weight of a boy 2 years old is 12.3 Kg.
should check his white-cell count.
white-cell count is normal, your doctor may suggest feeding your son
with more fatty foods.
nutrition is the most common cause of poor growth.
should start by carefully weighing and measuring the child, and plotting
the height and weight on a standard growth chart.
measurements over time allows the doctor to see when the problem began
and how it has progressed.
on the Growth Chart of the Centers for Disease Control and Prevention
your child is lying below the 5th percentile curve.
doctors would consider this percentage (below the 5th percentile curve)
to be consistent with a moderate degree of under nutrition.
level of undernutrition, if confirmed, should result in a concerted
effort to find the cause and correct it.
important to recognize and treat children who are not gaining weight
normally because it may be a sign of undernutrition or an underlying
medical problem that requires treatment.
can have complications, such as a weakened immune system, shorter
than normal height, or difficulties with learning. These complications
are more common in children who are undernourished for a long period
of treatment is to provide the child with adequate nutrition so that
he or she can "catch up" to a normal weight. There is a
range of normal weights for a particular age. Catch-up growth may
require changes to the child's diet, feeding schedule, or feeding
and healthcare provider should work together to develop a plan
that meets the needs of both the child and the family.
of treatment needed depends upon the underlying cause of poor weight
gain, any underlying medical problems, and the severity of the situation.
children who are mildly to moderately malnourished can be managed
at home with help from the child's healthcare provider, and in some
cases, other specialty providers (e.g., dietitian, occupational or
speech therapist, social worker, nurse, developmental specialist,
child-life worker, psychiatrist).
who are severely malnourished are usually hospitalized initially.
While in the hospital, the child's diet and weight can be monitored
children, calorie intake can be increased by adding cheese, butter,
or sour cream to vegetables, or by using calorie enriched milk
drinks instead of whole milk.
catch-up growth, the amount of calories and protein that a child eats
is more important than the variety of foods eaten. For example, if
a child is willing to eat chicken nuggets and pizza, but refuses all
vegetables, this is acceptable. At meal and snack time, solid foods
should be offered before liquids. Fruit juice should be limited to
four to eight ounces of unsweetened 100 percent juice per day.
child should eat often (every two to three hours, but not constantly).
The child should have three meals and three snacks on a consistent
schedule. Snacks should be timed so that the child's appetite for
meals will not be spoiled (e.g., snack time should not occur within
one hour of meal time; snacks should not be offered immediately after
an unfinished meal).
of healthy snacks include crackers, peanut butter, cheese,
hard boiled eggs, pudding, yogurt, fresh fruit or vegetables, or pretzels.
A multivitamin and mineral supplement may be recommended in some cases.
environment - Changes to the area where the child eats may
help the child to eat more. All members of the child's household should
be aware of the importance of these changes.
should be positioned so that the head is up and the child is comfortable.
The child should be allowed to feed him/herself (e.g., by holding
a bottle or eating finger foods), but may need to be fed soft foods
with a spoon. A certain amount of messiness is to be expected as the
child learns to feed him/herself. Allow the child to finish eating
before cleaning up.
time distractions, such as TV, phone calls, and loud music, should
meal time routines consistent, no matter who feeds the child.
time should be relaxed and social; eating with other family members
and pleasant conversation (not related to how much the child eats)
are encouraged. Eating with others allows the child to observe how
others make food choices, hopefully encouraging healthy eating habits.
be discouraged if the child refuses a new food. New foods may need
to be offered multiple times (even up to 10) before they are accepted.
time should be free of battles over eating; caretakers should encourage,
but not force, the child to eat; food should not be withheld as punishment.
In addition, food should not be offered as a reward.
should be praised when he eats well, but not punished when
he does not.