Hi XXXXXXX
recent onset selective reduced intake of a child is often due to subclinical throat infection or ear infection or adenoid infection which need not manifest with symptoms, but swallowing rough solids often causes throat discomfort and children prefer to take water in such conditions.
Its not uncommon to have viral sores over tongue, often they may be pink or white. Tongue may appear white or grey if solids are fed for more than 3 days. aS you could doubt it (black dots) may be yeast like growth, but if it can be easily wiped from tongue, no worries.
Loss of appetite being selective, one needs to call it swallowing discomfort than true loss of appetite. In such situations often children need to fed the diet that is more acceptable in a given child XXXXXXX in fats. also liberal water intake needs to be insisted to prevent dehydration.

please let me know if her weight gain is good, passes urine at least 6-8 no of times in a day and activity is not affected. In such case, special attention and close feeding supervision may be needed including advice for rehydration.

i hope this answers your query. feel free to write back. Thanks.

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Dear XXXXXXX
thanks for prompt reply.
here are my answers for your concerns:

What is your suggestion for her symptoms?
- current one is mild and as long as she is gaining good weight and passes adequate urine every day.
Does it need any medication?
== brush her tongue with a soft tooth brush. if intake not improved in a week. a doctor may start short course of antibiotics.

or Do you feel that I should visit my local perdiatircian again ==
==== legally i cant refuse such a leading question.

(I visited him 4 days back and he checked her throat & ear and said she is normal and loss of appetite could be due to growth of tooth also)
== ok
.or Shoud I just wait for few more days and feed her liquid diet (if she eats :-)) and not force her to eat usual food?
== insist good calorie liquid diet with intermittent solid offerings like medicines, 6-10 times a day.. may be small quantity in beginning.


Me and my wife are really concerned since she is off the usual weight chart and not eating well.
=== please provide exact weights at ages to address this concern.

Thanks

I hope this addresses your queries, do compile your question if you wish to ask any further.

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Thank you so much. Despite being a premature baby, he has shown a good catch up growth. Growth spurt does get slowed after 1 year age and so weight gain will be slow. The kid needs small feeds more often for better outcomes. Protein powders may help gain good weight too

Thanks again for details. Hope this satisfies your query.

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