Toddler weight gain

  • Friday, February 25, 2011 2:24 PM
    Message # 533095
    Debbi (Administrator)
    My almost 2-year old daughter is not picking up weight and her paediatrician is concerned. She was born average weight/ height - exactly on the 50th percentile and continued on that growth curve up until 9 months. Since then, she dropped off the bottom of the chart, then made her way to the 3rd percentile at around 18 months. She only reached the 20 lbs required to turn her car seat forward facing at 20 months. We've been going for 'weigh-ins' every 2 months - unfortunately she's been sick on and off since going to daycare, which hasn't helped with eating and weight gain. 

    She does eat well when she's not sick and she's not really picky, though she *loves* her fruit. She eats her vegetables and generally chooses them over meat. We've even been giving her Pediasure Complete in the mornings, and this seems to have helped a bit, as she doesn't drink homo milk. On our paediatrician's advice, we put butter in her food, have full-fat milk for her cereal, heck we give her chocolate and ice cream for dessert.

    Her weight gain has been slow, but both my husband and myself are not big people. My husband was a very small kid! We're not concerned from a development point of view - she is perfectly happy and more than meets all the developmental milestones for her age (talking, gross and fine motor skills etc).

    Her 2 year appointment is coming up soon and I know he'll want to send her for testing if he is not happy with her weight.

    Has anyone else had this problem - how do you make your toddler gain weight!

    Last modified: Friday, February 25, 2011 2:24 PM | Debbi (Administrator)
  • Saturday, February 26, 2011 8:45 AM
    Reply # 533514 on 533095
    Debbi wrote: My almost 2-year old daughter is not picking up weight and her paediatrician is concerned. She was born average weight/ height - exactly on the 50th percentile and continued on that growth curve up until 9 months. Since then, she dropped off the bottom of the chart, then made her way to the 3rd percentile at around 18 months. She only reached the 20 lbs required to turn her car seat forward facing at 20 months. We've been going for 'weigh-ins' every 2 months - unfortunately she's been sick on and off since going to daycare, which hasn't helped with eating and weight gain. 

    She does eat well when she's not sick and she's not really picky, though she *loves* her fruit. She eats her vegetables and generally chooses them over meat. We've even been giving her Pediasure Complete in the mornings, and this seems to have helped a bit, as she doesn't drink homo milk. On our paediatrician's advice, we put butter in her food, have full-fat milk for her cereal, heck we give her chocolate and ice cream for dessert.

    Her weight gain has been slow, but both my husband and myself are not big people. My husband was a very small kid! We're not concerned from a development point of view - she is perfectly happy and more than meets all the developmental milestones for her age (talking, gross and fine motor skills etc).

    Her 2 year appointment is coming up soon and I know he'll want to send her for testing if he is not happy with her weight.

    Has anyone else had this problem - how do you make your toddler gain weight!


    It sounds like you are doing all the right things, including giving lots of high fat and high calorie foods.  You are right, getting sick is probably not helping, and has been a really bad winter for that.  Also, the fact that you and your husband are not big people does relate.

    If you daughter is happy and active, then there really shouldn't be a concern.  If you feel she is ok, don't feel pressured by your doctor to send her for unnecessary tests.  Perhaps it is time to look for a second opinion?  You know your child best and you shouldn't be so stressed all the time because of the pressure your doctor is putting on you.

    Best wishes!

  • Monday, February 28, 2011 10:57 PM
    Reply # 535047 on 533095
    The Naturopathic College at Leslie and Sheppard is a great resource for another opinion.
    They will take their time to understand the issues and treat your child as an individual.  They may make suggestions your pediatrician has not been trained to look for.

    Ask for a pediatric appointment.

    All the best!
  • Tuesday, March 01, 2011 2:11 PM
    Reply # 535537 on 533095
    I hope the check up goes well for you! I had the same pressure from my pediatrician when my son was about 9 months. He was very active and has always been tall and slim, so he just burned off whatever food we gave him.  He is slim like his Dad, and we've just grow accustomed to it and my pediatrician was happy that he was meeting all other milestones like the ones you mention.

    You might also try higher fat foods like: fish, avocado, nut butters (not sure if that's safe for your child). These have helped my son gain weight and are very good for you. He also loves yogurt and milk, which are easy for us. If your child will eat them, I'd suggest making them a part of daily meals. My son at nearly 3 yrs old still has a yogurt (small container) and about 12 ounces of homo milk a day, plus 3 meals and 1-2 snacks.

    I also like the Naturopath suggestion - they can be really helpful and may suggest a supplement that is natural vs Pediasure.

    Good luck & keep us posted - I am sure many others struggle with this issue at one time or another.

    Mireille

    PS - I also only buy pants with adjustable waists - skinny kids need them! :)






  • Wednesday, March 02, 2011 10:02 AM
    Reply # 536725 on 533095
    First, a big *SIGH*....
    I know too many parents who have been told by their doctor that their baby/child is underweight. And guess what, they are all Asian or have an Asian background.
    I've had parents agree to have their child(ren) go through blood tests and see specialists, and guess what? The conclusion was: "Your child is  fine."

    Debbi, it sounds like you know that Zoey is healthy and perfect and you're really more worried about the testing she might have go through. Am I correct?
    There are so many factors affecting weight and doctors tend to rely so much on these charts that are probably not representative of all babies. Here's an interesting article about that:
    http://www.kellymom.com/babyconcerns/growth/growthcharts.html

    I agree with Leanne. Don't feel pressure from the doc to go for the tests. My child's doctor also recommended Pediasure and said that next time if she doesn't go back on the "curve" they'll do tests.
    I tried the Pediasure as a supplement but she wasn't crazy about it. Also, her rejecting it may have been a sign that I was feeding her enough because she would turn it down after a meal even if it was her main source of liquid. Have you seen the ingredients list on the bottle? Yes, you might as well feed your child cake and cookies. It might be healthier. Lol.

    I stopped the Pediasure and did not go back to the doctor. Of course, that's not something many parents would do.

    A couple of months ago (at 1 year), her appetite increased big time. And her weight is steadily increasing. So obviously, nature is taking its course. Why force feed a child?

    Things we did to make our child gain weight (because nothing like pressure from a doctor):
    - High fat yogurt (Ambrosia sells plain 10%yogurt). I mix it a bit with lighter yogurt so it's not too thick
    - Full fat milk (as you're doing) in porridge/oatmeal/cereal
    - Added white rice to her diet (We don't eat white rice or white bread so our naturopath suggested that we mix a bit of brown with the white rice.)
    - French toast (egg, milk, butter) and a bit of sugar
    - Smoothies (banana, 10% yogurt, a bit of orange juice, some other fruit of your choice, water or milk) - She drinks it with a straw. Good for in between meals. But we were only able to maintain this before she went to daycare.
    - Lots of fruit
    - I made muffins (less sugar but with milk and the full fat yogurt and a bit of carrot and of course all that butter)
    - Added a tsp of olive oil to her prepared food. An alternative to butter but that didn't go well.
    - Avocado (definitely agree with Mireille)
    - Scrambled eggs

    Our naturopath actually did provide help and I won't get into it here as every child is different.

    Good luck and keep us posted!
    Last modified: Wednesday, March 02, 2011 10:02 AM | Joanna

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