.
 
 Cypon Drops,which I do  , but again it is forced on her.
=== that improves appetite, but not required in most cases as appetite is not affected in these cases. teh kids may be hungry but just dont like the  food or find it painful.
 
 Can you suggest anything or is there anything over the counter that can buy to help increase her appetite?..
=== let me be sure, she has good appetite then no neds are required. if there is no appetite its important to look for reasons of loss of appetite like common gut infections.

> Since from the birth she is having most of the time she is taking cold and Cough Medicines. Like maxtra, nasoclear, cosopin, prospan, Every 15-20 days she takes her food with good interest but after the cycle she starts throwing out her food.
=== all is suggesting me like adenoiditis, you may ask for a "digital x ray neck - soft tissue lateral" to confirm same.  even otherwise, a good eradication of infection of throat with at least 10 day course once with an antibiotic may eb adviced by your doc. apart from that dietary modifications like easily palatable selisolids and calorie rich supplements with spoon may eb added. an average  1year old kid may need upto 100 cal that is equivanent to 150ml that is 5 oz 6-7 feeds a day.

> Please guide us..


feel free to ask any further. your detailed info will help me analyze the situation more better. ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in ** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics



>  Subject: Feedback via the Ask Health Query to Dr SK. Get answered for free.
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> Date: Wed, 31 Dec 2008 00:22:56 -0500
>

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