some more short queries

Detailed Query: Just potty trained my 3 year old son. How do I get him to pee standing? I\\\'m his father.

first make him comfortable with the toilet environment.
take his clothes off, run the tap and encourage him to pass.
you may stand next to him! this works very well.


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juices, smashed feeds, vegetables, oat milk etc for 6 month old

Is oatmeal meal preffered for a 6.5 month baby?
=== no. prefered diet is rice based cereals. also read infant weaning at http://infantfeeding.blogspot.com


> In fruits which fruits are good, i tried apple but he had a cough, banana causes cold i heard from inlaws, which ones to give which will not cause baby a problem?
=== all fruits are ok.. but they should be more of juicy forms and later mashed up. juices for 6-8 months. dont use chilled frsh juices. medium ripe bananas can be used.. if you steam them a bit before feeds.. you wont get cold. pomegranates can cause constipation. chiku and pinapple juices are good too.
Are juices prefered or smashed fruits?
juices.. thicker juices and later after a month.. smashed feeds.

Which green leafy vegetables are prefered?
all are fine. avoid coriander, you may use spinach, alfaalfa, methi, etc, but use them as soups. avoid leafy fragments that can stick to throat. u may add salt or pepper fro soups. or may mix with beet or carrot juices.


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> Subject: Feedback via the Ask Health Query to Dr SK. Get answered for free.
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> Date: Mon, 19 Jan 2009 04:10:53 -0500
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pureed feeds to soilds switch over, age 1 year

My son is 1yr old his birthday was on the 3rd Jan, we have started to give him pure food when he was 6months old but now he is refusing the pure food and wants to eat from our food which means solid food. My problem is than now I cant measure if he is getting enough food...
> His diet is based on:
> breakfast : 4 spoolfull rice cereal with hot water, at around 11.00 banana and orage
> At around 1/2.00- usually 1 cup of pure vegetables mixed with fish / chicken or meat, but as i told you above he is refusing this type of food
> at around 3.00 he drink breast milk
> at around 4.30 he takes a cup of yogurt
> and at around 7 - again pure food ( when he get it)
> and then he drinks breast milk to sleep
> this is his diet, do you think that he is doing well by eating these goods and what about the portion of his solid food?

read infant feeding articles at http://infantfeeding.blogspot.com
you need to taper milk further, promote him eating dietary solids but see to it that he wont take nut or particles that can cause choking. feed him easy to chew and easy to swallow, overcooked solids mixed ro mashed with potatoes, fish, chicken etc
offer feeds 6-8 times a day, if he is growing well with good weight and milestones.. its likely that you are giving enough. no need to measure things, just see to it that he doesnt remain hungry.

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


=
> Detailed Query: Dear Sir
>

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>

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HELPING YOU UNDERSTAND CHILDREN, THEIR HEALTH , THEIR ILLNESS, BEHAVIOUR, TREATMENT AND DOCTOR ! Arvhives 2006
yes! the easily approachable,
friendly and understanding paediatrician.
MBBS, MD, DNB and FCPS
from Seth G S Medical college Mumbai.
Currently working as Lecturer in Pediatrics.
drpeds.blogspot.com
Arvhives 2006

diet 6 month old, weaning, complementary feeding, introducing solids

you can give me the details something like in morning formula milk, then semi solid, then some liquid, then some semisolid, should this be the right way to feed the baby who is not breastfed? What combination of semisolids can be give other than dal & rice?
 
non milk diet should start gaining momentum, that doesnt mean that it should be only solids.
the process of gradual introduction of nonmilk diets in an infant is called complementary feeding which means the feeding to be added as complement to the breastfeeding in intial phases as breast milk isnt enough in quality and  quantity after 6 months age.

we divide the next 6 months into 3 phases of each 2 month.
first 2 months : 6-8 month: introduction of liquids.. fruits juices soups porridges. a new tem should be started slowly and in small quantity to replace a complete feed with it by 2 weeks. so in 2 months phase you may add 1 soup feed, i juice feed, and 1 porrdige feed. many moms prefer adding daal water rice water etc .

middle 2 months: 8-10 months: introduction to semisolids: semisoldis are added after intially making teh liquid feeds thicker by adding cereals , and juices and later by mashing up teh cooked or soft solids in the dsame. like say potato milk, banana milk, fruit juice bases kheers, liquid upmas, thicker porridges. many moms prefer to make khimtee adding daal powders rice powders and raagi or nachni powders. adding soya and sago is also very useful.

last 3 months: 10-12 months: introduction to solids: thicker feeds and easily palatable solids.. for soft chewing exercises can eb added as teeth have started comimg up. so soft peices of bananas and potaoes etc can be chewed easily by the baby . daal may be added with rice. upma, idli, dosa, fish , chicken all may be tried.

now you wanted to know exactly what and how much.
most 100 ml feeds contain on ana verage caloric density upto 70 cal per 100 ml.
a 6 month old will usually require upto 700ml per day that is upto 7-8 feeds of 80-100 ml (3 Oz) each. extra is bonus., giving upto 600 cal per day.

if you are formula feeding. you may switch over to gradually cereal formulas with rice and later wheats. but i prefer you to feed with spoon, and more preferably regular dietary items than tin feeds.
 


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



>
> Detailed Query: Hi,
>
> I wanted a routine for a day for the 6 month babys feed.
>
> you can give me the details something like in morning formula milk, then semi solid, then some liquid, then some semisolid, should this be the right way to feed the baby who is not breastfed? What combination of semisolids can be give other than dal & rice?
> ---------------------------------------------------------------------
> Visitor Ip: 210.18.83.86
> *** T

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HELPING YOU UNDERSTAND CHILDREN, THEIR HEALTH , THEIR ILLNESS, BEHAVIOUR, TREATMENT AND DOCTOR ! Arvhives 2006
yes! the easily approachable,
friendly and understanding paediatrician.
MBBS, MD, DNB and FCPS
from Seth G S Medical college Mumbai.
Currently working as Lecturer in Pediatrics.
drpeds.blogspot.com
Arvhives 2006