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Pediatrics/FTT and refusing bottle

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Expert: Dr Kondekar Santosh Venketraman Pediatrician MD, Mumbai India, Online Pediatrician - 10/31/2009


Question
My almost 11 month old daughter is only 14lbs, and was dx FTT when she was 3 months old.  She just doenst eat much, but our daily goal is to try to get her to drink 16 oz of formula.  Most of the time that doesnt happen, we get to around 12.. but lately, the past 3 days it has become worse.  Today she only drank 4 oz total, and has had nothing to eat since 4pm..  is now asleep, after having refused to eat with 4 more offers.  We see an OT to help with eating issues, and she eats solids fairly well.. usually around 3-4 oz worth.  Some pediasure in a cup as well, maybe 2 oz per day. We try to mix pediasure with her cereal, but she hasnt been into that or most other foods lately. She is also on prevacid for GERD.  Any advice??  I am positive she is not getting enough calories, but have no idea how to get more in her when she swats the bottles, spoons and food away....

Answer
on an average a baby needs almost 100 calorie in 100 ml feed per kilogram bodyw eight per day. that is she needs on an average 3-4 ouns per kg body weight. so fi she is 6 kg weight she should need around 18 ounz per day.

if the liquid intake is not enough fro soem reasosn, the kid will get progressively dehydrated (www.rehydrate.org) and that will amke child sleepy to build reserves to soem extent.

most throat infections,a denodis, tonsils ear infections cause painful swallowing causing reduced intake. it can also be a sign of serious infection even without any other complaints.

its p[rudent to take such chidl to take to a doctor to rule out dehydration, throat infection and any seriosu infection causing lethargy.

does he accept water easily? if yes.. that may be a little better sign that at least he swallows something. read danger symptoms at www.pediatricianonline.in  

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Dr Kondekar Santosh Venketraman Pediatrician MD, Mumbai India, Online Pediatrician

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ASK MEDICAL AND PEDIATRIC HEALTH AND BEHAVIOR RELATED QUESTIONS TO THIS DOCTOR! my details at http://doctorchild.com
also click here for what to ask a doctor? . I am a proud father and a qualified pediatrician with an expertise and interest in counseling parents regarding different aspects of health and disease making them understand children, their health and disease and the doctors. read my reviews/ratings at REVIEWS I do treat and counsel all classes and specialties, I have a special expertise and interest in queries regarding feeding of infants and; the common cold & related illnesses including asthma. I as a friendly doctor, try to help you understand the children, the disease, the treatment and the doctor! At the end, dont forget to add prestige points and nominations for me, as that is the only incentive for me to continue with free service. Danger/Emergency symptoms /serious signs in children Affiliated to Seth G S Medical college and KEM Hospital Mumbai India (1992 till 2010). Now at Topiwala National Medical College, BYL Nair hospital Mumbai. *Online Pediatrician * Paid queries..on phone

Experience

I was a pediatrician at Seth GS Medical College and KEM Hospital Mumbai India, since 1999 till 2010. Currently as associate professor at Topiwala National Medical College, BYL Nair hospital Mumbai. Pioneered as Online Indian Pediatrician for free advice.

Organizations
Visit http://www.kem.edu for more details of organisation.(since 1992 till 2010)

Publications
www.doctorchild.com www.pediatricianonline.in www.pediatrician.sulekha.com www.peditips.com best is to do a google search for "Dr S kondekar"

Education/Credentials
I am MD DNB in pediatrics and a fellow of College of Physicians and surgeons of Mumbai.

Awards and Honors
do visit my BlogSite http://pediatricianonline.in/

Past/Present Clients
A lot number of simple people and medicos who consult Dr SK daily for their problems.

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