#asktheexpert my 23 months old baby boy is not eating properly and also does sleep properly. Always have a disturbed sleep. And suddenly have started eating sweet, in general he doesn’t like sweet that much. Someone suggested there might be worms in his stomach. Can I give him deworming medicine?

Question

Accepted Answer

If your 23-month-old baby boy is not eating well, experiencing disturbed sleep, and has suddenly started craving sweets, it’s understandable to be concerned. While some of these symptoms can indicate the presence of intestinal worms, they can also be caused by other factors. Here are some steps to consider:

Assessing the Situation:

1. Signs of Worm Infestation:

Symptoms of worms may include:

Changes in appetite (increased hunger or decreased appetite)

Disturbed sleep (restlessness or frequent waking)

Weight loss or failure to gain weight

Abdominal pain or discomfort

Itching around the anus

Sudden changes in behavior, such as increased irritability

2. Other Possible Causes:

In addition to worms, consider other factors that could affect appetite and sleep, such as:

Stress or anxiety

Illness or infection

Dietary changes

Teething or discomfort

Deworming:

Consult a Pediatrician: Before giving any deworming medication, it is essential to consult with your pediatrician. They can provide a proper assessment, recommend testing if necessary, and prescribe the appropriate medication based on your child’s condition.

Deworming Schedule: If your doctor confirms the presence of worms, they will recommend a deworming schedule based on your child's age and weight. Deworming medications are generally safe when administered under medical guidance.

Dietary Considerations:

Balanced Diet: While waiting for medical advice, focus on offering a balanced diet with various foods to improve his appetite. Include fruits, vegetables, whole grains, and protein sources.

Limit Sugary Foods: Since he has started craving sweets, try to limit the intake of sugary foods, as excessive sugar can impact appetite and lead to other health issues.

Sleep Concerns:

Establish a Routine: Encourage a consistent bedtime routine to help promote better sleep. This may include calming activities like reading, dimming lights, and minimizing screen time before bed.

Comfort: Ensure he is comfortable during sleep, with a suitable sleeping environment (dark, quiet, and at a comfortable temperature).

Conclusion:

While intestinal worms can cause some of the symptoms you're describing, it’s crucial to consult with a pediatrician to confirm the diagnosis and determine the best course of action. Addressing any underlying health issues and ensuring a balanced diet and healthy sleep routine will help improve your child’s overall well-being.