Poor Appetite in Infants: Causes and Concerns - Pediatrics

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Poor appetite?


Hello Dr.
Zhao: My sister is now over two months old and only drinks 90cc of milk.
She often doesn't want milk for four to five hours, and if I force her to drink, she gets upset.
Could this be related to the milk she is drinking? (Aside from not liking milk, she has no other issues, doesn't cry or fuss, and her bowel movements are normal; she also plays as usual.) Is there something wrong?

A Li, 20~29 year old female. Ask Date: 2000/11/29

Dr. Zhao Yongkang reply Pediatrics


Hello Miss Ali: If the children show no abnormalities and their weight gain is normal, some children may go through a phase of milk aversion, which can be monitored further.

Reply Date: 2000/11/29

More Info


Understanding poor appetite in infants can be a source of concern for many parents. In your case, your two-month-old sister is only consuming about 90cc of milk every four to five hours, and while she does not exhibit any other symptoms such as crying or abnormal bowel movements, her reluctance to drink milk raises questions about potential underlying issues.

Firstly, it is important to recognize that infants have varying appetites, and what is considered normal can differ significantly from one baby to another. Factors such as growth spurts, developmental milestones, and individual temperament can all influence an infant's feeding patterns. At two months, many infants are still adjusting to feeding routines, and some may naturally prefer to eat less frequently or in smaller amounts.

One possible reason for your sister's reduced appetite could be related to the type of formula or milk she is consuming. Some infants may have sensitivities or intolerances to certain ingredients in formula, which can lead to decreased interest in feeding. If she is on a specific formula, it might be worth discussing with a pediatrician whether a different formula could be more suitable for her. Additionally, if she is breastfed, factors such as maternal diet or stress can also impact an infant's feeding behavior.

Another consideration is the possibility of oral or gastrointestinal issues. While your sister does not appear to be in distress, it is still essential to rule out any conditions that could affect her ability to feed comfortably. For instance, conditions such as reflux or oral thrush can lead to discomfort during feeding, causing infants to refuse milk. If there are any signs of discomfort, such as arching of the back, excessive fussiness, or difficulty latching, these should be evaluated by a healthcare professional.

It is also worth noting that some infants may simply have a more laid-back temperament, leading them to be less interested in feeding. As long as she is gaining weight appropriately and meeting developmental milestones, a lower appetite may not be a cause for concern. Regular check-ups with a pediatrician can help monitor her growth and development, ensuring that she is on track.

In summary, while your sister's feeding habits may seem concerning, they could be within the range of normal for her age. It is essential to observe her overall health and development, and if there are any changes or concerns, consulting with a pediatrician is advisable. They can provide guidance tailored to her specific situation, ensuring that she receives the appropriate care and support for her growth and well-being.

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