Complementary foods
Hello Dr.
Chang, my brother is 6 months old and during his health check, he measured 68 cm in height and weighed 7.5 kg.
Since he was 3 months old, he hasn't been very fond of drinking milk, currently consuming about 120cc to 170cc per feeding, totaling 600cc to 700cc of milk per day.
Starting at 4 months, we began introducing diluted fruit juice.
He initially accepted rice porridge very well and enjoyed it, but since 5 months, he has refused all solid foods.
He won't eat porridge either; he just keeps it in his mouth without swallowing and eventually spits it out.
Sometimes, when I try to feed him porridge or rice cereal when he seems hungry, he still resists, even with his favorite apple rice cereal.
Now, he just holds the food in his mouth without swallowing.
Does this indicate that he dislikes the food, has no appetite, or is reluctant to chew? Dr.
Chang, is this phenomenon normal? Will it improve once his teeth come in? I'm very worried because his activity level is increasing, but his appetite hasn't improved.
What should I do?
Ms. Chen, 20~29 year old female. Ask Date: 2005/07/10
Dr. Zhang Peixin reply Pediatrics
Hello: The average weight for a six-month-old is 7.5 kilograms, which is within the normal range.
If there are ongoing issues with feeding, please monitor the weight on the growth chart and consult a pediatrician and a nutritionist nearby to determine if medication for the stomach or an increase in caloric intake is necessary.
Sincerely, Dr.
Zhang Pei-Hsin, Pediatrician.
Reply Date: 2005/07/10
More Info
Feeding infants can be a challenging experience for many parents, especially when it comes to introducing solid foods. It’s not uncommon for babies to show resistance to new textures and flavors, and this can lead to frustration for both the child and the caregiver. Based on your description, it seems your baby has been struggling with the transition to solid foods, which is a common issue among infants.
Firstly, it’s important to understand that infants go through various developmental stages, and their feeding preferences can change frequently. At six months, babies are typically ready to start exploring solid foods, but this doesn’t mean they will immediately embrace them. The fact that your baby initially enjoyed rice porridge and fruit puree but has since begun to refuse them could indicate a few things. It might be a phase of food neophobia, which is a natural part of child development where they become wary of new foods.
When babies refuse to swallow food and instead keep it in their mouths, it could be due to several reasons:
1. Texture Sensitivity: Babies are often sensitive to different textures. If they are used to the smooth consistency of milk, they may find the texture of solid foods unfamiliar and uncomfortable.
2. Developmental Readiness: Even though your baby is six months old, they may not yet be developmentally ready to handle solid foods. This readiness includes the ability to chew and swallow, which can take time to develop.
3. Teething: If your baby is teething, the discomfort may make them less inclined to eat solid foods. Teething can cause soreness in the gums, making the act of chewing uncomfortable.
4. Taste Preferences: Babies can be picky eaters, and their taste preferences can change rapidly. What they liked one day may not be appealing the next.
Here are some strategies to help encourage your baby to accept solid foods:
- Patience and Repetition: It may take multiple exposures to a new food before your baby accepts it. Keep offering the same foods without pressure, as it can take time for them to become familiar with new tastes and textures.
- Variety and Fun: Try to introduce a variety of foods with different textures and flavors. Make mealtime fun by allowing your baby to explore the food with their hands. This can help them become more comfortable with solid foods.
- Timing: Offer solids when your baby is calm and not overly hungry or tired. A relaxed environment can make them more willing to try new foods.
- Modeling Behavior: Eating together as a family can encourage your baby to mimic your eating habits. Show enthusiasm for the food you are offering.
- Consult a Pediatrician: If your baby continues to refuse solid foods and you are concerned about their nutrition and growth, it’s important to consult a pediatrician. They can assess your baby’s growth patterns and provide tailored advice.
In terms of your concern about your baby’s weight and activity level, it’s essential to monitor their growth over time. Babies grow at different rates, and as long as they are gaining weight steadily and meeting developmental milestones, there may not be cause for alarm.
Lastly, if your baby is still not eating solids by the time their teeth come in, it might be worth exploring other feeding methods, such as offering softer foods or purees that are easier to swallow. Remember, every child is unique, and what works for one may not work for another. Keep trying, and don’t hesitate to seek professional guidance if needed.
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