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Discussion Starter · #1 ·
Hello<br><br>
I posted a similar question in the nutrition forum a few days ago and haven't gotten a response so I thought I might try here...<br><br>
My 17 month old son weighs 16 pounds and hasn't gained weight in over 6 months, although he has grown 2 inches in height. Both our family doc and a pediatrician think that he is just a picky eater because other than being small he is developing normally. He has had trouble with constipation since the day he was born, but other than that he has been pretty healthy. He seems hungry and interested in food, but will only take a couple bites and then will refuse to eat more. It doesn't matter if its veggies or junk food. He still nurses several times during the day and at least twice at night. The pediatrician and a nutritionist both told me to feed him high calorie food junk food so that every bite would count, but I know in the long run that kind of diet isn't going to help him.<br><br>
Has anyone had experience with something like this? Any advice would be great!
 

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That's a tough one - but what awful advice from your pediatrician. It's funny - with my first pregnancy, I wasn't gaining much wait and my midwife actually told me to go out and eat some cream puffs.<br><br>
Anyway - there are non-junk foods that are higher in calories and contain good, benecial fats. How about a stew made with coconut milk, some plain whole milk yogurt, perhaps a smoothie coconut milk, bananas, and other fruit. You could also toss the veggies with olive oil or butter, wild salmon, scrambled eggs. At least those are all healthy foods with nutrients as well as calories.<br><br>
You are very smart not to start him on junk food binging - I wonder though if it might be a physical reason he's not eating. Maybe he gets a stomach ache after a few bites and that's why he stops . . . Maybe he's afraid of constipation. Perhaps you can give him foods that are not binding - oatmeal with ground flax seeds, pears, prunes, etc. have laxative qualities.
 

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I would get a referral to a Pediatric GI specialist. There are so many things that they can look for that a Ped is not qualified to look for:<br><br>
reflux (even silent reflux without vomiting)<br>
delayed gastric emptying, which creates a full feeling<br>
motility issues, which might be the cause of the constipation<br>
malabsorbtion issues<br><br>
Also keep track of his calories and try to average it out over the course of a week (because we all know toddler don't consistently eat the same amount every day). A toddler his age should ideally be getting 1000 calories per day and 24 oz. of fluids. However many toddlers do fine on less calories per day. My tube-fed toddler is very active, vomits some of her food every day, and still manages to grow very well on about 800 calories/day.<br><br>
Avacadoes are an excellent source of fat and calories. They are about 50 calories per oz. Sunflower seed butter is 100 cal/tablespoon.
 

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That is a tough position to be in as a mama. You want to do what is best for your babe, but not put them through any invasive testing that is not needed. My almost 17 mo dd is also off the weight charts. She has been vomiting for the last 9 mo. We started allopathic then went to alternative health. We did the endoscopy with biopsies and a barium swallow which all came up negative. I wouldn't have put her through all that if she had not been vomiting all the time, eating less as time went by, and not gaining weight. In fact, I didn't do the medical tests until she lost 3 oz. in a month. Did all the blood tests to check for allergy and thyroid too.<br>
I agree with getting in high calorie healthy foods. You could also try full fat yoghurt with a little almond butter, ground flax seeds, and banana in a smoothie. My dd loves grilled salmon and avacados. Dd also loves hummus and that would give him fiber for his constipation.
 

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Discussion Starter · #5 ·
Thanks for all your suggestions!<br><br>
I have been giving him oatmeal, prunes, flaxseed, etc., but since he only takes a few mouthfuls I don't think he's getting the benefits from it. I think I am going to request some tests from our family doctor, maybe bloodwork to see if he's absorbing nutrients and to test his thyroid. I just read at WebMD that there is a hormone in breastmilk that can mask thyroid problems. I haven't wanted to put him through invasive tests, but it seems like if he was just a picky eater that there would be at least one food that he would fill up on, but he won't eat anything.
 

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I agree that he does not sound like a picky eater - that is usually when kids won't try any foods or, like you said, will eat a lot of certain foods and not others.
 

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HI there, I totally understand what you are feeling. MY dd3 was labelsFTT at 5 months. At 4 months she was nearly 12 lbs at 1 year she was only 16 lbs or so. She is actually a good eater and i was told to feed her high calorie food. ( was also told to stop nursing so she would eat more but i explained that would not happen. They wanted me to feed her the high cal formula. Now after 3 months of NO wt gain I tried formula and she REFUSED it(smart girl) we went to a ped GI where they wanted to do an exloratory surgery to see if they can find hte cause. along with the not gaining wt she had severe diarrhea. They tested her for CF, and other metobolic diseases. All came back normal. I used tob e very worried about her. Now at 16 months She wweighs 19 lbs. and It is like something clikced. she recently has been gaining like mad. (my other dd2 did the same thing all of a sudden. she was also ftt)<br><br>
One thing htat worked was adding oive oil to dd food. SHe had to have like 1 tbsp in each cup of yogert, and in her cereal and such. It think it helped a ton. But i also say genetics, I am not small (5 10 and over 200) but hubbys mom is very petit as was my grandfather, and his sister. And my aunt went to kindergarden wearing 3T for clothing.<br><br>
I dnt want to dismiss your concern. as I believe that moms know. Deep down I KNEW there was NOTHING wring with my dd. I would just get freaked out everytime i went tot he ped GI who in my head had her dead and burried. I stopped going and started trusting myself as a mother( very hard for me to do btw) and I figure in order for their to be avg's there has to be some REALLY small ppl and there has to be large ppl. It is all apart of the scale. *I saw a great doc when dd2 was in the hossy at 7 months for ftt. He told me as long as they are growing taller, they know their nutritional needs are being met. If someoen is starving, or severely malnourished they dont grow taller. It seems to be the case. My dd2 didnt grow taller for 3 months. and that is what set off the alarms to be more thorough. MY dd3 stopped getting taller for 2 months. But now in the last month she has grown about 3 inches.<br><br>
Hang in there mama, trust your gut. We decided not to do the sergury the ped GI was asking becasue deep down I knew there was NOthing wrong wth her, and I didnt want to risk the surgery. ( i was a wreck when dd2 got tubes in her ears let alone a biger surgery LOL)<br>
If oyu feel there is something really wrong then pursue it. but if you really think he is just small as some ppl are, keep up iwht the docs and the appts but trust your desisions if it come to feelign a procedure is not needed..<br>
good luck
 

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I think doing some blood work is a good start. They should probably do the celiac disease test too. It also wouldn't hurt to have a sweat test done. Some kids with CF the only symptom they have is poor weight gain.<br><br>
Both of my boys have been through testing for FTT. DS 1 weighed 23 lbs. at 3 and now at almost 4 weighs 27 lbs. We have done blood work looking for thryroid problems, celiac disease, and anemia. He had the sweat test done for CF. He also had an upper endoscopy done by a ped GI. Everything has come back normal. He is on medication for silent reflux and constipation. This has helped him to eat some more and to gain some.<br><br>
My younger son is doing better and is still followed by the GI as well, but is not needing more testing at this time. We are still trying to get him to sweat enough to get the results of the sweat test. We go back for the third time in a couple of weeks. He weighs 19.5 lbs. at 15 months and is not on the chart, but is just barely off and is actually going back up. My GI is starting to think that it might be they are just small, but until everything is ruled out they cannot say this.<br><br>
Are there any foods that he likes? Lucas is a similar eater. He takes two bites and then he is done. There are times that he will eat more, usually with things that he likes. Though right now it is things that aren't high calorie. He loves popsicles and fruits like apples and grapes. He also only drinks water. I know how hard it is to get them to eat. Good luck.
 

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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">At 4 months she was nearly 12 lbs at 1 year she was only 16 lbs or so. She is actually a good eater and i was told to feed her high calorie food. ( was also told to stop nursing so she would eat more but i explained that would not happen. They wanted me to feed her the high cal formula.</td>
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This is exactly the same as my youngest. she was 16lbs at 1year, labelled FTT at 1 year. I was sent to a ped and he wanted me to quit bf'ing ASAP, I refused. He wanted her on formula, I refused because she was lactose intolerant to dairy and couldn't handle it. He wanted her on soy, I refused. Soy for kids scares me and i refuse to potentially damage my child just so she can get on some stupid chart. He wanted me to put 1TBSP of butter in everything she ate, I did it on foods that I felt would be okay with butter but alot of foods just don't go with butter(and I used margerine instead). He said to me "we'll worry about her cholesterol later". I stopped the butter thing after a week or 2, again I didn't want to potentially damage her so she could get on some stupid chart. At 14months he said he wanted her at 25% by 18months but knew that wouldn't happen so he'd settle for 2 years. We have never been back to him. She's 3 and is now 27lbs. there are kids on her baby board who were bigger than her who are now a couple of lbs smaller.
 

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I'm going through this right now. Dd Doesn't eat (she's 14 months) after one or two bites she's done. The ped is sending me to a nutritionist, and we are testing for celiac sprue-for both of us. The nutritionist has treated me as though I have celiac disease and with these developments (or lack there-of) I'm going to test her. She weighs 18 lbs and is VERY cranky. I'll let you know what we find out!
 
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