What should I do if I'm not eating at all?
Hello, my son is 1.4 years old and weighs 11 kg.
He has been frequently catching colds and taking medication, and his appetite is poor; he hardly eats anything.
The only thing he consumes is about 210-300 cc of milk before bed.
He refuses to eat porridge and only takes 1-2 bites of the food we eat.
We have tried many different brands of milk, but he still won't drink them, except for a specific brand that he drinks the most.
Could you please advise me on how to improve his appetite and what foods might help boost his immune system? Some people have suggested traditional Chinese medicine; is that advisable? I would appreciate your guidance on this matter.
Dān xīn de jiā zhǎng, 20~29 year old female. Ask Date: 2006/05/19
Dr. Xie Huimin reply Nutrition
Hello: Currently, the child's weight is at the 50th percentile on the growth chart (indicating the median among children of the same age).
An increase in percentile suggests good nutrition, while a decrease requires attention to nutritional issues.
Based on the child's age, the estimated daily dietary intake is as follows:
1.
Milk: 2 cups (240ml/cup), which can be provided in various forms such as milk steamed eggs, cheese balls, yogurt, etc.
2.
Eggs: 1 egg (can be used to make sandwiches or salads).
3.
Tofu: 1/3 block, Fish: 1/3 ounce, Meat: 1/3 ounce.
4.
Grains (rice): 1-1.5 bowls (alternating with noodles or cereals).
5.
Vegetables: 2 ounces.
6.
Fruits: 1/3 to 1 whole piece (approximately the size of a regular orange).
In food preparation, using colorful foods can attract children, and it is advisable to offer a variety of dishes.
Avoid giving snacks before main meals; snack time should be scheduled 2 hours before meals to not affect normal appetite.
Additionally, the eating environment can influence a child's appetite, so consider using utensils that the child likes or allowing them to eat with other children.
Electrolyte drinks, such as sports drinks, are recommended for those who have a fever, sweat excessively after exercise, or experience diarrhea.
It is suggested to dilute these drinks before consumption.
Regarding supplements: If the child’s food intake is insufficient, nutritional supplements such as pediatric Ensure can be given.
If the child has a limited variety of foods, it is advisable to provide vitamin or mineral supplements (specifically for children).
For nutritional traditional Chinese medicine, it is recommended to consult a qualified Chinese medicine practitioner for further guidance.
Reply Date: 2006/05/19
More Info
Improving appetite and boosting immunity in a 1.4-year-old child can be quite challenging, especially when the child is frequently falling ill and has a poor appetite. Here are some strategies and insights based on pediatric health principles that can help address these concerns.
Understanding the Situation
At 1.4 years old and weighing 11 kg, your child is within a normal weight range, but the frequent illnesses and poor appetite are concerning. Children at this age are often picky eaters, and their dietary preferences can fluctuate significantly. It's essential to approach this situation with patience and a focus on gradual improvement.
Dietary Strategies to Improve Appetite
1. Small, Frequent Meals: Instead of three large meals, offer smaller portions throughout the day. This can make eating less overwhelming for your child and may encourage them to try new foods.
2. Variety and Presentation: Children are often attracted to colorful and visually appealing foods. Try to present meals in fun shapes or use colorful plates. Incorporating a variety of textures and flavors can also stimulate interest in food.
3. Involve Your Child: Let your child help with meal preparation. This can increase their interest in food and make them more likely to eat what they’ve helped to create.
4. Limit Distractions: During mealtime, minimize distractions such as television or toys. A calm environment can help your child focus on eating.
5. Healthy Snacks: Offer healthy snacks between meals. Foods like yogurt, fruit, or whole-grain crackers can provide additional nutrients without the pressure of a full meal.
6. Encourage Self-Feeding: Allow your child to feed themselves. This can make mealtime more enjoyable and give them a sense of control over their eating.
Nutritional Focus for Immunity
1. Balanced Diet: Ensure that your child’s diet includes a variety of fruits, vegetables, whole grains, and proteins. Foods rich in vitamins A, C, D, and zinc are particularly beneficial for immune health. For example:
- Fruits: Oranges, strawberries, and kiwi for vitamin C.
- Vegetables: Carrots and sweet potatoes for vitamin A.
- Proteins: Lean meats, eggs, and legumes for zinc and protein.
2. Probiotics: Probiotics can be beneficial for gut health, which plays a crucial role in immunity. Foods like yogurt or kefir can be good sources of probiotics. If your child is resistant to these, consider discussing probiotic supplements with your pediatrician.
3. Hydration: Ensure your child is well-hydrated. Sometimes, children may confuse thirst with hunger. Water is essential, but if your child enjoys flavored drinks, consider diluting fruit juices or offering herbal teas.
Medical Considerations
1. Consult a Pediatrician: Since your child is frequently ill, it’s essential to consult with a pediatrician. They can assess for any underlying health issues that may be contributing to both the poor appetite and frequent illnesses.
2. Avoid Unregulated Supplements: While some may suggest herbal remedies or traditional Chinese medicine, it’s crucial to consult with a healthcare professional before introducing any new supplements. Some herbs can interact with medications or may not be suitable for young children.
3. Monitor Growth and Development: Regular check-ups with your pediatrician will help monitor your child's growth and development, ensuring they are on track despite their current eating habits.
Conclusion
Improving appetite and boosting immunity in a young child requires a multifaceted approach that includes dietary changes, creating a positive eating environment, and regular medical consultations. Remember that patience is key, as children’s eating habits can take time to adjust. By focusing on nutritious foods, engaging your child in the process, and seeking professional guidance, you can help foster better eating habits and enhance their overall health.
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