Adding Dried Fish Powder to Baby's Diet: Nutritional Guidance - Nutrition

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Add dried fish powder?


Hello Dr.
Hsieh,
I apologize for bothering you again.
My child is now 4 months and 9 days old, but he is currently going through a phase of milk refusal.
I am concerned about his nutritional and caloric intake! I have been adding rice cereal to his milk because he is currently consuming less than 350cc of milk in a 24-hour period.
I am considering making small dried fish (specifically, anchovies) into a powder to mix into his milk.
Is this appropriate? If it is acceptable to add, how much should I include? Should I choose unprocessed dried fish for this purpose?
His current weight is 6.5 kg and height is 62 cm.
He was born weighing 2.5 kg and measuring 50 cm.
Are these growth indicators within the standard range? Should I consider adding Bifidobacterium? A pharmacy staff member mentioned that it could help with absorption and stimulate appetite, but there are many types available, and I'm unsure how to choose.
Could you please provide some recommendations?
Thank you for your assistance with these questions.

Lu Er, 20~29 year old female. Ask Date: 2003/01/19

Dr. Xie Huimin reply Nutrition


Hello, Ru'er: For a 4-month-old baby, suitable foods to introduce include fruit juice, vegetable soup, and rice porridge.
Protein-rich foods should wait until the milk rejection phase gradually passes, which is around 7 months, so avoid introducing fish powder too early.
You can prepare complementary foods such as fruit juice, vegetable soup, and rice porridge.
The baby's weight percentile is between 25-50, which may indicate a slight underweight, while the height is at the 50th percentile.
It is recommended that as long as the baby's height and weight continue to grow, it is acceptable.
Regarding the introduction of Bifidobacterium, it is suggested to start with a small amount and observe the baby's condition before deciding how to proceed.

Best regards,
Hui-Min Hsieh

Reply Date: 2003/01/19

More Info


When considering the addition of dried fish powder to your baby's diet, especially at the age of 4 months and 9 days, there are several important factors to keep in mind. At this stage, infants are typically still reliant on breast milk or formula for their primary nutrition. The introduction of solid foods, including protein sources like fish, is generally recommended to begin around 6 months of age.
Your concern about your baby's nutritional intake during this "nursing strike" or "milk refusal" phase is valid. However, it is crucial to ensure that any new food introduced is appropriate for their developmental stage. The American Academy of Pediatrics suggests that infants should be exclusively breastfed or formula-fed for the first six months of life, after which complementary foods can be introduced gradually.

Adding dried fish powder to your baby's milk at this early stage may not be advisable for several reasons:
1. Digestive Readiness: Babies at 4 months are still developing their digestive systems. Introducing protein-rich foods like fish too early can lead to digestive issues or allergic reactions. The proteins in fish can be complex and may not be adequately digested by an infant's immature gastrointestinal tract.

2. Nutritional Balance: While fish is a good source of protein and omega-3 fatty acids, it is essential to ensure that your baby is receiving a balanced diet. At this age, the focus should be on breast milk or formula, which provide all the necessary nutrients for growth and development. Introducing solid foods should be done gradually, starting with single-grain cereals or pureed fruits and vegetables.

3. Quantity and Quality: If you decide to introduce fish powder later on, it is crucial to choose high-quality, minimally processed fish. However, the quantity should be very small, and you should monitor for any signs of allergies or intolerance. A general guideline is to introduce one new food at a time and wait for about three to five days before introducing another to observe any adverse reactions.

4. Growth Indicators: Your baby's weight (6.5 kg) and height (62 cm) seem to be within a normal range for their age, especially considering their birth weight and height. As long as your baby continues to grow steadily and is meeting developmental milestones, there is usually no cause for concern.
5. Probiotics: Regarding the addition of probiotics like Bifidobacterium, these can be beneficial for gut health and digestion. However, it is best to consult with your pediatrician before introducing any supplements. They can provide guidance on the appropriate strains and dosages suitable for your baby's age.

In summary, while your intention to enhance your baby's nutrition is commendable, it is essential to adhere to age-appropriate guidelines for introducing solid foods. Focus on breast milk or formula as the primary source of nutrition until around 6 months, and consult with your pediatrician for personalized advice on introducing new foods and supplements. This approach will help ensure your baby's health and well-being during this critical stage of development.

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