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Childhood-diseases

Question
Posted by: Nadia | 2007/07/09

Q.

Paed pls advise re 5 yr old weight

Dear Paed

My son is 5 (6 in October) and according to me has a weight problem. He weighs 16kg and measures about 1.2 long. When he was a baby he gained very well till about 5-8 months the clinic sister always noted that his weight is a concern and that I should feed him this and that to get his weight going. He eats ok but then there are days when hell just peck on his meals.
Ive taken him to two paeds and theyve both done all the obvious test from TB to Faeces and Urine to Alllergies. But nothing... everything shows clear and that he is fine. Now i took him to his GP last Wednesday and mentioned to her bout his weight and she did the weight and height vs age check and confirmed that he is under weight for his age. She gave me a letter for Red Cross childrens hospital. I want another opinion and do not want to take him to a private paed again I want to try a state hospital.

I only give him sweeties Fridays and 1-3 items over Sat and Sun.
I de-worm every 6 months (just completed a course on Sunday)
His 3 yr old brother weighs more than him so malnutrition is not the issue.

My question is:
He has very large tonsils - could this be a botheration when he eats
When my Mother in law looked after him between ages 3month and 3 years she fed him LOTS of egg - Protein could this have caused this?
WHat could the cause be if its not TB any other illness.

YOur advice will really be appreciated.

Thanks in advance




Expert's Reply

A.

Paediatrician

His weight at 5 years should be 19 kg, so he certainly is underweight. One of the most commonly missed causes of failure to gain weight is a condition known as Coeliac disease where there is an intolerance to wheat and other cereals. Please ask the doctor at the Children's Hospital about this.

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