Temporary food refusals are normal in toddlers if growth is normal otherwise. Should do deworming and provide supplements for short duration.

Greetings At 28 months, a weight of 12kg and height of 90cm are perfectly normal and healthy for twins. Toddlers naturally experience appetite fluctuations as their rapid infant growth begins to taper off. Avoid forcing or pressuring them to eat, as this can create power struggles and mealtime anxiety. Set a predictable daily routine with structured meals and snacks to minimize mindless grazing. Serve small, visually appealing portions of finger foods and allow them to choose how much to eat.

Consult with Pediatrician physically for further evaluation and treatment

> At 28 months, weight 12 kg and height 90 cm for both twins is within normal range. So growth is adequate. > > Toddlers at this age often show fussy / picky eating, eating only 1-3 bites is very common. > > *Common reasons:* > 1. Physiological anorexia of toddlerhood - normal at this age > 2. Excess milk intake (>500ml/day) reduces hunger > 3. Snacking, biscuits, juice in between meals > 4. Teething, worm infestation or low iron can also reduce appetite > > *What to do:* > 1. Do not force feed. Offer small frequent meals - 3 main + 2 healthy snacks > 2. Limit milk to 400-500 ml per day. Avoid bottle. > 3. No screen time during meals. Make meal time family time, eat together. > 4. Give same family food, no need for separate khichdi. Offer variety but small portion. > 5. Avoid biscuits, chips, packaged juice, chocolate. > 6. Check Hb, give iron if low after consulting your pediatrician. Deworm every 6 months as per doctor. > > If weight is maintained, child is active, playful and not losing weight, no need to worry. If weight loss, vomiting, chronic cough, fever - visit nearby pediatrician for evaluation.

Visit physically to nearby pediatrician for check up.

Hi. Many causes are there. It can be worm infestation, can be iron deficiency. Take a video call for better evaluation