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Underweight baby
Hello Doctors, My daughter is 2 years old and her current weight is 8.5kgs and height is 81cm. Both are less according to age. This really worry me. Delivery was planned C-section and no complications before and after delivery. Her Weight history is like this.Birth weight - 2.9kgs, at 6 months - 6kgs - at 12 months - 6.4kgs - at 18 months -7.7kgs - at 24 months -8.5 kgs. Started Giving her solids at 6 months. Have her different texture at different age. She was detected with vitamin D deficiency at 11 months. Doctor prescribed Calshine P drops for 3 months. But still her Weightand height is not satisfactory. We give her all the home mode food, yoghurt, fruits veggies still no significant improvement in her weigth. She is achieving all the age appropriate milestone on/before time. She is still on Breastfeed and dont take any animal milk. Sometime she fusses around food but sometimes eat well. She looks really undernourished. Can this cause any health/development problem in later
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Need to be assessed clinically...  continue breast feeding at night only... Day time proper diet
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From history looks like weaning food from 6 months had less calories & proteins.
Next Steps
Anemia screen with iron studies , Thyroid function tests, Celiac diseae screening( wheat allergy) with thorough dietary history , clinical examination by Paediatrician
Health Tips
Provide different variety of calories dense and protein rich food . Reduce milk intake to < 250ml/ day. Iron , calcium, Vitamin D supplementation, Deworming will certainly help your child.
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Add ghee to her diet and an egg everyday. Get her Hemoglobin checked. Breastfeeding can be stopped and solid food should be gradually increased to 6 times a day.
Next Steps
Increase healthy fats
Health Tips
Don't choose processed fatty food as it may harm your child.
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Needs to be assessed clinically by your Paediatrician to address your concerns
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Hi i completely understand your concern..  By your description i see that her weight falls below the 3rd centiles and height is between 3rd to 50th centile. Her weight for height is between 1st and 3rd centile..  She has Moderate Acute malnutrition..  Also i note that her weight has been hit starting 6months of age
Next Steps
Details on her feeding and diet history needs to be taken.. Avoid milk in excess and encourage solids..
Health Tips
Fortification of feeds need to be done
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.