My DD is 26 months old. She is extremely bright (e.g. uses complex sentences over 12 words long, has a huge spoken vocabulary - more like a 3 year old), is generally well ahead on all her milestones, is extremely active, and happy.
My concern is her weight. If there were no such things as scales, I probably wouldn't worry at all, but she's been 21 pounds for almost 10 months now. Sometimes 21.0 pounds, sometimes up to 21.8 pounds...but always 21 pounds (she is 34 inches tall, and her height is increasing well. Her head circumference is something like the 60th % and is increasing "normally").
She eats a good variety of foods - beans, whole grains, veggies, nut/seed butters, eggs, fruit (though she's not too into fruit), fish, and the occasional sugary dessert.. I try to include calorie dense foods like avocados and nut butters with every meal. She won't drink anything but breastmilk and water. We saw an OT for awhile when she was about 19 months old because she would not swallow any solid foods (and so was still almost still exclusively breastfed). She'd chew and chew and chew and keep putting food in her mouth and then spit it all out. The OT didn't help much, but I think naturally over the last 7 months she's gotten so much better at swallowing and now only nurses 3 times/24 hours. Her solid food intake is now dramatically higher, but still no weight gain.
Our pediatician is concerned, but not overly concerned. I think she's laying off a bit because she knows I have a BS in nutrition and generally know what I'm talking about when it comes to food. I think she'd be happy if we weaned entirely because she things DD is holding out for breastmilk - and maybe she is, I don't know. She suggested Pediasure, but I told her I don't think DD would drink it (like I said, she refuses anything for drinking except water and breastmilk), and I don't like the ingredients. If she'd drink calorie rich beverages, I'd make my own (and I've tried and continue to try, but DD won't drink them). Our next appt is in August and I'm not sure what she'll say if she is still 21 pounds. At her last appt she had actually lost 2 oz from the previous appt 3 months previously.
I'll add that I am short 5'1" and 110 lbs (normal, healthy for my height), but DH is very, very thin as well as short. 5'6" and only around 115 pounds - he can put on another 5 or so if he weight training. He's always been thin, and my MIL tells me that he was only 16 lbs at 1 year old.
Edited by ElizabethW - 6/27/11 at 8:18pm