S.P. asks from Tempe, AZ on April 15, 2010
My One Year Old Baby Girl Is in 10Th Percentile for Her Weight. Any Advice?
My baby's first birthday was yesterday. She has not been gaining weight since 6 months of age. She weighs 17lbs 14ozs. I have exclusively breastfeed her even though my supply is dwindling. She hates formula, pediasure, juice. Upon recommendation from pediatrician we have done one session of feeding therapy so far. I tried giving her whole milk today, she made a face after taking a sip, so I added Nestle Carnation (pediatrician's advice), she still would not drink it. I think she has an aversion to foods with strong smell. Pediatrician says she is not putting on weight because she is not getting enough calories. She is otherwise growing up really well developmentally. Any suggestions from anyone who has experienced this with their babies?
She also got tiny red bumps around her mouth when she drank the milk today morning. She has had this happen when I used to try to give her cereal mixed with Pediasure. Though they disappear in a few minutes, I will keep an eye out when this happens again and note the food that she was eating at that time. This looks a lot like lactose intolerance. What are its exact symptoms?
C.R. answers from Phoenix on April 16, 2010
Is she eating any regular people food at all? At 1 yr old, she should be eating almost all foods. I would recommend her getting most of her calories from foods rather than milks. Most babies do not baby foods, (who could blame them?!) If she gets calories from food, she can drink water. Good luck!
A.A. answers from Denver on April 15, 2010
Please test her for food intolerance like wheat and milk. It may be that her intestines aren't absorbing what she is eating, well, which may be contributing.
A.S. answers from Dallas on April 15, 2010
She should be eating solids by now (usually start feeding them around 6 months), not just formula or breastmilk as her body needs more than those things can provide.
Also, babies and children usually need to be 'introduced' to a food almost 17 times before they will like it, so don't be discouraged if she won't take things right away.
As for the Carnation, I was a low weight baby/child as well and didn't eat either. My Dr.s also told my parents to give me the Carnation and I eventually came around and had it maybe 1-2 times a day and that helped get calories/nutrition as well as boosted my appetite a bit. Also, avoid juice because that is just empty sugars and won't be helpful anyways.
Here are two articles with advice on foods to try:
As for the lactose intolerance, the rash you see is associated with a milk allergy caused by a protein in the milk, not lactose intolerance. You can always try rice milk or goats milk as that is closer to breast milk than cow, and yogurt and cheese should be fine too.
This has some really helpful advice, it's two pages so read the second page as well:
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R.R. answers from Salt Lake City on April 15, 2010
I have a 13.5month old girl and I have had the same problem. She is actually in the 5th percentile for her weight. She is 18.4lbs. Besides liquids what is she eating? My kiddo is a snacker, doesnt like a big sit down meal. She also is very picky and most times I have to force the food down her throat cuz she just wont eat. She does love cheerios, crackers, cheese, and fruits, pretty much anything she can "do herself" lol. I didnt have a problem with whole milk, she loved it from the beginning, so I can't offer some advice there.
Try offering more solid foods with lots of calories rather than focusing a ton on the milk right now. Try some mac n cheese, grilled ham and cheese sandwiches, chicken nuggets (my baby loves these and most the time will eat it) eggs, pancakes, oatmeal, anything that has lots of good calories in it.
I dont worry to much about my babies weight as she is very healthy and happy and developing just fine. It does get frustrating tho when she has her days of not wanting to eat but I just keep at it.
Feel free to send me a message if you have any questions, I know what you are going thru! Good luck and hope she starts liking her foods better and starts to put on some more weight.
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A. answers from Albuquerque on April 16, 2010
I'm not a dietician or nutritionist. But I say nurse as much as you can and make sure you are getting high quality saturated fats. Your baby NEEDS saturated fats! You can eat yourself or feed your baby coconut products. Coconut oil is a great food that has lauric acid in it. The only other source of lauric acid is breast milk. Carnation, juice and formula are sugar laden and highly processed. Just read the labels and ask yourself if you want that going into your babe. And then watch what YOU eat.
I'd also say that if your baby is thriving in every other way and meeting developmental milestones, not to worry so much. My babe was about that weight at one. She was just smaller but FINE.
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J.R. answers from Phoenix on April 16, 2010
You did not mention your size or your husband's size. Genetics matters. Breast feeding exclusively matters. I breast fed exclusively the first year and my husband is short. Both of our children were in the 10%, then dropped to the 5%, then off, now at the 5%. After seeing a Peds Endocrinologist, we learned that they are late bloomers, like me and my side of the family. If she is developing in all other areas very normally, than I would not worry just yet.
Just continue to offer lots o healthy choices. Try warming the milk with a little honey (oops be careful there) or that organic agave nectar....my babies only wanted warm, sweetened milk after weening.
best of luck,
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J.P. answers from Dallas on April 15, 2010
At 1 my daughter wasn't even on the charts when it came to weight. She weighed exactly 16lbs. We gave her a pediasure a day, which she loved. She also loves avacados so she'd eat those a lot along with other food. The doctor did have us have blood work done just to rule anything out, but he finally came to the conclusion that she is just petite. At 2.5 yrs, she is finally on the charts between 5-10%
L.A. answers from Chicago on April 15, 2010
I do not have any experience with my kids not liking formula, but I have tasted formula and pediasure and they do taste bad in mu opinion. Maybe she just has a preference for breastmilk.
I can comment on the weight. I recently checked my oldest daughter height/weight chart, and she was about 22 lbs at 24 months. She has always been small, but she is a healthy 12yr old girl.
Can you maybe mix a little breastmilk with the whole milk and then decrease the breastmilk gradually until she gets used to the taste? Maybe add some cereal with the breastmilk to increase the calories.
J.J. answers from Phoenix on April 16, 2010
What table foods does she eat these days? Really she should be eating basically the same things you are, just in smaller bites. Keep offering things to her even if you think she may not want it. You never know when she'll decide to like it. The baby foods are pretty gross. Try veggies steamed well, or even frozen veggies or canned veggies (rinsed) because they all have a different taste even if it is the same food. Does she eat oatmeal? Try mixing different things in it to change the flavor like yogurt, fruits, etc. My kids loved avacados as well as banana slices rolled in wheat germ. Good to hear that developmentally she is doing well. I have one daughter who is pretty tall, and the other is really petite. Both good eaters, thankfully. Keep working on different foods and she'll be fine.
S.H. answers from San Antonio on April 15, 2010
I would test her for food intolerance, since you mentioned sensitivity.
My mom is a dietitian and she told me that if my babies are thriving then there's not much to worry about. My kids are off the charts skinny and it's hard to buy clothes for them. All pants fall off. We buy the ones with the tabs, but we've even had some problems with those being big.
But they're perfectly healthy. My husband and I were both like that as kids, too. It didn't last forever, sadly.
My kids are perfectly who they are. They just happen to have the kind of genes that keep them skinny. But they eat like elephants. I'd be on the lookout for allergies and make sure she's eating healthy food, milk or not. If she is, though, don't worry about it.