#asktheexpert My son 15 months old - his weight is 9 kg since last 3 months, it's not improving also his hemoglobin is 9.1

Question

Accepted Answer

If your son's weight has not improved over the past three months and his hemoglobin level is 9.1, it's essential to address both issues to ensure his overall health and development. Here are some steps you can take:

1. **Consult with a Pediatrician:** Schedule a visit with your son's pediatrician to discuss his weight and hemoglobin levels. Your pediatrician can assess his growth, conduct a physical examination, and order any necessary tests to determine the underlying cause of his weight stagnation and low hemoglobin.

2. **Evaluate Diet and Nutrition:** Assess your son's diet to ensure he is receiving adequate nutrition for his age and developmental stage. Offer a variety of nutrient-rich foods, including fruits, vegetables, whole grains, lean proteins, and dairy or dairy alternatives. Consider consulting with a pediatric dietitian for personalized guidance on meeting his nutritional needs.

3. **Encourage Iron-Rich Foods:** Since your son's hemoglobin level is low, focus on incorporating iron-rich foods into his diet to help boost his iron levels. Examples include lean meats, poultry, fish, beans, lentils, fortified cereals, tofu, and dark leafy greens. Pair iron-rich foods with sources of vitamin C, such as citrus fruits or bell peppers, to enhance iron absorption.

4. **Consider Iron Supplementation:** Depending on your pediatrician's recommendation, your son may benefit from iron supplementation to help raise his hemoglobin levels. Follow your pediatrician's dosage instructions and monitor for any side effects.

5. **Address Feeding Challenges:** If your son has difficulty eating or has feeding challenges, such as picky eating or food aversions, work with a pediatric feeding specialist or occupational therapist to address these issues and ensure he is receiving adequate nutrition.

6. **Monitor Growth and Development:** Keep track of your son's growth, including his weight, height, and head circumference, on a growth chart provided by your pediatrician. Regularly monitor his progress and follow up with his healthcare provider as needed.

7. **Promote Healthy Lifestyle Habits:** Encourage your son to engage in regular physical activity appropriate for his age and developmental stage. Limit sedentary screen time and prioritize activities that promote movement and exploration.

8. **Seek Support:** Don't hesitate to seek support from your pediatrician, pediatric dietitian, or other healthcare professionals if you have concerns about your son's growth, nutrition, or development. They can provide personalized guidance and recommendations to help address his specific needs.

By addressing your son's nutritional needs, monitoring his growth and development, and working closely with his healthcare team, you can help support his overall health and well-being.