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Why My Baby Weight Gain Is Slow, What Is The Ideal For 1.5 Months Old?

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Posted on Tue, 28 Jan 2025
Question: Baby's weight gain is slow, what is the ideal weight for 1.5 months old?
What are the few tips to help increase his weight?
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
I need some more information

Detailed Answer:
I understand your concern. I have a few questions.
1. What is the exact date of birth?
2. What is the birth weight and current weight?
3. What is the current length?
4. Does the kid have any unexplained vomiting?
5. Does the kid have intermittent or recurrent diarrhea?
6. Does the respiratory sounds increase during feeding or sleeping?
Sincere regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Sumanth Amperayani (30 minutes later)
Please find below

1. What is the exact date of birth?
10 February 2021
2. What is the birth weight and current weight?
Birth weight= 3.3kg, 3.5 kg about 13 days ago.
3. What is the current length?
2 feet 3 inches
4. Does the kid have any unexplained vomiting?
Yes, every now and then he vomits, it sometimes comes out of nose as well
5. Does the kid have intermittent or recurrent diarrhea?
No
6. Does the respiratory sounds increase during feeding or sleeping?
Yes, the sounds increase during sleep and feeding. But not regularly.
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Congenital airway anomaly and GER

Detailed Answer:
Hi...By what you quote I put forth these possibilities -
1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in-drawing of chest wall. The sound will be more heard during sleeping and feeding.
2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall in-drawing.
Congenital airway anomaly is almost always associated with gastroesophageal reflux and that is why vomiting.
It can be solved very simply by appropriate use of Lansoprazole once daily along with prokinetic like domperidone or metoclopramide.
I have treated many babies like this have you even seen good weight gain also after the initiation of therapy.
I wish the baby early recovery.
Best regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Sumanth Amperayani (6 hours later)
Thanks for the reply.

Could you please let us know the medicine name and dosage for Lansoprazole and prokinetic?
doctor
Answered by Dr. Sumanth Amperayani (3 hours later)
Brief Answer:
Suggested medications

Detailed Answer:
Tablet Lansoprazole 15mg 1/3rd tablet daily in the morning for 4 weeks
Suspension Domstal (1mg/ml) 0.35ml thrice a day for 4 weeks.
But these are prescription drugs and you will need a prescription for them.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sumanth Amperayani (2 hours later)
Hi sir,

We measured the weight today and he is 4 kg.

Is it a healthy weight for him?

DOB is 10th February 2021
doctor
Answered by Dr. Sumanth Amperayani (15 minutes later)
Brief Answer:
Yes it is

Detailed Answer:
yes it is appropriate weight.
The weight percentile is between 5th to 10th percentile can compared to the age.
In percentile calculation in any value between 5 to 95 is normal.
So this is good news.
If you use the medication I suggested the weight gain and will be even more better.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Why My Baby Weight Gain Is Slow, What Is The Ideal For 1.5 Months Old?

Brief Answer: I need some more information Detailed Answer: I understand your concern. I have a few questions. 1. What is the exact date of birth? 2. What is the birth weight and current weight? 3. What is the current length? 4. Does the kid have any unexplained vomiting? 5. Does the kid have intermittent or recurrent diarrhea? 6. Does the respiratory sounds increase during feeding or sleeping? Sincere regards - Dr Sumanth Amperayani