I know it is tiny but they do catch up. I will weigh Allanah later, she is now 26 months and I bet she doesn't weigh that much more. You have to give high calorie foods like rice and higher calorie milk but in honesty Allanah doesn't put weight on easily but is a smart little girl. Alyssa my 12 year old was tiny too - now she is totally normal. I wouldn't worry too much.
S was small but now she's tiny; was on about the 35th percentile for weight until about 8 months ago but now she's below the 3rd. I was less worried than the doctors whom we saw last week, but now they have got me pretty concerned I'm afraid....
I believe lower weights impact development, my son is doing better with his speech as he closes the gap with his weight. He is on the 5%.
So based on what she is eating you have to add calories. I highly suggest whole milk with carnation instant breakfast in it. This has been the main thing that has helped put weight on my son and keep it on, since he will drink milk if he does nothing else. I give him grilled cheese slatered with butter. I make his oatmeal with whole milk. I have him taking vitamins with Omega 3 and DHA. You can still nurse her but I would suggest supplementing the nursing with lots of whole milk with carnation instant breakfast. Offer her cookies only after dinner, yogurt, peanut butter and jelly sandwiches. Mine love peanut butter crackers in the little packs.
Just think adding calories more then force feeding.
Only I'm a little constrained as Bob gravitates toward the top of the weight charts, while Freddy is toward the bottom, and it's hard to give one twin one thing and the other something else. I would really prefer to keep Freddy on whole milk and Bob on 1%, but they swap off their milk so often, and it would be such a hassle. I think Freddy might have been over 20 lbs at 17 months, but maybe not. Bob was probably approaching 30 pounds at 17 months. Without the concern about a twin who doesn't need those extra calories, it would be much easier. I have to say, though, for all that Freddy's weight hasn't been so high, it's not for want of eating. In any case, while I see a lot of ways in which Fred is developmentally behind Bob, it was actually Bob who got referred for occupational therapy. If they don't sell Carnation Instant Breakfast in NZ, maybe they sell Pediasure? Take care, Maggie (in VA)
Im thinking calorie loading instead but she already eats a lot of high cal stuff and whole fat dairy so will look into a supplement also. Funny to think of your boys swapping milk! I can't imagine juggling two quite different needs... And going to work! Sheesh
She gets tons of dairy, whole fat already but will sure look up Carnation or an alternative. And she does snack often but loves fruit like mandarins and pears which aren't that high cal.
Thanks for pointing out about development concerns. I dont have any concerns in that regard currently but will keep a close eye on her .
This message has been edited by phoebegrace on Jun 18, 2012 2:25 PM
on the percentile on the growth charts at around 10 to 15% whereas now she is below 5% for weight, Allanah is just petite and light in weight, she is nearly as tall as Anton and isn't malnourished by any means - she is just a small little girl and I don't worry about her at all. She doesn't eat lots but likes milk. I haven't taken her for any checkups other than the normal pediatrician and she hasn't expressed any concern. Anton is also on the low percentile for his age - I think about 25% but he is heavy and big so I don't really understand - everyone comments on how big Anton is but he is only on 25th percentile which is weird. I honestly wouldn't worry about your little girl, before we know it they will be dieting because they think they are too fat.
ALL DAY LONG!!!!! We give DD snacks all day long..We do not use any process foods on her..In my last post, I mentioned adding butter and olive oil to everything you give her. If you are concerned about sugar, you should skip the carnantion breakfast and opt for one you can find in the health food store..
You can also buy healthy bread (not made with sugar) that has nuts and raisins in it and try the cream cheese with that.
DD is so used to snacking all day that it does not affect her meal times. And, as I wrote, she gets one avocado a day (great fat and calories), bananas are good but have tons of sugar and best to only have one daily. There is also a peanut butter snack that children love that is made in Israel..called Bamba..Our pediatrician told us about it..she likes it because it has lots of calories and is not filling.
I'm already doing most of that which is why I am so stumped. Though grinding nuts to put in meatballs is ingenious. Cream cheese for sure, poss milk biscuits or a chemist yesterday suggested Complan which is suspect is similar to carnation, which we can't get here. Will keep you posted. Luckily she loves dairy, nuts and avocado and meat...she's just so tiny!
Thanks for all your help
My sister used to get my nephew some stuff that was something like 800 calories in a pint
June 18 2012, 6:59 PM
It was like a shake and came in pint milk cartons iirc. It definitely helped put some needed weight on him. The nursing homes used it. Maybe you could call a few and see if you can find it there is a similar product there they use?
and I got some today. Along with milk biscuits, milk powder more avocadoes, cream cheese and cream cheese snacks, healthy gingerbread men, choc covered sesame seed snacks, brown rice crackers....but so far I have eaten almost all of it as she has tasted and discarded everything today except the chicken her Nana miraculously brought around...thanks Nana!
So I am going to be the one beefing up, I can just tell....
Not the plan at all.
Just checked for you and we can get it in the States..be happy to ship it if you would like. Can you get pediasure in NZ?
Also, ped told us to add pureed tofu to almost everything she eats..it has no taste and is a good source of protein and calories..I did that for a bit until she started to gain..mostly added it to mac and cheese and meatballs.
Keep us posted..and what kept me on my feet about this was the ped did weight checks on DD every month and now every two months.
We can get. complan here, not carnation instant breakfast. Very kind of you to offer. I got some complain today but she didn't like it... Along with milk biscuits, sesame crackers, cream cheese and cream cheese snacks, linseed, sunflower and almond sprinkles and a ton of other stuff. I bet it turns out that I'm the one gaining the most weight as I worry about her's and clean up the leftovers!
but wanted to clarify my post in the last thread. We are adding hemp seeds...not oil...to DS's food. It is very high in calories, good fat, and protein. Also, Metagenics Ultracare for Kids. We get it through an acupuncturist, but I've seen it on Amazon. Not sure if you can get it there or not. We add it to his milk. It adds a 120/8 oz and doesn't have sugar that I am aware of.
DS doesn't eat well and is sensitive to numerous things. It is a wonder that he weighs as much as he does (hovers between the 15th and 25th percentile, but is very tall, making him very thin. I wish he would eat better, but we do what we can. Maybe your DD just has a great metabolism. She is probably burning off a lot of calories as she gets more mobile.
Aha I think I know that as linseed. And thanks to you I just got a combo called LSA, Linseed, Sunflower, Almond all ground up together and put it on her rice tonight. I used to grind my own but saw this today and thought I would try it.
I am sure she has a very very fast metabolism; she is the liveliest 17-month-old I know and sharp as a whip, but being below the third percentile after tracking along the 35th or so is quite a lot of ground to be losing...
Will keep you posted; I'm finding it hard to not be taking it personally to be honest,
Feel a remarkable sense of inadequacy and very stressed when she doesn't eat which I'm sure is not helping!
Hi Laura. This has been an ongoing issue for my daughter
June 19 2012, 2:42 AM
since she was born. She was a small baby even though full term. She lost weight from birth and I struggled to get weight on. It was always a stress and worry. She was on 2nd centile and even at age 5.5 she has just been measured with a BMI centile of just 4!
I spent many days and hours fretting about this. Her brother is like a control experiment! Was feeding them both the same, yet he was an average weight and is now at 65 on BMI centile while she is 4!
Anyway, I was referred to a paediatric dietician as my health visitor was concerned about her weight.
I was given a great recipe book and all the tips you have got regarding loading with GOOD fats and calories (please no Carnation milk, it is too sweet and not very healthy IMHO).
We were prescribed Pediasure milk supplement which I thought was good and easy to use - daughter did like taste.
However, it was so hard getting calories into her and I was so stressed out, we were referred to paediatrician at the hospital.
Anyway, to my HUGE relief, he said that she was just genetically built to be very thin and tall and that she was also a breastfed baby and the charts being used to measure her were from the 1960s (formula fed babies)!. He showed me the 2nd centile on the growth chart and said I should only contact him if she fell below this and otherwise to carry on offering a full range of healthy high calorie foods little and often.
This is what I did. She eats tiny, regular meals, grazing all day sometimes. She is tall and very thin and that is how she is built I believe. It is hard as I have no idea what her donors were like for info.!
It sounds like you are doing very well on offering the snacks as well as other suggestions from posters. It is extremely worrying though and I would just monitor her weight in conjuntion with health professionals.
I would investigate via GP Pediasure and ask your GP for a referral to a paediatric dietician (who can also prescribe supplements if necessary).
Thanks for sharing your experience with a wee wee one. But what the difference is for us is that my DD did not start out tiny. She started off at 6lb, so small but not tiny. Her sister started off tiny and tracked up tiny so was consistent . DD2 has crossed an awful lot of percentile lines over the past 8 months. Hence the concern. She had quite noticeably loose skin on her tummy and thighs....
We saw a hospital paediatrcian last week and have a referral to a hospital dietitian so I'm confident we are well hooked into to professional services. I am a health professional myself which may possibly be making the situation more nerve wracking than it might be for someone else, plus my older DD almost died in a matter of hours at five weeks of age due to an undiagnosed heart defect... So all this weight worry is set firmly against the backdrop of my experience of that .
I agree with you about carnation not being suitable but two lots of medical advice have said complan is ok for children over a year as a supplement to a good diet, but not as a meal replacement. Why do you think it's not ok? I hope to be prescribed something else but was using complan while we wait for our appointment.
Thanks very much for the book reco's and for chiming in; I always enjoy your posts...
there is something that they give my elderly mother in the nursing home when she needs to put on weight....I cannot believe I can't think of the name -- it's not complan. I will try to find out. It works VERY well even with her sensitive system and seems to have the added benefit of increasing her appetite so she gets back on a regular diet.