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Suggest Ideal Diet For Low Weight In A Toddler

Posted on Mon, 1 Jun 2015

Question: Hello Doctor ,
I have 4.5 yr old baby boy .He is low birth weight baby with birth weight 1.75 kgs
His current weight is 11.76 kgs and Height 96 cm .He is active n sharp but i am much more concerned for height & weight which seems to be very less .Whenever i have consulted pediatricians they advised me not to worry and he is just fine .his current pediatrician advised cyp L and V box for one month .Can you please advise if its ok ? do we need to perform any medical test ? Also advise a diet plan for him .

Answered by Dr. Santosh Kondekar (5 hours later)

Brief Answer:
weight too low.. need to assess diet

Detailed Answer:
Dear parent. I understand your concern.

In my experience such kids seem to have tonsil related issues or have history of prematurity or small head size.
Barring that height is not bad.. we expect 100 cm by four years. So lets worry about weight. His weight should have been close to twenty. If available please provide weight any time after age one year.
Weight is decided by diet- type and quantity. If a child takes low calorie diet ( as eating less fat and more fruits vegetables or more milk) or takes long time to meals (like in tonsil issues or constipation) child fails to gain weight.

So I suggest you to skip milk totally from diet and enrich diet with high calorie foods like butter, cheese, ghee, potatoes and rice based article. I will assume that he doesn't have any obvious or hidden disease like heart disease or say hyperthyroidism etc.

Please follow back if any additional info needes.
thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Santosh Kondekar (15 hours later)

Dear Doctor ,

Thank you so much for your reply .

We have never tested him for hidden diseases like heart disease or hyperthyroidism etc ..should we go for that?

Also one thing i would like to mention that ours is close relation marriage i.e. my hubby's mother and my father are siblings .

Diet can be a problem as I am working mother and out most of the times and he is taken care by maid . Current Diet as follows ..

Morning : 1 cup milk with Horlicks ,04 Almonds soaked overnight

Mid morning : Breakfast like idli /dosa ,Poha / Sheera , Thalipith .Boiled eggs were in winter season etc..

Lunch : 1 chapati with subji / 1 cup dal rice

evening : milk with biscuits / sometimes sheera ,thalipeeth etc .

Dinner : 01 Chapati with sabji / 1 cup dal rice

So please please suggest me tests which needs to perform to ensure no heart diseases /hyperthyroidism

Also please confirm your clinic address and timings if we can have appointment ..

Answered by Dr. Santosh Kondekar (26 minutes later)

Brief Answer:
relax.. no major issue

Detailed Answer:
Get rid of milk and almonds that is killing appetite. Replace by rice butter potatoes or eggs. No need to test at present for any disease. You did not comment on constipation if there may need treatment. You may come for consultation after skipping milk for two weeks.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Santosh Kondekar (1 hour later)

Dear Doctor ,

Thanks for your prompt response .

No constipation issue, but passing loose stool since we have started cyp L and V box (04 days ago ) also last week he was suffering from fever & cough and those medicines (Hifen - 50 , Ventorlin & Ambaskof & Tixilyx ) were given .

what can be reason behind loose motion ? (from last two days , 2-3 times a day )

should we continue CYP_ L and V Box along with diet suggested as above ?

Please share your clinic address for consultation after two week .

Many Thanks !!

Answered by Dr. Santosh Kondekar (27 hours later)

Brief Answer:
sorry for late.most appetite meds cause loose stool

Detailed Answer:
Skip all the meds going now. They cause loose stools but often it can be due to infection. So stop all meds and observe. Rest is ok. Clinic address at shushrusha hospital dadar XXXXXXX 0000-62-64

Regards

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Above answer was peer-reviewed by : Dr. Pradeep Vitta