Category Archives: child nutrition

Anemia: more common in children than we think.

anemia-child_mayaclinic.in

Anemia is very commonly seen in young children who are mainly on milk based diet (As milk is poor source of iron). Breast milk has small quantity of iron but it is readily absorbed in body; so for first 6 months of life iron deficiency is not prominent. But after 6 months, when top milk is started, it can lead to anemia if proper iron supplementation or appropriate weaning food is not given.

That is the very reason you will see all the infant formula feeds and cereals fortified with iron these days. As iron is needed to make Hemoglobin; which is oxygen carrying component of red blood cells (RBCs).

 What is the right Quantity of Iron needed by my Kid?

  • From birth till 6 months: Adequate iron is there in mother’s breast milk. No need for supplementation unless baby is preterm or suffering from any illness.
  • 7 -12 months: 11mg per day. It can be given by using infant formula feeds or cereals fortified with Iron or using iron supplement drops.
  • Toddlers: 7 mg/day; Kids aged 4-8 years need around 10 mg per day. Older kids between 9- 13 years need around 8 mg/day.
  • Adolescent boys need 11 mg /day and girls 15 mg/day of iron. Girls need more during their adolescence as more blood is lost during menstruation.
  • Special need in athletes and children involving extreme physical activities need even more iron.

How deficiency develops?

  • Infants and young children mainly on cow’s milk develop iron deficiency as cow’s milk is low in iron and it also makes child less hungry and there is a less likelihood of child eating iron rich foods.
  • Cow’s milk also decreases absorption of iron and can irritate lining of intestine causing minor intestinal bleeding and gradual loss of Iron in stool.
  • Worm infestation
  • Iron requirement is more than normal in certain conditions like preterm babies, menstruating adolescent girls, children involved in extreme physical activities.

Anemia-in-children-mayaclinic.in

What are Effects of iron Deficiency?

  • Irritability
  • Poor appetite
  • Poor growth and development
  • Behavioral problems
  • Fatigue and weakness
  • Pale skin and mucous membranes
  • Rapid heartbeat or a new heart murmur (detected in an exam by a doctor)

If any of the above symptoms is there in your child, consult your child specialist / Pediatrician and discuss regarding iron deficiency and need for supplementation. Excess of iron is also bad, so it should be taken in appropriate doses only after consulting your child doctor.

Common source of Iron in Diet

Both animal and plant source foods are available which are rich in Iron

  • Red meat
  • Dark poultry
  • Tuna
  • Salmon
  • Eggs
  • Tofu
  • Enriched grains
  • Dried beans and peas
  • Dried fruits
  • Leafy green vegetables
  • Blackstrap molasses
  • Iron-fortified breakfast cereals

How to avoid Iron Deficiency in your child

  • Limit the intake of milk: 500 to 700 ml a day after 1 year of life and focus on staple diet.
  • Continue serving iron-fortified cereal until kids are 18-24 months old.
  • Avoid giving iron supplements with milk as leads to poor absorption.
  • Serve iron-rich foods alongside foods containing vitamin C — such as tomatoes, broccoli, oranges, and strawberries — which improves the body’s absorption of iron.
  • Avoid serving coffee or tea at mealtime — both contain tannins that reduce iron absorption.

Once Iron is started in Iron deficient child; within 2 -3 days you will see significant improvement in diet.

Regards

Dr Rahul Varma

Worried About Your Child’s Obesity? Watch the Kilos Melt Away With This Action Plan!

childhood_obesity_mayaclinic.in

Childhood Obesity is on the rise! As a parent, it is not easy to accept the fact that your child might be obese or even overweight. The body mass index (BMI) uses height and weight to calculate whether a child falls into underweight, average, overweight or obese categories. Even if your child is a little overweight, it is easier to shed the extra pounds as compared to adults. (Moreover in young kids we just want baby to maintain that weight and do not allow the child to gain weight further and with time as the age grows child will fall in normal weight category)

Obesity, be it in children or adults, has multiple risk factors associated with it. It affects the entire body and causes our body functions to go haywire.

Most common associated risks with obesity are:

  1. Increased risk for type II diabetes due to insulin resistance;
  2. High risk for respiratory conditions such as asthma;
  3. Abnormal sleep patterns and snoring issues;
  4. Depression and low self- esteem due to the body shape and always stared upon;
  5. Risk of high blood pressure;
  6. Joint problems due to large weight

In current time, childhood obesity is spreading like an epidemic through all the cultures. The action plan to get rid of this menace includes:

1. Get rid of calorie-rich temptations

Avoid giving your child extra calories such as chocolates and fried chips for snacks. Instead try fresh fruits or vegetables with dips for snacking.

2. Decrease extra sugar

Try not to put extra sugar in milk or any other food that you might serve to your child.

3. Regular scheduled meals and adequate portion size

Having small meals and snacks in between the meals decreases production of fat and increases metabolism. Try child-size servings instead of adult-size. Add juices, smoothies, beans, pulses, five portions of fruit and vegetables.

4. Do not eat out too often

Outside food might contain too much oil, butter, salt and sugar. Basically, nothing beats homemade food! So avoid eating out.

5. Exercise

Exercising is the best way to lose weight. Make it interesting for your kids. Play sports with them, go bike riding or on any other activity they like.

6. Decrease sedentary lifestyle

Children’s life these days has become sedentary because of increased use of electronic devices such as TV, iPads, Tablets, etc. Lifestyle surrounding these gadgets must be avoided.

7. Lead by example/ Be a role model

Be the change you want to see in your child. Behave like you want them to in front of you. This is true especially for diet and exercise. If your kids see you eating healthy food and exercise regularly, they will try to follow your footsteps.

So, kick start these above mentioned activities and watch your kids transform from being overweight to being healthy and fit.

constipation in children

Constipation is an extremely common childhood condition. One I deal with almost on a daily
basis in clinic and one that can be surprisingly hard to get control of..

Parents are often at a loss on what to do about something that is causing their child significant
discomfort, but also something they feel should be relatively easy to treat.

The trick is to always be one step ahead of constipation when it comes to your child.

Here are some surprising truths about constipation:

  • It can really hurt and be a source of significant, recurrent abdominal pain. After a
    thorough history and physcial exam (sometimes even an x-ray, depending on the
    situation), parents are shocked to find out, that, yes excess and blocked stool is the culprit
    for the tears and complaints of pain.
  • A child can be constipated in spite of reported daily bowel movements. Often, parents
    will discount constipation as a cause of their child’s stomach pains because the child will
    report having a somewhat “normal” bowel movement. However, if the stools are small,
    hard, and difficult to pass; this could be a sign that your child is not completely emptying
    his bowels. Having abnormally large and infrequent stools is another sign of constipation.
    In both instances, stools are typically hard to pass and the child may start withholding
    which will only worsen the condition.
  • On the flipside, your child may only have bowel movements every 2-3 days and not be
    constipated. The defining features are not necessarily based on frequency but more on
    symptoms such as abdominal pain, hard and difficult to pass stools, blood streaked stools,
    or a fear of going to the bathroom due to the anticipated pain.

When children are most prone to it:

  • Transitioning to solid foods and whole milk.
  • Potty training
  • School entry

Stay one step ahead with these tips:

  • Make your child’s daily meals full of fiber rich foods. Think whole fruits, whole grains,
    fiber cereals, and green/leafy vegetables.
  • Water, water, and more water. Keep a refillable water bottle on hand and encourage your
    child to drink frequently.
  • Moderate milk intake. Too much of a good thing can be bad for your child’s digestion.
    Instead of filling up on fiber rich foods, she is filling up on this. After the age of 1 year, 500 ml per day is more than enough.
  • Make a smoothie: if you have a picky eater…have her drink her fiber. Add whole fruits,
    some skim milk, yogurt, and a splash of juice.
  • Try a daily “P” juice (prune or pear) for breakfast to get things back on track.
  • A daily fiber supplement can help fill in the fiber gap.
  • Exercise. Get your kids outside (or inside) and moving for a good hour per day.

Laxatives

Sometimes, your child just needs a laxative to get back on track. Discuss this possibility with
your child’s pediatrician. Once the cycle of constipation has set in, dietary changes alone may
not turn it around. Be sure to adhere to the plan outlined with your pediatrician and continue with
the constipation fighting foods above.

Discuss with your doctor and follow instruction carefully.. Incomplete treatment can lead to poor growth.

Regards

Dr Rahul Varma

 

what to give in addition to breast milk after 6 months ?

 

Biggest queries of all mothers who has child aged more then 6 months is what food items to start with and in what quantity.

Important Principles for Weaning:

  • weaning should begin at 6 month of age
  • Introduce one food at a time
  • Energy density should exceed that of breast milk
  • Bland taste, nothing very spicy.
  • Food items should be mashed and free flowing, paste like, so that baby can swallow it easily.
  • Common food which can be started as per Indian settings are Banana, glucose biscuits dissolved in milk, soojie kheer, dalia , Khicihdi, upma etc
  • If cost is not an issue then formula milk is better than cows milk especially in less then 1 year of age as solute load is less and less chances of long term kidney problem in adulthood.
  • If opting for cows milk or mother diary milk, give undiluted full cream or toned milk only.
  • Many of us think that child might not be able to digest full cream or single toned milk ,so adds a bit of water, which is very wrong practice. eg if you have added water in 1:1 dilution of 500 ml milk  i.e. 250 ml water in 250 ml milk. You  will think that you have given 500 ml of milk to baby but actually you have given only 250 ml of milk. Rest 250 ml of water is only going to fill the stomach and will not give any calories, which will eventually  lead to poor weight gain.
  • Basically any food item that is free flowing , soft, cooked so as it is very soft (overcooked rather then under cooked), easy to swallow and calorie dense can be given under supervision with katori spoon.

Avoid bottle feeding, there is enough evidence to prove that babies who are bottle feed has increased incidence of loose motions, cough , cold, serious infection as compared to children who were katori spoon feed.

So if still choose to bottle feed your baby (which seems easier option then katori spoon), be mentally prepared that your hospital visits to your pediatrician will increase along with emergency visits to hospital.

 

Stay Healthy

Regards

Dr Rahul Varma

Breast feeding is the best gift from a mother to his/her child

” Breast feeding is the best gift from a mother to his/her child “

breast feeding is the best option which mother has in regards with fulfilling nutritional needs of their newborn babies and to ensure that baby reaches its growth potential. but sometimes its very challenging and difficult especially in first time mothers .

  • Preparation for the same should start during antenatal classes i.e. before delivery. (providing all pregnant women with information and counseling)
  • Breast feeding should be initiated as soon as possible after delivery. (within 1 hour, if medical condition of both baby and mother is stable)
  • During time spent in hospital it is advisable to keep mother and baby in same room i.e “rooming in”. Skin to skin contact can provide warmth to baby along with ample time for feeding.
  • Assessment and teaching by doctors and nursing staff, regarding correct technique and need for proper attachment for establishing breast feeding.
  • First 48 hours, babies nutritional requirements are less, so milk output is less and babies urine output is also less. Gradually over 1st week of life , babies nutritional needs increases, so correspondingly mothers milk output increases and urine output also is 8 to 10 times per day.
  • Most important thing is to have confidence in yourself that you can breast feed (as every mother breast feeds and you are no different). It takes time to develop arelationship with your baby.
  • Breast milk output increases by help of 2 hormones secreted by brain (oxytocin and prolactin). one of these hormone is secreted when child sucks on breast and other when you have positive thoughts in mind. So if are having relaxed mind free of negative thoughts and your baby is sucking well on your breast, you can rest assure that you will have adequate milk for your baby.
  • Exclusive breast feeding i.e. no other pre lacteal feeds like honey, gripe water should be practiced for 1st 6 months. Remember god has sent the baby, and digestive system is best suited to absorb breast milk and anything extra done on your part can cause more harm then benefit.
  •  If your baby is sucking well on breast, passing urine >8 to 10 times in 24 hours and gaining weight well, you can be assured that your breast milk output is adequate for needs of your baby.
  • Confidence on your part and proper guidance from your pediatrician can ensure that breast feeding is a feeling you will cherish for rest of your life. \

Stay healthy, take nutritious diet and breast feed your baby as ” breast feeding is the best gift from a mother to his/her child “

 

Healthy kids, Happy family

regards

Dr Rahul

Is breast milk sufficient for my baby or do I need to supplement it with top milk ?

? One of the common queries which I get in my well baby opd from mothers is that my baby is always hungry and I think my milk is not sufficient for baby?

Recommendations are clear that exclusive breastfeeding  should be practiced till 6 months I.e. there is enough breast milk produced by mothers to take care of nutritional needs of their baby.

Three important things: (suggesting that your baby is fine)

1. Baby sucking well on breast
2. Passing urine 8 to 10 times or more in 24 hours
3. Gaining weight adequately ( measured during every vaccination by your pediatrician)

If above 3 things are in place you can be rest assured that your milk is sufficient for nutritional needs and growth of your child.

Small babies have habit of sucking on to anything or everything they get  whether its cloths , their thumb or finger and that is the main reason why mothers are concerned. In medical terminology we call it “Mouthing”. It is part of normal development of your child and in very small babies it is a pleasurable activity or self soothing activity.

? If soon after feeding baby starts crying, does it means my baby is hungry again?
Not necessarily.

Babies have all the emotions which we have , ie they are happy, sad, frustrated,  angry, want your love and attention and varoius other emotions but they have only one way of communicating with you , and that is by “crying”.  So if your baby is crying , just hold him/her in your arms and most likely the baby will stop crying.
And remember if your baby is really hunger no matter what you do, baby will remain inconsolable untill given feed.

? Breastfeeding should be on demand. Sometime your baby might ask for feeds every hour and sometimes might sleep for 3 to 4 hours at stretch. So on an average 8 to 10 feeds in 24 hours is to be given.

? Breastfeeding should be done from both the breast at one time. That means feed from right breast for 5 to 10 minutes and shift to left breast and feed for 5 to 10 minutes and then brup the baby. Next time start from left breast and finish on right one. In doing so your baby will get maximum breast milk and output of both the breast will be similar.

So do breast feed your baby, its a god gift for your baby and one of the most amazing feeling that increases your bond with your baby. Your love and attachment to your baby will increase significantly.

More on breastfeeding in my next blog.

For any queries , you can ask your pediatrician or write to us.

Regards

Dr. Rahul Varma

“Healthy kids, Happy family”

Why salt (high sodium) is bad for your Health?

low salt 2

High salt intake leads to kidney trouble in most people. As amount of sodium increases, body needs more water to dilute it, hence leading to excess water retention. Which in turn leads to increase work load for Heart and exerts more pressure on blood  vessels leading to high blood pressure. Prolong period of similar lifestyle with excess salt leads to increase incidence of heart disease and  kidney diseases.

low salt (mayaclinic.in)

 

Incidence of various illnesses increases. These are

  • Blood Pressure
  • Stroke
  • Coronary Heart disease
  • Osteoporosis
  • Cancer of stomach
  • Kidney stones and kidney diseases
  • Water retention and increase in weight
  • Obesity
  • Vascular dermatitis
  • Indirectly by increasing BP, it can increase the incidence of  Diabetes, Meniere’s Disease,  Asthma

low salt 3

So best is to avoid Junk food (any food which we have to remove wrapper or open a packet, chances are that it will be bad for your health). Instead if we are using naturally occurring food like salads, fresh fruits , vegetables etc , it will be much better.

Discuss with your Dietician or consult your doctor for proper diet chart as per age.

Regards

Dr Rahul Varma

” Healthy People, Healthy World ”

Dehydration in kids: How to Manage / Prevent it?

Dehydration in kids (mayaclinic.in)

Dehydration is very common in present circumstances of heat wave and very high temperature in Delhi-NCR (almost touching 45 degree). Kids are more prone to dehydration, as they are always engrossed in playing and do not drink sufficient water unless we are reminding them frequently.

Children may develop vomiting or diarrhea along with dehydration; which can make things worse.

SignsOfDehydration

Sign and symptoms:

 Early feature (milder):

  • Thirsty
  • Dry tongue
  • Irritable child
  • Decreased urine output/ dark yellow colored urine
  • Fast heart rate

Dehydration

Severe features:

  • Sunken eyes
  • Excessive sleepiness/ poor activity
  • No urine for last 8-10 hours
  • Skin pinch very slow (wrinkled or doughy skin)
  • Rapid and shallow respiration
  • Weak pulse or very fast heart rate

  Manage Dehydration

How to manage?

  • Plenty of fluids
  • ORS if possible; otherwise any home made fluid which has sugar and salt both eg. nimbu pani , shikanji, juices satu etc
  • Use fan to lower the temperature
  • Elevate feet and let the child lie comfortably.
  • Give short and frequent drinks and meals
  • Urgent Medical opinion needed if Signs of severe dehydration

Dehydration in kids

Think Prevention!

  • Make sure your little angels drink plenty of fluids, especially when environmental temperature is high, child is sick or child is participating in sports activity.
  • Washing handswell and often can help prevent many of the illnesses that can lead to dehydration.
  • Encourage frequent, small amounts of fluids to avoid dehydration during illnesses.
  • A child who’s mildly dehydrated due to overexertion will probably be thirsty and should be allowed to drink as much as he or she wants. Plain water is the best option. Also, the child should rest in a cool, shaded environment until the lost fluid has been replaced. If your child is engaged in prolonged vigorous activity, sports drinks containing sugar and electrolytes (salts) are a good option.

summary dehydration kids

Regards

Dr Rahul varma

Right weaning foods for your baby

Weaning Food

weaning foods

Most babies are ready to start solids from the age of 4 to 6 months in addition to continued breastfeeding. If you are planning to wean your little one, you must probably be wondering which weaning foods are ideal to begin with.

There a lot of opinions on which is the best first food for a baby. “Starting from six months, you can feed a variety of foods to a baby. However, it is advisable to feed the baby one food at a time so that any allergies can be easily tracked,” says Dr Rahul Varma, child specialist, Maya Clinic, Delhi NCR.

Start with a single-grain cereal such as rice and then gradually introduce other foods. Babies have delicate digestive systems, hence it is important to introduce age-appropriate foods to enable complete digestion.

The right weaning foods for your baby

Before you start your baby on solids, do take weaning advice from your paediatrician to steer clear from possible allergy-causing foods, specially if your family has a history of allergies. Here is a combined weaning food chart that indicates when to safely feed common cereals, pulses, fruits and vegetables to your baby.

weaning foods

 Weaning foods for the 4 to 6-month-old

The World Health Organisation recommends exclusive breastfeeding an infant for 6 months with continued breastfeeding in combination with the right solids. Since your baby will be starting solids for the first time, it is a good idea to make the foods semi-liquid by mixing it with breastmilk or formula. Feed only 1-2 teaspoons of the food once a day to begin with.

Fruits: Puréed and mashed banana or stewed apple or pear purée are good first fruits.

Vegetables: Well-cooked green beans, sweet potato, pumpkin and bottle gourd (lauki) are nutritious first foods. Blend them with your baby’s cereal or feed them as a soup.

Cereals and pulses: Rice and sooji suit an infant’s stomach. Begin with rice kanji for a few days. You could then try making sooji halwa with cooked, mashed vegetables in some water. Moong dal is the safest legume to introduce in baby meals as it is easy to digest. “Start with moong dal in a pureed, free-flowing form. Moong dal water has no calories and will not help your baby gain healthy weight,” informs Dr Varma. Gradually, you can thicken the consistency to make moong dal soup or moong dal khichdi when combined with rice.

Dairy: Some people introduce paneer or curd made from cow’s milk at six months.Paneer and curd are rich in calcium and proteins and are already in a fermented or broken down form and are hence easily digested by the baby. “A child should be exclusively breastfed for 6 months but incase of less milk secretion, cow’s milk can be safely given at the age of six months,” says Nidhi Dhawan, HOD, department of dietetics and nutrition, Saroj Super Speciality Hospital, Delhi. Do consult your baby’s doctor before introducing any cow’s milk and milk products.

Weaning foods for the 6 to 8-month-old

Your baby will be ready to experiment with thicker purées and textured foods by the time he is eight months old.

Fruits: Pulp from ripe mangoes or chikoos can naturally sweeten a baby’s blended oatmeal. These are safe to introduce at this age.

Vegetables: Your baby can now try soups made from spinach, tomato or carrots.

Cereals and pulses: Wheat can be introduced when your little one is around eight months old. Try giving him small pieces of bread. Daliya with mashed vegetables can also be introduced. Masoor dal is light on the tummy and can be fed at this stage.

Non-veg foods and dairy: Boiled egg is a good source of protein for a baby if you wish to start non veg foods. But if there is a family history of allergies, avoid feeding egg till the baby is a year old. Steamed, minced fish such as pomfret, rawas, cod (gobro) or sole (repti) cooked with less spice, are safe to begin at 8 months. You may continue feedingpaneer or curd to your baby as per the doctor’s advice.

Continue reading to know more about introducing foods as per the baby food chart for the 8 to 12-month-old baby

weaning foods

Foods for the 8 to 10-month-old

Finger foods, coarser textures and more variety is advisable for the 8 to 10-month-old.

Fruits: Your baby can now enjoy bite-sized pieces of ripe papayas, cherries, melons and grapes.

Vegetables: Boiled, flavoured and mashed broccoli, potato and cauliflower are healthy vegetables for a 8 to 10-month old. You may even try tiny pieces of fresh cucumber. Be cautious about the baby choking on them, though.

Cereals and Pulses: Wheat, rice and oats can now be served in more complex forms.Chapatis, parathasrice kheer and mixed dal khichdi are some ideas. Your child may also enjoy well-cooked whole wheat or durum wheat pasta cooked with tomato gravy and a little cheese. Boiled and mashed kidney beans (rajma) and chickpeas (chole)  can also be introduced at this stage.

Non-veg foods and dairy: For vegetarians, soft soya granule sabzi can be tried once your baby is 9 to 10 months old.

Foods for the 10 to 12-month-old

As your baby approaches toddlerhood, he can start eating most of the foods off your plate. The foods must still be soft to chew.

Fruits: Figs, citrus fruits and coconut are some fruits your little one can safely enjoy at this stage.

Vegetables: Most soft vegetables (variety of gourds, tinda, green leafy vegetables etc) can be served.

Cereals and Pulses: Most cereals and pulses are digested by the 10-month-old.

Non-veg foods and dairy: Fish cubes and minced chicken are good sources of lean protein for children. From this stage, pure cow’s milk can also be slowly introduced as top feed.

Things to note

  • Be gradual when you introduce new foods. This will help your baby get used to varied tastes and textures.
  • Instead of ready-to-use baby food, stick to homemade food from the kitchen. “If you’re cooking dal, keep some aside for your baby before you temper it. This way, he will get used to your food sooner,” cites Dr Varma.
  • Once you begin solids, start giving your baby some boiled, cooled water. “It will not only keep the baby hydrated, but also keep constipation at bay,” informs Dhawan.
  • Experiment with finger foods once your baby can sit independently. Steamed carrot sticks, boiled potato cubes, paneer cubes etc. are some ideas.
  • If your baby expresses dislike to a particular food, don’t push him. Try the same food again the next week.
  • Each baby will have his own food preference. With trial and error, you will soon be whipping up tasty baby food the way your baby likes it.

Once you celebrate your child’s first birthday, you can confidently give most of the food that his chubby fingers point out to. But keep his diet healthy and simple to allow him to get the maximum nutrients he needs to grow.

This article was written on Indus parenting site with my inputs by Preeti Arthi.

Regards

Dr Rahul Varma

Fussy eater/Picky eater: What to do?

Almost every mother has one complaint that her baby does not eat well. What can be done?

Meal time is a stressful time for most parents nowadays. Kids just seem to resent routine home based food, and at the same time relish junk food and eating out. So in most cases fussy eating is more of a habit/ behavioral problem, rather than a medical cause.

So how do we get our fussy eaters to eat healthy ?

Here are few ideas as to how you can make meal time interesting for kids. Ask your kids to help you when you are preparing meals. Even little ones can help you with sorting vegetables, carrying small utensils etc.  Try to make food look appealing to kids. Experiment with variety, colors, size , shapes and texture.

picky eater

Meal time should be a family affair, with no distractions. Switch off the tv, and put down your phones and i-pads.  Set an example for kids by eating healthy yourself.

Offer fussy eaters a choice of foods from which they can choose. Encourage them to try new foods. Serve small portions initially and offer more later.

Discourage all-day snacking, though it may be tempting for you to keep offering your child snacks in between meals.

It is of utmost importance to have patience. Never force feed your child, it will create aversion for food. Imagine how you would feel if someone puts food forcefully in your mouth , kids hate it equally. Don’t worry much if your child misses a meal of two. Chances are that your child will eat once he/ she is hungry.

poor eater
If problem persists, Consult your child specialist. we need to rule out some nutritional deficiency as well. sometimes adding supplements like Iron can increase appetite (if the baby is anemic).

There is no magic medicine or tonic which can be given and your baby will start eating. We have to make effort, do things differently and be patient and most importantly do not be over obsessed with feeding of your child.

Read on the below link to know more.

https://www.healthychildren.org/English/healthy-living/nutrition/Pages/How-To-Please-Fussy-Eaters.aspx

 

Regards
Dr Rahul Varma / Dr Smitha Sairam