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#1 of 43 Old 03-30-2010, 03:19 PM - Thread Starter
 
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Hi. I have an 18 month old dd. she is 29 inches long and weighs 21 lbs exactly. The ped has been concerned about her growth and has labeled her "failure to thrive". She is on pediasure 24-7 and I also still nurse her on demand. I was wondering if I could get other parents to share their toddlers height/weight. I really don't know other children her age, and to be quite honest, she doesn't seem "too small" to me. The only way I notice anything is that she wears 6-12 clothes most of the time still. Thanks.
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#2 of 43 Old 03-30-2010, 03:29 PM
 
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Well, DD was 19lbs at 18 months and is now barely 22lbs at 21 months. I cant remember height. But, she was in 18 month clothes, and is now in 2t. So, I don't know. Bu, if my pedi labeled my DD as FTT based solely on weight I would be upset. And, I personally have objections with pediasure.
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#3 of 43 Old 03-30-2010, 03:52 PM
 
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my DD is 23m about 30in tall & about 20lbs. She has always been tiny, but is growing just at her own pace. I was also pretty small as a child as was my mother in law (who she looks a lot like).

DD is doing everything else kids her age are doing & I am constantly amazed at the amount of food she can put away We went out for Thai food the other night & I think she ate more than I did. She is also still nursing about every 2-3hrs during the day & up until we started night weaning last week she was also nursing all night long.

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#4 of 43 Old 03-30-2010, 03:59 PM
 
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DD was about 21lbs and 31 inches at 18 months. My pediatrician wasn't at all alarmed, my DH and I are not large people, so there was no reason to believe my DD should be in the 90th or even 50%. Your DD sounds like a perfectly proportional smaller toddler. Was it a sudden drop in her regular growth curve that alarmed the pedi?
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#5 of 43 Old 03-30-2010, 04:10 PM - Thread Starter
 
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Originally Posted by ellemenope View Post
Well, DD was 19lbs at 18 months and is now barely 22lbs at 21 months. I cant remember height. But, she was in 18 month clothes, and is now in 2t. So, I don't know. Bu, if my pedi labeled my DD as FTT based solely on weight I would be upset. And, I personally have objections with pediasure.
Please share your problems with pediasure.
Here is the long story about dd: she was 20 pounds and 9 oz at 9 mos and has fluctuated up and down since then. Hence the FTT. Seems like your dd is even smaller than her. The troubling thing for me is, I wasn't worried at first, and still don't look at her and think "what a small little thing" or something like that. She even has chubby thighs and cheeks. But the longer this drags on and the more it becomes the focus of every doctor visit, even visits for my other children, the more I think, "Gee, is there something wrong?" I thought if I could get some perspective from another parent, I would feel better about the whole situation.
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#6 of 43 Old 03-30-2010, 04:48 PM
 
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My DS is 19 months, weighs 28lbs and 34" 1/4 tall. Just 2 months ago he weighed 26lbs and was 33" tall...so he went through a huge growth spurt. We didnt' change anything in his diet...it just happened. We have a lot of tall people on my side of the family (3 brothers are all over 6ft)..but I'm 5'7 and DH is 5'10.

I think as long as they are eating, sleeping, playing, learning...how can that be FTT?
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#7 of 43 Old 03-30-2010, 04:54 PM
 
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Please share your problems with pediasure.
Here is the long story about dd: she was 20 pounds and 9 oz at 9 mos and has fluctuated up and down since then. Hence the FTT. Seems like your dd is even smaller than her. The troubling thing for me is, I wasn't worried at first, and still don't look at her and think "what a small little thing" or something like that. She even has chubby thighs and cheeks. But the longer this drags on and the more it becomes the focus of every doctor visit, even visits for my other children, the more I think, "Gee, is there something wrong?" I thought if I could get some perspective from another parent, I would feel better about the whole situation.
DD was about 19lbs at 12 mos too. So I think she only gained a couple ounces between then and 18 mos. We were/are concerned about her eating. She is so picky. But, she is very healthy, chubby legs, good hair and nail growth, etc. I do believe that between 12 and 18 mos some babies grow in a way that they don't gain weight. (Maybe there is someone out there that can explain this better) And, yes, we are not big people.

I don't like how pediasure is touted as a replacement to regular healthy eating habits. Giving my DD pediasure IMO would only make her relationship with food worse. Most toddler are inately picky. That is nature. I try to offer my DD healthy food options all the time and keep track in my head nutrition vs. calories. I try to trust that she might actually know more about what she needs than I. Some days nutrition is not so good, but I always make sure she gets enough calories. If I gave her pediasure she would be even less hungry and probably not eat solid food at all. Plus, there is a lot of sugar in them. And, I have heared of kids getting addicted to them.

However, I have a healthy child, and my goals are to instill a healthy relationship with food. If the former weren't true, I would definitley do anything in the best interest of her health.

Honestly, If my doctor told me DD was FTT (which has not happened yet), I would be asking for possible reasons behind this before I just started throwing more calories at her. (And, in DD's case, I think we would all come to the conclusion she has food/texture aversions.)

It is sometimes stressful. I know. s
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#8 of 43 Old 03-30-2010, 06:45 PM
 
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DS is 22 lbs and 30" at 19 mo. At one time, he was labeled FTT, but this was after I switched peds because I knew his serious lack of growth from 3-6 months was a signal of a problem and our ped thought it was just his nature. Our new ped gave the FTT 'diagnosis', but really is was just a formality. The reason for the problem was more important. In my case, it was seriously low supply--a solvable problem for us. He was under the 1st percentile, and over time, rose on the chart--but is still low, but 'normal' low and now growing along his own curve).

An alternative to pediasure: find a pediatric nutritionist. We used a lactation consultant/nutritionist, and I credit her with getting us back on track. She supported our continuation with nursing and helped us start solids in the most calorie-packed way possible. I still refer to many of the lessons she taught us and feel lucky that we 'had' to see her since there are so many opinions out there about starting solids, and many of those paths would have not helped DS gain weight at all.
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#9 of 43 Old 03-30-2010, 08:14 PM
 
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Originally Posted by ellemenope View Post

I don't like how pediasure is touted as a replacement to regular healthy eating habits. Giving my DD pediasure IMO would only make her relationship with food worse. Most toddler are inately picky. That is nature. I try to offer my DD healthy food options all the time and keep track in my head nutrition vs. calories. I try to trust that she might actually know more about what she needs than I. Some days nutrition is not so good, but I always make sure she gets enough calories. If I gave her pediasure she would be even less hungry and probably not eat solid food at all. Plus, there is a lot of sugar in them. And, I have heared of kids getting addicted to them.

However, I have a healthy child, and my goals are to instill a healthy relationship with food. If the former weren't true, I would definitley do anything in the best interest of her health.


My 18-month old is about 33 inches, 21 lbs. She's tall and thin, like her parents. She's always been like this, except for at birth when she was chubby, in the 95th percentile for both height & weight. But within days after birth she went to being in the 50th for weight but staying at the 95th for height. Which makes her "thin for her height." Whatever. And if someone gave me a FTT diagnosis based on weight alone or being consistently on the small side and perscribed pediasure, without ANY other signs of a problem, I'm afraid I'd tell them to go jump. Pediasure is probably not going to cure being small....I thnk the idea of a pediatric nutritionist is a better idea than pediasure, for what it is worth. And hopefully they could help you help you daughter to build a healthy relationship with food!

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#10 of 43 Old 03-30-2010, 09:09 PM
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My son at age 13 months was 31 inches and 23 pounds. Have you looked at the growth charts to see what percentile she is? I tried looking at the girls weight-for-age charts and if I'm reading them right she seems a tiny bit below the 10th percentile? Which doesn't seem that low me, but I'm not a pediatrician. There's a fair number of medical conditions that can cause FTT, so I'd want to know why. I would be concerned about pediasure, too, if it's replacing most other healthy solid foods. I wouldn't want my child to become used to only a few tastes (pediasure and breastmilk) and later refuse to eat things that didn't taste like that.
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#11 of 43 Old 03-30-2010, 10:50 PM
 
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At 15 months DD was 32" and 21.5lbs. Her ped was freaking out and told me to put her on formula or pediasure since she won't drink milk. B/c if she hates milk she'll looooove formula. Uh-huh. Never mind that she was still nursing and eats tons of dairy . We followed the other suggestions though like more butter, sour cream, avocado, etc. DD has her 18 month visit in a week and we'll see if she's gained. I'm not very worried though since DH was skinny kid and DD is so active. Even when she's sitting down she's still moving.

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#12 of 43 Old 03-30-2010, 11:53 PM
 
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My dd is 33.5 inches and 23 pounds (she's 18 months today). She's in the 95th percentile for height and has been since she was a few months old. Her weight is currently a little below the 25th percentile. She dropped under the 10th percentile when she started crawling a lot. My pedi has always been ok with her weight (even though I was freaking out a little).I was worried about my supply a lot when she was younger and nursing more, but now it looks like she's just a tall thin kid (her older brother is also tall and thin). Dd eats a ton, and lots of high-fat foods.

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#13 of 43 Old 03-31-2010, 02:10 AM
 
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My DD turned 16 months yesterday and she was 32.5" and 22lbs 5oz at our 15 month checkup. When she was a little baby, she was 90th percentile height & weight, and her height remains 90th but weight has steadily dropped to 50th percentile. She's been wearing 2T for a while. The whole height/weight ratio thing confuses me because DD seriously looks really healthy & borderline chubby (cheeks, butt, thigh, etc.) but she would be considered underweight by these charts, right? Hmmm....yeah.....confusing!

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#14 of 43 Old 03-31-2010, 02:24 AM
 
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I would get a stool analysis and a second opinion before giving Pediasure to my kid.

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#15 of 43 Old 03-31-2010, 03:27 AM
 
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My son is under the charts also. He was basically 20 lbs from 12 months through 24 months. He just had a growth spurt and at 27 months is about 24 lbs.

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#16 of 43 Old 03-31-2010, 08:53 AM
 
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What is your family size I mean if you have 5ft tall 90lb women in your family( even generation back) she may be her perfect ht/wt. Is she meeting her milestones? Healthy?
I would also get a stool sample and possibly check for a gluten sensitivity. Pediasure does replace healthy eating habits its like filling up on milk before eating a meal. She wont eat as much because she already has "X" amount of ounces in her belly. My boys were bigger but all slimmed down between 9-18 months due to crawling , walking running climbing.

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#17 of 43 Old 03-31-2010, 01:18 PM - Thread Starter
 
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Thanks for all the replies. It seems like most kids are similar in size to her so I am not sure what all the fuss is about. Thanks for your opinions on pediasure. I was just saying to my husband that I wonder if she will have a problem with drinking regular milk, because she is used to the flavor of pediasure. To answer some questions, she has been tested for celiac's and cystic fibrosis. The celiac's was high in one area, but the doctor said that the area she was high in meant nothing. The CF test was negative as well. My husband and I are not small people. We are not overweight or anything, but are also not short. I think I will ask about the nutritionist, to be honest the doctor offered for us to go to one, but I didn't feel there was a problem and I declined. Once again thanks so much!!
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#18 of 43 Old 03-31-2010, 02:03 PM
 
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at 18 months my DS was 32 inches and 28.5 lbs. He has always been on the chunky side though.

I would also ditch the pediasure. Have you thought about eating more good fats yourself to help increase the fat in your milk? avocado is one excellent source of good fats, and vitamens. Coconut milk is another good thing you and your DD can drink. I would give goat's milk or coconut milk before pediasure.

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#19 of 43 Old 03-31-2010, 02:28 PM
 
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This is a timely thread. We just got back from DS's 18 month check up. He's 19 months and has only gained a little over 4 oz since December but he's grown like an inch, so the doctor's concerned and we have another appointment in a month for a weight check The doctor also suggested pediasure, but that's not really a route I want to go down especially since he IS eating. Pediasure is like gatorade for kids....it's got electrolytes! Fine, useful if your kid is puking and has diarrhea to make sure they don't get dehydrated, but since he does nurse and does eat, I'd rather not feed him junk just to get him to gain wait.

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Coconut milk is another good thing you and your DD can drink. I would give goat's milk or coconut milk before pediasure.
I think we're going to try coconut milk with our son. We tried cow's milk and he would take a sip and throw away the cup (some times literally, in the trash can) and then we tried goat's milk...same result. So who knows, maybe he'll like coconut better.

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#20 of 43 Old 03-31-2010, 03:16 PM
 
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Pediasure is like gatorade for kids....it's got electrolytes! Fine, useful if your kid is puking and has diarrhea to make sure they don't get dehydrated, but since he does nurse and does eat, I'd rather not feed him junk just to get him to gain wait. .
Pediasure and Pedialyte are two different things. I think you are thinking of latter. My son was hospitalized and had an IV because he was dehydrated (among other problems). When we were released, Pedialyte was suggested. I tried to get him to take it (a return to the hospital was the last thing I wanted) but he refused. Fortunately he didn't regress (he wanted to nurse all day and night) so we dodged that bullet. I would hesitate to give my child Pediasure as a strategy to gain weight, but Pedialyte serves a purpose under extreme circumstances.
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#21 of 43 Old 03-31-2010, 03:24 PM
 
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I thought of this thread when I saw this article:

http://mangobounce.blogspot.com/2007...ice-cream.html

//if your toddler needs to gain weight, should you give her pediasure? or premium chocolate ice cream? as it turns out, the ice cream will do the same job the pediasure does (once you add in a vitamin supplement), and it's nutritionally superior and more healthful. plus, it's far less expensive!\\


Have you seen a specialist? Does your toddler have other symptoms of malnutrition or health problems?

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#22 of 43 Old 03-31-2010, 03:40 PM
 
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My DD is a little peanut. She's 14 months today and is just over 17 pounds. We did do an extra weight check after her 12 month appt where she was 29 inches and 16.8 pounds. Since she is continuing on her curve and we were able to get a bit of extra weight on her (7 ounces in one month) my Dr said we can hold off on weight checks until she is 18 months.

We added fats to anything we gave her which has really seemed to help. Coconut oil, coconut milk, flax oil etc... We can't do much dairy or I would have done more whole milk yogurt as well. She still breast feeds and doesn't drink anything else but water. We are exploring a dairy allergy now. I'm wondering if completely eliminating all dairy now will help her continue to gain. This might be something to explore in your case if their are any signs of allergies at all.

It can be really stressful but hopefully you can get some help in determining why he's gaining slowly.

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#23 of 43 Old 03-31-2010, 08:50 PM
 
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Pediasure and Pedialyte are two different things. I think you are thinking of latter.
Doh, yes you're right. I was thinking of Pedialyte and typed Pediasure. Though now that I think about it, I can't remember which the doctor mentioned...

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if your toddler needs to gain weight, should you give her pediasure? or premium chocolate ice cream? as it turns out, the ice cream will do the same job the pediasure does (once you add in a vitamin supplement), and it's nutritionally superior and more healthful. plus, it's far less expensive!\\
Hah, and my husband and I were just thinking how we could get him to chub up well enough on the All-the-Dark-Chocolate-You-Can-Eat diet. Afterall, it has anti-oxidants and my kid will eat it!

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#24 of 43 Old 03-31-2010, 08:56 PM
 
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My dd is 26 months, 32 inches and 20 lbs. At 18 months she was smaller, though the exact numbers escape me. My children have all been smaller and I am not concerned about it. What concerns me more than the numbers is whether they are growing/thriving, whether they are eating a healthy and varied diet, whether they are meeting milestones.

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#25 of 43 Old 03-31-2010, 10:01 PM
 
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ds is 19 months, he weighs 28lbs and is about 32.5 inches tall. he's always been a little above average. he did go for a long time without gaining much though, then back in the fall went through a massive growth spurt, then another just since Christmas.

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#26 of 43 Old 03-31-2010, 10:28 PM
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how are her head circumfrence and height? Has she dropped more than 2 lines on her growth chart? My dd is 2 and is 21 pounds and has a diagnosis of ftt but it was her complete lack of growth that gave her the diagnosis, not just her weight. She also had weight loss for a while. We work with a dietician on high calorie foods for her, lots of avocado, nuts, coconut oil etc.
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#27 of 43 Old 04-01-2010, 12:13 AM
 
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DS is almost 19 months old and at his 18 month appointment he weighed 21lbs 10ozs and was 30.5 inches tall. Our pediatrician wasn't concerned because we told her what he eats, and he's been maintaining the same growth curve since he was born. He's just on the small side which is fine, I'm not a big person and neither is anyone in my family.
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#28 of 43 Old 04-01-2010, 12:35 AM
 
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My son was about that size at 20 months - maybr 1/2 inch taller, and a little bit heavier - maybe 22 lbs? A huge change for me after his behemoth siblings. Anyhow, he's 4.5 now, and still little - 37 or 38 inches, about 34 lbs, but he's on the charts at least! Anyhow, my ped was never worried about him, even though he did drop more than 2 lines on the charts (but he was a more unique case because he was preterm, but very big for his gestation (I think he was at 98% or something for weight for a baby born at 36 weeks) - so he had far to fall).

As a comparison, though, my older son was 36 inches and about 35 lbs at his 2 year check up, so I'd guess he was maybe 33 or 34 inches and 32 or so lbs at 18 months (he was a big boy!) and DD was probably around the same height at the same age, and about 30 lbs (also a big kid).
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#29 of 43 Old 04-01-2010, 02:54 AM
 
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My daughter is 17.5 months old, 33", and 23lbs. So she's skinny for her height, for sure. We try to include healthy fats and healthy calorie-dense whole foods in her diet. If you decide that Pediasure is a good mechanism for getting more calories and nutrition into her, you might consider trying PediaSmart. It's a competing product that is organic.
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#30 of 43 Old 04-01-2010, 02:58 AM
 
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DS is 34 in tall, about 30 lbs, and 20 months.

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