WEIGHT OF THE CHILD NOT INCREASING (AGE- 2 TO 10 YEAR); CAUSES, PREVENTION AND TREATMENT

MY CHILD IS WEIGHT IS LOW (AGE 2 TO 10 YEAR)


During this age group, the weight of the child increases slowly. It was advisable to compare weight with height for assessment of growth on the growth chart. If a child is not gaining weight then it can have serious implications on overall health.

Remember...  Proper evaluation and diagnosis is key in the treatment.

❇️ Normal development

🔹 Weight of child increases by 1.5 to 2.5 kg per year between 2 to 5 year of age.

🔹 Weight of the child increases by 2 to 3.5 kg per year till puberty.

❇️ Causes of failure to thrive

There are the following reasons....

🔹 Poor intake 

🔹 Giving few recipe. 

🔹 Poor absorption of food like celiac disease.

🔹 Burning too many calories like child  playing throughout the day.

🔹 Repeated infection

🔹 Chronic diseases like heart, renal or metabolic disorder.

In short...  Knowing the exact cause helps in treatment.

❇️ *Complications of undernutrition* 

This may have immediate serious complications or long term morbidity ......

🔹 Weakened immune system causing repeated illness 

🔹 Delayed milestone

🔹 Poor height gain

🔹 Difficulties with learning 

Remember.... Never ignore warning sign

❇️ Investigation

If your pediatrician is suspecting underlying medical disorder in the baby then a lot of investigation will be required.

Remember... Following Dr advice is key in the treatment.

❇️ Treatment

Three types of the treatment is required....

🔶 Treatment of underlying cause

🔶 Supplementation for catch up growth

🔶 Prevention of illness

Remember... It is a combination of all the three treatments for catch up growth.

🔶 Treatment of underlying cause

       ---------------------------------------------------

🔹 Underlying medical disorders or repeated illness

▪️Consult Paediatrician.

🔶 Supplementation for catch up growth

     ------------------------------------------------------

🔹 Nutritional supplements

▪️ Let the child decide how much he wants to eat so rather than increasing quantity, increase quality of food.

▪️ Avoid....

# Outside snacks

# Eating food in front of TV or mobile.

▪️Serve small quantities for 6 to 8 times compared to 2 or 3 large meals.

▪️Morning

# Any Diet containing high carbohydrates like Vegetable paratha with curd

# South Indian like idli, dosa

# Poha or Bread sandwich like potato or cheese.

# Omlet with bread butter.

▪️ 10am

Home made snacks like Laddu made in ghee with nuts, fried snacks

▪️ Lunch 

# Chapati (ghee or butter) + vegetables with curd (sugar). 

# Dal + Rice with curd and papad

# Chapati with chicken or mutton.

▪️ Afternoon snacks

# Fruit salad 

# Fruit juices with added sugar

# Homemade ice cream

▪️ Dinner same as lunch 

▪️ Before sleep

# Milk with protein or egg # Nuts or cheese.

▪️ Medicine

Consult Dr for supplementation

🔹 Prevention of repeated illness

▪️ Water borne disease   # Drink boiled water

# Avoid outside food

# No cockroach or bees in kitchen

# Washing hand before eating

▪️ Air borne illness

# Cover mouth and face while going outside

# Avoid school if your child have cold & cough

▪️ Mosquito borne illness

# Cover water tank or don't keep water open

# Close all window with net

# Use mosquito repellent

▪️ Vaccination

Take all vaccines for prevention of illness.

❇️ Slow growth pattern

Sometimes, a perfectly healthy child simply gains weight slowly because it's just his or her own unique growth pattern. 

A child who is a natural slow gainer still gains weight steadily, though slowly and shows following characteristics....

▪️Stays on a particular growth curve

▪️Grows in length and head circumference according to weight

▪Child is playful

▪️ Urine output is normal 

▪️ Milestone are normal

Remember...  Before labelling normal slow growth patterns, it is advisable to consult your pediatrician.

Dr Ashish Agrawal, Paediatrician and expert in child behavior, education and developmental problems.

Ph: 8888126037, 8483905330, 7057551985

 Join us ......

 ðŸ”¹ Facebook : Positive parenting 

 ðŸ”¹ Youtube : Dr Ashish Agrawal

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