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Our son is 21 months old. He is around 10.3 kgs now. he is playful and very active child. Shows good learning and memory abilities. He is 83 cms tall. We are concerned about his weight, which at 10.3 Kgs, seems to be below indicated values in the baby growth charts. Please let us know if we really needs to be concerned.

He eats well and tries out variety of food. He has had cough and cold for last 3 days. His food intake has gone down drastically. We assume his appetite should come back to normal once his cold clears up.

How do we know if a child is consuming right quantity of food? At times we have to force him a lot and seems to take a lot less food than his normal intake. We need your advice and inputs on how we can be sure we are providing right quantity/quality of food required for his growth.


weight of 10 kg though low, isnt bad for a child of 2 years in India if birth weight were round 2 Kg.
Weight is an easily modfiable option at any age based on diet and exertion.
toddlers due to their increased activity gain weight slower. so if the child has gained weight by 6-7 kg in first year of life, next few years it can be 1-2 kg per year.

short viral fevers do cause reduced intake 3 days prior and 5 days after the episode, which should be compensated by energy rich liquids during illness offered in increased frequency say 6-8 times a day.

how do we know if a child is consuming right quantity of food?
== by urine out put frequency every day and periodic weight gain on charts.

At times we have to force him a lot and seems to take a lot less food than his normal intake.
=== often this is seen in constipation, throat infections, tonsils etc. change the food to semisolids, warm the fluids add liberal ghee/curds.. and give it in short boluses over long period and more frequent. convert the staple diet into staple snacks. do consult your doctor for background problem.. which can be as simple as dominant milk diet, low hemoglobin or a sore on tongue.
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Dr Kondekar Santosh Venketraman Pediatrician MD, DNB, Mumbai India, Online Pediatrician


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