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  1. #1
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    Default HELP! Underweight 2 year old daughter. Any suggestions what to do.

    Hi,
    I'm new to this forum and really hoping someone can help me. My 25 month old daughter is really underweight only weighing a tiny 8.5kg not even registering on the centiles. She has never been a big eater and has always been small framed but lately she refuses to eat anything or little amount of food. Her daily diet example consists of Breakfast: 180ml full cream milk, 2tbs cereal and 1-2 piece of fruit (eg: 1 piece of strawberry or 1 slice of apple or 2 grapes); morning tea: 2 piece fruit; lunch: 1 chicken nugget, 1 piece of broccoli, 2 fries, 2 piece of fruit and 150ml juice; afternoon snack: 2 piece of fruit; dinner: 1tb meat, 1tb pasta, 1 tb of steamed carrot, 100ml juice and before bed 150ml of milk. I am afraid that she is malnourished and i am getting extremely anxious about her feeding and weight. The past 2 months she has lost over 400g. We have seen a paedetrician when she was 15months who ran some test and advised us her calorie intake was not matching her energy levels but otherwise no medical problems. He referred us to a dietician, speech pathologist and occupational therapist. We had a few appointments with specialist and she did improve slightly but in the past 2 months she's taken a massive dive. I have sent an email to speech pathologist who has not gotten back to me and will try to get an appointment with paedetrician as soon as he can squeeze us in. I am wondering if any other mums/dads who have a similar story and may offer some advice? Is there a feeding clinic I can go to in Brisbane or a specialist who can assist with her weight gain and feeding? I am truly really upset and anxious and just don't know where to turn to. Thanks in advance for your suggestions/support.

  2. #2
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    I don't think I can help but I just thought I'd reply so that you don't feel that everyone is checking out the post and not bothering to respond!

    Saying that, does she eat junk food at all? My G's favourite food is chips and gravy, for example. My theory is that at least it's vegies in disguise! And ice-cream? Mine only have junk occasionally so it's a treat but it sounds like you would be happier if she is eating something rather than nothing.

    We have always offered our kids a variation of what we are eating. Sometimes they'll try it, sometimes they won't. Even offering off your own plate at times may be an added "big girl" bonus. But it sounds like you do need the support of that pediatrician and a dietician.

    I hope all goes well.

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    Thanks mrsd for your reply and suggestions. I don't feed her junk food often but i do give her the occassional chips and yoghurt ice cream. You are right some food is better than no food. It's strange I feel like she lives on air and not food. Its just so exhausting trying to get her eat especially since she is so underweight. I feel like a failure sometimes as I must have done something wrong for her to have such a complex about food.

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    Hi, I try to mash 1-2 weetbix and warm it up with milk (sort of like farex style, if you know what i mean) and give it to my little ones for breakfast... but anyway, my niece is exactly the same weight as your daughter, she's the same age and all, she just doesn't eat much... she seems to just graze on a few bites of this and that during the day and when my SIL took her to the dr the dr said she's fine, as long as she eats something, it doesn't matter...

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  6. #5
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    This article may be helpful

    http://www.babycenter.com/0_helping-...4368.bc?page=2

    It must be so hard. Good luck
    Last edited by Mummy2MissA; 06-03-2012 at 22:56.

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    Is she too young for nuts?? She might be, not sure, but maybe try putting more protein in her diet, like an egg for a snack or a packet of cashews, etc? Pasta, as well. If she won't eat eggs as a snack, maybe offer eggs and soldiers so it's a bit of a fun thing??

    Unfortunately, I only really know how to bulk people up for sport and for radiation treatment, but I would imagine the principal is the same. Grains, nuts, eggs, etc. All with protein in them so she can gain weight that her body burns a bit slower than what you get in the fruit/veg diet.

    Also, maybe rather than give timed snacks, give her a bag of something, or a plate of something, she can eat during the day. Even cheese as a snack. Just get a block and chop it into bits she can manage.

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    perhaps switch the juice for water and the cows milk to formula? my nephew never ate much when he was little because he prefered to fill up on liquid, my sis put a stop to it recently (he's 3 1/2 now) and he's a good weight now.



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  12. #8
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    I had similar issues with my son ( he was 9.5kg at 2.5yrs), and like you nothing was found to be "wrong" with him other than him burning more energy than he was eating. Try to increase her calories with what she does eat - ie add calories dense products to her meal. Dietician recommended cheese (instead of one of her fruit serves, or melted on toast etc), cream - mixed in cereal for example, avocado - in everything! Peanut/nut butters. They said you can use olive oil/butter etc, but although calorie rich they are quite nutrient poor, so other options are better. You can also get a calorie boosting powder - Polyjoule - that you mix in milk or food to boost the calories, but you will need a script. Try to avoid junk food, as althought they are calorie laden they are nutrient poor, and everything going into her little body counts!!

    Good luck with it all, it is very worrying isn't it...especially when they are actually losing weight. My boy started off as a average size newborn and by 6mths was off the bottom of the chart nowhere near the 3% line. Is she a very active child? My son was and still is crazily active,
    My boy is now 6 and has just about caught up...from about 4 he came along in leaps and bounds. He now eats like a horse!

    All the best

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    Hello, my son was also on the small scale side. He was 9kgs until almost 2 he is now 3&1/2 and is back in the graph.
    He was always a grazer, I found that he ate more in the morning and mid morning/early arvo compared to late Arvo and dinner.
    For breakfast he always has cereal - back then it was coco pops in his high chair as I didn't care what he ate as long as he ate. (he now has 2-3 weetbix with milk) Then I would make him toast that id put on the coffee table so he could come back to it and wander around and eat (I know not setting great habits/routines but now he eats better he sits at the table or on his couch)
    Snack would normally be tiny teddies (or a biscuit) cheese cubes, grapes or pear slices. Sometimes a yoghurt!
    Lunch I'd either make him a sandwich and remove crusts as he doesn't like them or make a warm meal (usually junk as he would have veg at dinner) so either chicken nuggets, , Mac and cheese or hot chips.
    Arvo snack a couple of sultanas
    Lunch would typically be meat and veg... He would maybe eat a mouthful of meat and then eat all of his broccoli and a bit of carrot and corn on the cob.
    He would also have a bottle before bed - until he was 3!!!
    All listed above are small portions, he still eats like that but a bit bigger portions and actually asks for food inbetween! (he is 3&3/4 now)
    I also put him on vitamins just pentavite to start with but now he has all of the jube/Lolly ones.. Multivits, omega3, calcium and vitaminC. It's good coz he sees them as treats and doesn't mind taking them!
    Maybe just offer different foods more often. Try things like kabana, crackers with dip, cheese, yoghurt, scrambled eggs, shredded ham etc
    I know how hard it is but "generally" they do grow out of it and just get hungry one day! As long as she isn't laying around doing nothing - lethargic etc I'm sure she is fine and maybe she is just petite!!
    Good luck xxx


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  16. #10
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    DD is underweight, but still healthy so we arent too concerned. We had prescription weight gain formula for her, and just finished the box.
    We have chips a few times a week, and Im not fussed with junkfood, as DD eats a lot of fruit/veg most of the time

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