Pediatrics Archives

Excessive weight gain-need help!

[ Pediatrics Archive ]
[ Main Archives Page ] [ Glossary/Index ]
[ FAQ ] [ Recommended Books ] [ Bulletin Board ]
   Search this site!
 
        

Excessive weight gain-need help!

Posted by
Renee [932.9507] on March 17, 2011 at 10:34:04:

Hi,

Can SOMEONE please help me understand the mechanism
by which my daughter (2yrs old), who probably has leaky
gut, probably dysbiosis, maybe parasites?, can
continue to gain weight at such a RAPID pace? She is
gaining a pound every 2 weeks or so, and is becoming
QUITE heavy. I am exceedingly careful about her diet-
she eats whole foods only, no dairy, no gluten (we
thought that was the issue), and her diet is NOT heavy
in carbs.
Yet, my friends' kids that WAY more (junk, sugar,
etc.), continue to stay at the same weight for months
at a time, and never look heavy. Yet my daughter's
stomach is SO large, and her thighs so roly poly that
it is like it is difficult for her to move sometimes.
She seems to have a disproportionately large amount of
body fat, and not much muscle, but none of this
explains anything to me.

I have been to doctors, am going to another one in a
few weeks that will test her again for parasites, but
in the meantime, I have been doing massive amounts of
research and can't find ANYTHING like this.
Parasites, malabsorption, malnutrition, ALL lead to
weight LOSS, and I can find NO explanation for the fact
that my daughter continues to GAIN weight at such a
rapid rate on such a modest amount of food.

Her stomach is SO distended after drinking water-can
this ALL be from weak stomach muscles? Can weak
stomach muscles cause her stomach to bulge like this?

She had a little cold for a few days, and ate even
less than usual for about 3 days (almost completely
skipped dinner 2 nights), but has still gained 1/2
pound this week alone, and her stomach is much larger
every morning.

I'm so confused, and I hope someone can shed some
light on why this could possibly be happening. It is
sad to see such a beautiful little girl struggling with
her balance after eating a normal sized meal because
her stomach has bulged out so much. And people's
comments don't help. She looks like a child that I let
eat junk in front of the TV all day, yet she eats
probably less than most kids her age.

Even if she HAS leaky gut, why would she be gaining
weight like this? The last doctor I saw said her
weight to height ratio is almost into the "obese"
category. And that was almost 3 pounds ago, and she
hasn't grown more than 1/2" since then.

Renee


Renee


Follow Ups:



Re: Excessive weight gain-need help!

Posted by craig [8177.9466] on March 17, 2011 at 12:03:33:

In Reply to: Excessive weight gain-need help! posted by Renee [932.9507] on March 17, 2011 at 10:34:04:

Hi Renee, maybe the pediatrician you mentioned will have some thoughts. If she were older some would say that having an endocrinolgy exam would be in order. At her young age though I'm not sure if that is called for. I think Dr. Stoll will opine better than me on that one.


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help!

Posted by Renee [932.7783] on March 17, 2011 at 12:07:18:

In Reply to: Re: Excessive weight gain-need help! posted by craig [8177.9466] on March 17, 2011 at 12:03:33:

Craig,

Yes, I think the new doctor might order an endocrine eval. My daughter has fallen from the 50th percentile in height to the 5th or so. This, coupled with the rapid weight gain is troubling, but everyone says "she will just be short and fat". That is unacceptable to me. It is not a healthy way to live, and I don't feel it is fair to limit her food so that she doesn't become seriously obese.

Renee


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help!

Posted by b [2694.8205] on March 17, 2011 at 12:18:23:

In Reply to: Excessive weight gain-need help! posted by Renee [932.9507] on March 17, 2011 at 10:34:04:

how is her elimination? Perhaps she's storing a lot of water or fecal matter. You might use a potty or camp toilet so you can weigh all that comes out and compare it to the weight of all that goes in.

www.herbdoc.com has a good herbal liquid bowel mover for kids. It's called intestinal formula #3

Is she off all dairy and gluten?

You might look into anti-parasitic teas/oils. I think wormwood and black walnut are two, but you should research that further to determine the best to use for a child.


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by Walt Stoll [93.9196] on March 17, 2011 at 13:17:07:

In Reply to: Excessive weight gain-need help! posted by Renee [932.9507] on March 17, 2011 at 10:34:04:

Renee,

The first thing I would do is have you strictly record every calorie of food she eats for a week along with the ounces of food she eats of every kind.

It seems to me that the problem can be divided into 2 possibilities: #1. Abnormal unilization of what she eats (hormonal, etc.) or #2. Hidden calories in her intake.

Please post this information on the BB and I may be able to point you in a more fruitful direction.

Walt


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by Walt Stoll [93.9196] on March 17, 2011 at 13:17:17:

In Reply to: Excessive weight gain-need help! posted by Renee [932.9507] on March 17, 2011 at 10:34:04:

Renee,

The first thing I would do is have you strictly record every calorie of food she eats for a week along with the ounces of food she eats of every kind.

It seems to me that the problem can be divided into 2 possibilities: #1. Abnormal unilization of what she eats (hormonal, etc.) or #2. Hidden calories in her intake.

Please post this information on the BB and I may be able to point you in a more fruitful direction.

Walt


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by Renee [932.7783] on March 17, 2011 at 14:01:10:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Walt Stoll [93.9196] on March 17, 2011 at 13:17:07:

Here goes: ( I have been keeping a detailed food diary for months at the suggestion of a nutritionist friend)

Day #1: Breakfast: 2 gluten free rice cakes spread with goat cheese/1/2 avocado/ approx. 4 strawberries cut/3 oz. almond milk with 2tsp. protein powder
Snack: approx. 1/4cup. sunflower seeds and slivered almonds (combined)
Lunch: Rice Cake spread with raw almond butter/1/2 cup blueberries
Snack: approx. 1 cup Rice Chex cereal and 3 oz. almond milk with 2 tsp. protein powder
Dinner: 3 scrambled eggs (small)/slice g.f. toast (dry) handful of blueberries

extremely "agitated" today, and VERY irritable in afternoon-but quite content and a little more energy in the morning.

Day# 2:

Breakfast: g.f. rice cakes with goat cheese/granny smith apple (small)/3 ox. almond milk with 2 t. protein powder
Snack: 3/4 cup gluten free "Cheerios"
Lunch: rice cake with almond butter/strawberries/approx. 1/2 cup garbanzo beans
Snack: 3 oz. almond milk with 2 tsp. protein powder
Dinner: Didn't like the chicken I made so she ate some green peas/4 or 5 small chunks of roasted potatoes and 3 olives.

Seems to actually have energy today, but stomach still very bloated

Day# 3:

Breakfast: 2 gluten free rice cakes with goat cheese/approx. 10 grapes/ 3 oz. almond milk with 2 tsp. protein powder
Snack: 3/4 cup Rice Chex
Lunch: rice cake with almond butter/approx. 1/4 cup garbanzo beans and small amount of sunflower seeds
Snack: 3/4 cup G.F. Cheerios/3 oz. almond milk
Dinner: Homemade chicken soup with approx. 1/4 cup gluten free pasta and carrots. Didn't eat any of the chicken, but had broth with the pasta.

Day #4

Breakfast: 2 eggs/1 slice G.F. toast, egg cooked in tiny bit of coconut oil/3 oz. almond milk/approx. 1/4 cup blueberries
Snack: Skipped-busy outside
Lunch: rice cake with almond butter/green peas
Snack: 3 oz. almond milk with 2 tsp. protein powder/tiny bit of sunflower seeds
Dinner: She had very small appetite today (cold?) ate 5 olives after dinner asked for apple, so she had small green apple and some more sunflower seeds.

She was very bloated today. No bowel movement.

Day #5:

Woke up very bloated

Breakfast: 2 g.f. rice cakes with goat cheese/1/2 granny smith apple/handful blueberries/3 oz. almond milk with 2 tsp. protein powder
Lunch: Rice cake with almond butter/red bell pepper slices/ few blueberries
Snack: 3 oz.almond milk with 2 tsp. protein powder/1/2 cup rice chex
Dinner: Didn't like the chicken (again), ate about 5 black olives/about 8 round slices of roasted sweet potatoes/approx. 1/8 cup sunflower seeds

Belly very distended by bedtime.

Day #6

Breakfast: 2 oz.almond milk with 2 tsp. protein powder/2 thin g.f. rice cakes with goat cheese/1/2 green apple (med)
Lunch: 1 slice g.f. bread with almond butter (1/2 sandwich)/1/2 cup garbanzo beans
Snack: Plain rice cake (we were in car)/2 oz. almond milk with 2 tsp. protein powder
Dinner: Homemade chili (ground beef/tomatoes/kidney beans) ate approx. 1 cup? Had approx. 1/4 cup green peas

Very loose bowel movement today and very bloated by after dinner.

Day # 7:

Breakfast: 1 rice cake with goat cheese/2 oz. almond milk with 2 tsp. protein powder/1/2 cup garbanzo beans/
Snack: 1/2 granny smith apple
Lunch: Wild Rice Rice cake with almond butter/1/8 cup sunflower seeds
Snack: 2 oz. almond milk with 2 tsp. protein powder/3/4 cup g.f. "Cheerios"
Dinner: Homemade meatloaf (ground beef/egg/g.f. bread crumbs) and about 1/2 cup boiled potatoes)

Very loose bowel movement-extremely bloated by end of day.

Here are the calories for some of the items I give her:

Rice cakes at breakfast: 2 cakes =36 cal./8 carbs
Rice cakes at lunch: 1 cake = 40 cal/8 carbs\
Protein Powder: 6 tsp =90 cal and 15 carbs
almond milk = 1 cup = 60 cal and 8 carbs
Almond butter: 2T = 180 cal./7 carbs
I probably give her about 2 T at lunch
Goat cheese: 2T= 50 cal/1 carb
I probably give her about 2T at breakfast

By some people's standards, I feel like I don't feed her that much. I give her a lot of high (good) fat foods, because I was hoping it would satisfy her longer, but nothing seems to help her appetite or her weight gain. I just don't understand how she can still be hungry if she is eating enough to gain weight, nor do I understand how she is still gaining weight at this rate.

Thanks, Dr. Stoll

Renee




Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by Renee [932.7783] on March 17, 2011 at 15:26:02:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Renee [932.7783] on March 17, 2011 at 14:01:10:

Hello,
I wanted to add that I have tried adjusting her diet so many times (more fat, less fat, more carbs, less carbs, more protein, etc.). I have had no success with anything. Her weight curve has continued a steady increase, from the 50th when she came home to now the 95th percentile. At the same time, her height percentile dropped from 50th to 5th.
She is ALWAYS still hungry at the end of meals, and in between meals, etc. I really would LOVE to feed her more, so I hope that I am not going to hear that I have to cut back. It is really difficult as it is to have a toddler that always feels hungry (yes, I really feel she is truly hungry) even after a good meal.

I am between a rock and a hard place, apparently.


Any insight is greatly appreciated.

Do you think this could be her thyroid even though her values were in the normal range? Her free T4 was just at the limit of normal, and she has so many other signs of low thyroid function (large head size, umbilical hernia, fatigue, etc.)

Thanks,

Renee


Go to First Post in this Thread

Follow Ups:



copper info

Posted by b [2694.8205] on March 17, 2011 at 15:58:19:

In Reply to: Excessive weight gain-need help! posted by Renee [932.9507] on March 17, 2011 at 10:34:04:

I was just reading this article and there was stuff about how copper affects parasites and other issues, so thought of you



Go to First Post in this Thread

Follow Ups:



Renee please read...

Posted by Helena [11599.1544] on March 17, 2011 at 16:06:17:

In Reply to: Excessive weight gain-need help! posted by Renee [932.9507] on March 17, 2011 at 10:34:04:

Renee please check the conditon called kwashiorkor to do with protein utilisation and found in Africa, it was what I was trying to remember, and having found it I was in two minds as to whether or not to post it. Some of the things fit your descripiton of your daughter but others don't, hence I asked some questions last week which you didn't see and sorry I can't find the thread as am in a hurry at the moment.

If your daughter had been born with this she wouldn't still have it as she's now getting proper nutrition but I wonder if her birth mother may have been very young and had it and your daughter is now having a problem due to that. If so the apparent weight gain would be oedema.

I found some links last week but this is the one I read and it struck me most. The doctor you're seeing in a couple of weeks will be able to know all the possibilities and sort this out if it's what is wrong, so hang on in there! If you want more links let me know and I'll find the ones I read last week.



Go to First Post in this Thread

Follow Ups:



Fourth paragraph... nmi

Posted by Helena [11599.1544] on March 17, 2011 at 16:07:45:

In Reply to: Renee please read... posted by Helena [11599.1544] on March 17, 2011 at 16:06:17:

NMI


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by Walt Stoll [93.9196] on March 17, 2011 at 16:24:57:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Renee [932.7783] on March 17, 2011 at 14:01:10:

Thanks, Renee, & congratulations for keeping such a good record of intake.

Now, I need her exact age, height and weight. I also need the caloric values of the rest of her intake substances (the ones you did not include).

Progress (at least from MY end).

Walt


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by Renee [932.7783] on March 17, 2011 at 17:13:52:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Walt Stoll [93.9196] on March 17, 2011 at 16:24:57:

Hi,

She is exactly 26 mo. (with a few days) and she is 28 pounds and 32 inches tall.

Not sure what else you want me to include other than these:

G.F. bread: 60 cal/11 carbs
"Cheerios": 2/3 C (probably a serving size for her is 110 cal/25 carbs
Rice Chex: 1 cup (her serving size approx) 100 cal and 23 carbs
Sunflower seeds/almonds (relatively same) 1/4 cup = 130 cal/5 carbs

I'm not sure if you need me to look up things like chicken/potatoes/fruits/vegetables?

Let me know, and thanks again,


Renee


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by renee [932.7783] on March 17, 2011 at 17:17:48:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Walt Stoll [93.9196] on March 17, 2011 at 16:24:57:

I forgot to mention that her only other fluid is water. Thanks,

Renee


Go to First Post in this Thread

Follow Ups:



Re: Renee please read...

Posted by Renee [932.9509] on March 17, 2011 at 19:15:26:

In Reply to: Renee please read... posted by Helena [11599.1544] on March 17, 2011 at 16:06:17:

Hi Helena,

Thank you for sending that to me. I have done some
research in this area, and I concluded that she might
actually have a very mild case of this, but the weight
gain doesn't fit at all! So I am still confused,
although Dr. Stoll might have an opinion. She fits the
profile exactly-except for the weight gain. But I
wonder what the effect would be if her mother were
severely malnourished? (A good possibility, since she
was given up for adoption in a rural area of a third
world country).
I wonder if there could be trace deficiencies with
Kwashiorkor that are lingering? I also wonder if she
had this when she arrived at the orphanage, although
her intake medical exam never mentioned anything like
this. She was not quite 7 pounds at 4 weeks old (an
age estimate when she arrived), and I was told that she
was extremely irritable, hungry, lethargic, and had a
slightly distended abdomen.

Thank you again-I'm going to re-read the whole
article again, and hopefully find something useful.

Lately I feel like a detective trying to solve a
crime while being vastly under-educated about how to
solve them!!! And finding a professional to help me
has not proved useful at all-other than Dr. Stoll, of
course!

Thanks,

Renee


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by AT [11797.9200] on March 17, 2011 at 21:00:04:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Renee [932.7783] on March 17, 2011 at 17:13:52:

Actually, Renee, this chart doesn't it make her weight look that bad. Maybe you would like to put her head measurement in this tool and see what the % is.



Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by Walt Stoll [93.9196] on March 18, 2011 at 07:17:01:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Renee [932.7783] on March 17, 2011 at 17:13:52:

Thanks, Renee.

When I was still in practice I had all those charts on the wall but now..... Yes, it would help to have the values for the chicken, potatos and fruit. Also, listen to AT.

Walt


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by renee [932.9509] on March 18, 2011 at 10:32:32:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Walt Stoll [93.9196] on March 18, 2011 at 07:17:01:

Dr. Stoll,

I have tried my best to estimate the following
calorie counts:

Day #1 1/2 avocado: 100 cal/4 strawberries-25 cal/1/2
cup blueberries-40 cal/eggs-200 cal total/blueberries-
10 cal.

Day #2: apple: 75 cal/1/2 c. garbanzos-60 cal/1/4
c. green peas-50 cal/roasted potatoes-50 cal/3 olives-
25 cal.

Day #3: 10 grapes: 40 cal/1/4 C. garbanzos-30
cal/1/4 c. pasta-125 cal/carrots-40 cal

Day#4: 1/4 c. blueberries-20 cal/green peas-50 cal/5
olives-30 cal/green apple-75 cal

Day #5: 1/2 apple-50 cal/blueberries-10cal/red bell
pepper-20 cal/5 olives-30 cal/sweet potatoes-50 cal.

Day #6: 1/2 apple-50 cal/1/2 C. garbanzos-60
cal/Chili (approx. 200 cal.)/green peas-50 cal

Day #7: 1/2 C garbanzos-60 cal/1/2 gr. apple-75
cal/meatloaf-approx. 175 cal/1/2 c. boiled potatoes-50
cal.

I hope this helps. I didn't total everything for the
days, but I can if you want me to.

When I look at her weight on a "chart", it doesn't
look off for a 2 year old, except for the fact that the
height and weight percentiles are SOOOO off. If she was
average height, she wouldn't be considered overweight.
But at 28 lbs., she is in the 58th percentile for
weight and at 32" she is in the 3rd percentile for
height. It puts her BMI at 19.2%, which is at the 96th
percentile, which is considered obese by current
standards. (This was explained by the doctor at CHOP)

I'm just concerned mostly that she continues to gain
weight, even while not eating ANY junk or overeating at
all, and that she is obviously not burning anything
off. She has NO energy.

I have been told by some doctors that I'm not feeding
her enough, and another doctor told me I'm feeding her
too much.

She is ALWAYS hungry for more, but how can I continue
to feed her more if she is going to become obese? If
she were burning it off, it wouldn't be a question of
feeding her more, or as much as she wanted.

Thanks,

Renee


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by AT [11797.9200] on March 18, 2011 at 11:51:35:

In Reply to: Re: Excessive weight gain-need help! My take. posted by renee [932.9509] on March 18, 2011 at 10:32:32:

"I'm just concerned mostly that she continues to gain
weight, even while not eating ANY junk or overeating at all"
Well, logically, shouldn't you be more concerned with her growth than her weight? She is not overweight for her age. Find out why she is not growing.


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take. ARCHIVE in peds.

Posted by Walt Stoll [93.9196] on March 18, 2011 at 13:03:44:

In Reply to: Re: Excessive weight gain-need help! My take. posted by renee [932.9509] on March 18, 2011 at 10:32:32:

Thanks, Renee.

This is a big help.

Listen to AT.

First of all one has to understand that children at this age are not just little adults. They are a LOT more like dogs. For example Labradors will eat anything you put in front of them and beg for more. Most will eat until they vomit. They just do not know when to quit so their owners have to provide that control for them. Whereas, Whippets are very finikey eaters and will immediately stop eating when they have had enough even if it is nothing-- & may go for days without eating anything and be perfectly healthy.

Different babies have different appestats (brain based). SO, you have to have the "doc on the spot" specifically determine the appropriate total daily calorie intake for proper growth and then you have to stick to that amount NO MATTER HOW MUCH THE KID ACTS LIKE SHE IS HUNGRY. In a year or so, she will break her habit of equating food with attention and choose another way to vie for your attention.

You have already done what is usually the hardest thing to teach parents to do: ONLY OFFER WHOLESOME FOODS TO CHILDREN.

Your next job will be to be sure there are no foodstuffs (or even non-foodstuffs) where she can reach them because she will soon be big enough to get them for herself.

This will be a trial for you but just remember that each kid is an individual and will have to be managed differently. It is YOUR trial that you seem to have 2 kids that are close together in age and far apart in appetite control.

Hope this helps. If you have any doubts, take this to your pediatrician and get this approach OKed by him.

Let us know about your success.

Walt


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take. ARCHIVE in peds.

Posted by Renee [932.7783] on March 18, 2011 at 13:33:41:

In Reply to: Re: Excessive weight gain-need help! My take. ARCHIVE in peds. posted by Walt Stoll [93.9196] on March 18, 2011 at 13:03:44:

I understand Dr. Stoll. But do you have an opinion about whether the amount I'm feeding her is enough or excessive, or why it would be enough to make her gain weight, but not grow in height? Or wheteher there might be an underlying medical condition?

Of course, adoption and the orphanage experience of having to wait to be fed on someone else's timetable (often while watching another baby getting the bottle YOU wanted) only complicates things.

But I feel like if I absolutely KNEW that I was feeding her enough that it would make my job easier.

And if there was ANY possible explanation for the fact that she eats less than many kids I know (calorie wise), but gains weight faster, while STILL not getting any taller for MANY months.

Thanks,

Renee


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take. ARCHIVE in peds.

Posted by Walt Stoll [93.9196] on March 18, 2011 at 15:34:00:

In Reply to: Re: Excessive weight gain-need help! My take. ARCHIVE in peds. posted by Renee [932.7783] on March 18, 2011 at 13:33:41:

Renee,

All children grow at different rates. You cannot judge one child by any other in your experience. That is not fair to you or to the child. I do not think what you have sent is far enough out of line to not be within "normal" parameters.

Of course, the one parameter I do not have the privilege of, that would make this picture complete, is the physical examination that is the privilege of the pediatrician "doc on the spot". Without that I am still just giving this my best guess. That is why I say that doc must be the one to take all this in consideration in order to finally answer your questions.

IMO, now it is your job to be sure that "doc on the spot" has all the information that you have put here on the BB so he can put it all together. IF he feels, with all the information at hand, that the child is not within the normal limits, and recommends a total endocrinolgical workup, at least then it might be worth putting the child through all that.

Hope this helps.

Walt


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by b [2694.8205] on March 18, 2011 at 17:26:03:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Renee [932.7783] on March 17, 2011 at 14:01:10:

there is disagreement as to whether oats are gluten free. If Cheerios is an oat cereal, you might want to avoid it, to be on the safe side.


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by Renee [932.7783] on March 18, 2011 at 18:12:56:

In Reply to: Re: Excessive weight gain-need help! My take. posted by b [2694.8205] on March 18, 2011 at 17:26:03:

I did stop all oats, the ones I'm giving her are a gluten free "Cheerios" type of cereal! But wouldn't I see a difference within a month of going gluten free?


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by AD [169.9472] on March 18, 2011 at 19:04:49:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Renee [932.7783] on March 17, 2011 at 14:01:10:

Maybe it's me, but this seems like an awful lot of food for a toddler. THREE eggs (small) for dinner? Of course, I'm comparing her to the two-year-olds I've been in contact with and they are very picky and eat very little. I've worried about how little they eat.

And what's with this protein powder? I'm VERY suspicious of that and would consider discontinuing it, especially as it's 90 calories each dose you give her. Is there some reason you're using that? That stuff is full of who knows what. Most 2-year-olds eat very little protein, don't want it; although I'd give it to them if they wanted it.

And all those rice cakes? I'm also suspicious of those. First of all, they are NOT filling AT ALL. And again, it's terribly processed and who knows what all is in it. I don't always believe what they say on the label as there are often things missing.

A delicious thing I fed my 2-year-old that he loved was sweet potato sprinkled with cinnamon. I noted she got some sweet potato at one point.

A CUP of chili for dinner? That is a lot of chili. And yes, I remember, she's always hungry. (This must be so tough for you.)

I know you're on a strict diet with her. Did you at one time feed her a more conventional diet? If so, how did she do with that? Was there a huge difference?

There are a lot of things she could eat as much of as she wants. Have you let her just gorge on big bowls of cut up carrots, apples, grapes, celery, stuff like that?

Her diet seems pretty boring with lots of the same type things. Have you tried giving her peanut butter? Tuna/fish? Bacon? Mac & Cheese, spaghetti (can you get that gluten free?)? Corn tortillas with melted cheese (quesadillas)? What about making her a treat, such as a custard (I don't know how you'd make that without milk but there's probably a way)?

I know you may have answered all these questions before, and if this isn't helpful just ignore. I'm just throwing out my thoughts and observations. In any event, please know that you are in my hero book.




Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by AT [11797.9200] on March 18, 2011 at 19:38:59:

In Reply to: Re: Excessive weight gain-need help! My take. posted by AD [169.9472] on March 18, 2011 at 19:04:49:

I forgot about carrot chips or sweet potato chips. Slice thin, sprinkle with a little oil and bake in a hot oven til brown. They keep.


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take. ARCHIVE in peds.

Posted by Renee [932.9509] on March 20, 2011 at 08:51:45:

In Reply to: Re: Excessive weight gain-need help! My take. ARCHIVE in peds. posted by Walt Stoll [93.9196] on March 18, 2011 at 15:34:00:

Hi Dr. Stoll,

Thanks for your evaluation of the info. I sent you
regarding my daughter. I guess I am going to try going
to another doctor, since every one I've seen so far has
pronounced her healthy but overweight, and one going so
far as saying her BMI percentile puts her in the
"obese" category.

I hope I find some success soon because I just don't
want to restrict her food to any less, as she continues
to gain weight very rapidly, while NOT overeating, and
NOT growing any taller. Apparently this is a mystery
that no one has any explanation for.

Renee


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take. ARCHIVE in peds. AGAIN.

Posted by Walt Stoll [93.9196] on March 20, 2011 at 10:58:55:

In Reply to: Re: Excessive weight gain-need help! My take. ARCHIVE in peds. posted by Renee [932.9509] on March 20, 2011 at 08:51:45:

Renee,

I wish you would re-read, carefully, my last post to you. I believe that IS the explanation and unless the "doc on the spot" is willing to have EXTENSIVE endocrinological testing done--based upon his physical exam--coupled with what you have presented here ----which, ultimately, I believe will just leave you with my explanation, at least you will have something to do to not have her end up with a lifelong obesity problem.

If you still do not understand what I am suggesting you do, post again. In short: I believe she is acting hungry because it gets attention from you and it has nothing to DO with actual appetite. Kids this age more frequently will "hold their breath until they turn blue" to force attention on themeslves. If I am correct, this is just a more subtle way to do the same thing. I think she is actually getting too much to eat by pretending constant hunger. If, the only way to prove that to you is to do several thousand $ in testing, so be it. Just remember that the testing is for YOU and not for the child's benefit. It IS the child, however, that will have to go through it.

I hope that I can be proven wrong because, then, YOUR problem would be a LOT easier to cope with.

Hope this helps.

Walt


Go to First Post in this Thread

Follow Ups:



Re: Excessive weight gain-need help! My take.

Posted by craig [4445.9466] on March 20, 2011 at 11:33:24:

In Reply to: Re: Excessive weight gain-need help! My take. posted by Renee [932.7783] on March 17, 2011 at 15:26:02:

Renee, we all sense how stressed you are over this and rightly so. It's more than apparent what a good mother you are. Try to understand that some of these medical mystery's are beyond us "laymen" . I look forward to an uplifting post from you once you meet with the new physician. HHold the fort and know you are doing everything and more for your child. Things WILL get better!


Go to First Post in this Thread

Follow Ups:



[ Pediatrics Archive ]
[ Main Archives Page ] [ Glossary/Index ]
[ FAQ ] [ Recommended Books ] [ Bulletin Board ]
   Search this site!