Addressing Milk Refusal and Color Recognition in Toddlers - Pediatrics

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Children do not drink fresh milk?


Hello, Doctor:
1.
My son is currently 2 and a half years old, measuring 92 cm and weighing 14.4 kg.
He started drinking formula milk after turning one, and now he only has milk in the morning upon waking and at night before bed.
He has a normal diet similar to adults for the rest of the day.
Recently, I wanted to switch him to fresh milk, but he completely refuses it and even gags when trying.
Can I stop giving him milk altogether and just provide three meals a day? Or should I switch him back to formula milk? Additionally, can soy milk be a substitute for fresh milk?
2.
I have recently noticed that when I ask him about the color of objects, he either says he doesn't know or gives random answers (most of the time he says red), but occasionally he does mention the correct color.
I would like to know if this indicates color blindness.
Should I take him to an ophthalmologist for further examination, or should I just observe him for now?
Thank you for your time, Doctor.

Xuan Ma, 30~39 year old female. Ask Date: 2018/07/23

Dr. Xiao Kaiwen reply Pediatrics


It's fine to switch back to formula milk; it's also okay if he isn't used to drinking fresh milk for the time being.
With patience, you can gradually introduce small amounts of fresh milk after some time.
After the age of one, he can certainly drink soy milk, but the nutritional components differ from those of fresh milk and cannot completely replace it.
At two and a half years old, it may still be a bit challenging for him to "name" the correct colors.
You can try taking out a colored block from a variety of colored blocks and then encourage him to pick out a block of the same color to see if he can identify it correctly, which can help assess his color recognition at this age.

Reply Date: 2018/07/23

More Info


Addressing your concerns regarding your 2.5-year-old son’s milk refusal and color recognition, it’s important to approach both issues with a balanced understanding of nutrition and child development.


Milk Refusal
1. Nutritional Needs: At this age, children require a variety of nutrients, including calcium and vitamin D, which are abundant in milk. However, if your son is refusing fresh milk and shows signs of distress when offered, it may be best to respect his preferences for the time being. You can ensure he receives adequate nutrition through a well-rounded diet. Foods rich in calcium include yogurt, cheese, leafy greens, and fortified cereals. If he enjoys yogurt, it can be a good alternative to milk, as it provides similar nutrients.

2. Formula vs. Fresh Milk: If your son has been drinking formula since he was one, it’s understandable that he might be resistant to the taste and texture of fresh milk. If he is otherwise healthy and eating a balanced diet, you might consider gradually introducing fresh milk in small amounts, mixing it with foods he enjoys, or trying different types of milk, such as almond or oat milk, which might be more palatable for him. However, ensure that any alternative milk is fortified with calcium and vitamin D.

3. Soy Milk as an Alternative: Soy milk can indeed be a suitable substitute for cow’s milk, as it is also rich in protein and often fortified with calcium and vitamins. Just ensure that the soy milk you choose is unsweetened and fortified to meet his nutritional needs.


Color Recognition
Regarding your son’s color recognition skills, it’s common for toddlers to experiment with language and may not consistently identify colors correctly. This does not necessarily indicate color blindness. Children develop color recognition at different rates, and it’s typical for them to mix up colors or not respond accurately at this age.

1. Developmental Milestones: By age 2 to 3, many children can identify and name a few colors, but it’s not unusual for them to struggle with this skill. If he occasionally names the correct color, it suggests he is developing this ability, albeit inconsistently.

2. Observation and Engagement: Continue to engage him in activities that promote color recognition, such as sorting toys by color, playing with colored blocks, or reading books that focus on colors. This can help reinforce his learning in a fun and interactive way.

3. When to Seek Help: If you notice other developmental concerns, such as difficulties with speech or social interactions, or if he consistently struggles with color recognition beyond age 3, it may be worth consulting a pediatrician or a developmental specialist. They can provide guidance and, if necessary, conduct assessments to rule out any underlying issues.


Conclusion
In summary, it’s perfectly acceptable to allow your son to skip milk if he is consuming a balanced diet that meets his nutritional needs. Introducing alternative sources of calcium and vitamin D is key. As for his color recognition, continue to encourage and engage him in learning activities, and monitor his development. If you have ongoing concerns, don’t hesitate to reach out to a healthcare professional for further evaluation. Your attentiveness to his needs will support his growth and development effectively.

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