Juice vs. Puree: Pediatric Feeding Tips for Your 9-Month-Old - Pediatrics

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Juice and fruit puree?


Hello Doctor: I would like to ask you a question.
My child is about 9 months old, and my wife fed him papaya (which is soft) directly using a spoon.
Is this a concern? Also, should I dilute homemade fruit juice with water before giving it to my child? Today (9/17), we gave him freshly squeezed sugarcane juice without diluting it.
Is this a concern? What should we pay attention to? Additionally, does eating apple puree or banana puree cause constipation in children? Thank you for your response.

Zhang Di, 30~39 year old female. Ask Date: 2016/09/19

Dr. Xiao Kaiwen reply Pediatrics


If the papaya is already very soft, it should be fine.
At nine months old, fresh fruit juice can be given without diluting it with water.
New complementary foods (including sugarcane juice) can be introduced as long as there are no adverse reactions (such as diarrhea or rashes) after consumption, indicating that the child can tolerate them.
The principle for introducing complementary foods is to add one type at a time and wait two to three days to observe for any reactions before adding a new one.
Apples should be given as applesauce with the skin, and bananas should be ripe to ensure smooth bowel movements.

Reply Date: 2016/09/19

More Info


When it comes to feeding a 9-month-old baby, there are several important considerations regarding the introduction of solid foods, juices, and purees. At this age, babies are typically ready to explore a variety of textures and flavors, which can include both pureed foods and soft, mashed options.

Feeding Tips for Your 9-Month-Old
1. Texture and Preparation: Using a spoon to scrape soft fruits like papaya is perfectly acceptable. At 9 months, babies can handle a range of textures, including smooth purees and soft chunks. It’s essential to ensure that the food is soft enough for them to mash with their gums, as they may not have all their teeth yet. If your baby enjoys the texture and is able to swallow it without difficulty, this method can be a great way to introduce them to new flavors.

2. Juice Consumption: When it comes to juices, it is generally recommended to dilute them with water, especially for young children. Pure fruit juices can be high in sugar and may lead to digestive issues or an upset stomach if consumed in large quantities. For a 9-month-old, it’s advisable to limit juice intake to about 4 ounces per day, and always dilute it with water to reduce the sugar concentration. This practice helps in preventing potential dental issues and encourages the baby to develop a taste for water, which is essential for hydration.

3. Fresh Juices: If you are giving your baby freshly squeezed juice, such as sugarcane juice, it’s crucial to ensure that it is properly prepared and safe for consumption. Fresh juices should also be diluted, as they can be quite concentrated and may cause gastrointestinal discomfort. Always monitor your baby for any signs of allergies or digestive issues after introducing new foods or drinks.

4. Purees and Digestive Health: Foods like apple puree or banana puree can sometimes lead to constipation in babies, especially if they are not consuming enough fiber. To promote healthy digestion, it’s important to offer a variety of fruits and vegetables, including those that are high in fiber, such as pears, prunes, and peas. If your baby experiences constipation, consider increasing their intake of these fiber-rich foods and ensuring they are well-hydrated.

5. Balanced Diet: At this stage, it’s essential to provide a balanced diet that includes a variety of food groups. Alongside fruits and vegetables, introduce grains (like oatmeal or rice), proteins (such as pureed meats or legumes), and dairy (like yogurt) to ensure your baby receives adequate nutrition. This variety will help in developing their palate and ensuring they get the necessary vitamins and minerals for growth.

6. Monitoring Reactions: Always observe your baby’s reactions to new foods. If they show signs of discomfort, such as excessive gas, fussiness, or changes in bowel movements, it may be necessary to adjust their diet. Introduce new foods one at a time and wait a few days before trying another to monitor for any adverse reactions.

7. Encouraging Self-Feeding: As your baby grows, encourage them to self-feed with soft finger foods. This not only promotes independence but also helps develop their motor skills. Foods like soft-cooked vegetables, small pieces of fruit, and soft bread can be great options for self-feeding.

In conclusion, feeding a 9-month-old involves a careful balance of introducing new textures and flavors while ensuring that their diet is nutritious and safe. Diluting juices, offering a variety of purees, and monitoring their digestive health are all key components of this process. Always consult with your pediatrician if you have concerns about your baby’s diet or health, as they can provide personalized guidance based on your child’s specific needs.

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