#asktheexpert hello dr. my daughter is 3.5 yrs old..her weight is constant since last 01 year.. not gaining a little bit...also when she woke up, daily she sneezing and running nose too... please suggest

A. For a 3.5-year-old whose weight has remained constant for a year and who experiences daily sneezing and a runny nose upon waking, here are some steps and considerations: ### **1. **Addressing Weight Concerns:** - **Review Diet:** Ensure her diet is balanced and includes a variety of nutrients. Focus on providing: - **Proteins:** Meat, fish, eggs, beans, and dairy. - **Fruits and Vegetables:** A variety of colors and types. - **Whole Grains:** Whole wheat bread, brown rice, oats. - **Healthy Fats:** Nuts, seeds, avocados. - **Appetite Stimulators:** Encourage meals and snacks that are visually appealing and enjoyable. Offer small, frequent meals if she has a small appetite. - **Check for Growth Issues:** If she’s consistently not gaining weight, it’s worth checking if there are any underlying issues. Consult a pediatrician for a growth assessment and to rule out any medical conditions. ### **2. **Managing Sneezing and Runny Nose:** - **Allergy Consideration:** Daily sneezing and a runny nose could indicate allergies. Common allergens include dust, pollen, pet dander, and mold. Consider: - **Environmental Changes:** Use air purifiers and ensure her room is dust-free. - **Check for Allergens:** Observe if certain foods or environmental changes worsen symptoms. - **Nasal Hygiene:** Use saline nasal drops to help clear nasal congestion and mucus. Ensure she’s drinking plenty of fluids to stay hydrated. - **Avoid Irritants:** Reduce exposure to smoke and other irritants that might trigger nasal symptoms. - **Consult a Pediatrician:** If symptoms persist, a pediatrician might suggest allergy testing or other interventions. They may also evaluate if there’s a chronic sinus issue or other underlying cause. ### **3. **General Recommendations:** - **Monitor Symptoms:** Keep a diary of her diet, symptoms, and any patterns that might help identify triggers or issues. - **Regular Check-ups:** Ensure she has regular pediatric check-ups to monitor her growth and address any concerns with her health. If her weight stagnation or persistent nasal symptoms continue despite these measures, a thorough evaluation by a healthcare provider is essential to address any underlying health issues effectively.