How Much Weight Should A Healthy Baby Gain?
My baby is 1 year old and she is 16 kgs!
Her birth weight was 2.8kgs (DOB 20th May 2014)
At the same time she is also quite tall.(76 cms)
Wanted to give you two information.
1) I was also heavily built when I was a kid and
2) My baby consumes breast milk for around 7-8 times in a day.(apart from 4 times solid) , She has not taken any formula ever.
I wanted to know
1) Is there something to worry about or is this overweight harmful for the baby?
2) We have done her TSH/T3/T4 Tests at the time of her birth and everything seems to be normal and within range. Moreover none of us have Thyroid in our family. So not sure if we need to for another TSH test..? Please advice
My pediatrician is asking me stop breast milk asap and consult an endocrinologist.
I wrote to a pediatrician who replied “The weight needs to be taken at 3 monthly intervals and plotted on a growth chart. If the weight plotting moves in the same trajectory as expected, there is nothing to worry. But if it is steeper than expected, you would need to discuss about it with your pediatrician.”
Attaching here with her growth chart compared to the standard/recommended growth chart.
76 cms was her height when she was 10 months.. We need to measure the current height.
Need to do thyroid function
Detailed Answer:
Hi,
Welcome to HCM. I have gone through the question and understand your concerns.
Dont worry. You need to rule out 2 things - hypothyroidism and Cushing's syndrome in this setting. Weight gain can be due to low thyroid hormone and high cortisol hormone.
Even though thyroid function at birth was normal, you need to repeat a thyroid function tests. Cortisol tests has to be done after consulting an endocrinologist if needed.
The chance of both these disorders are less with the information you have provided as both these conditions are associated with short stature.
There is no need for any dietary restriction till the age of 2 years. Good diet is very much important for brain development. So don't compromise on that.
Hope I have answered your questions. If you have any further queries I will be happy to help you
Regards,
Dr Ajish TP [MD,DM]
Consultant Pediatric Endocrinologist