POOJA KOTHARIMom of a 8 yr 5 m old boy1 Year agoA. For a 21-month-old child, especially if they weigh 8.5 kg and are 89 cm tall, the decision to start iron supplements is typically guided by their iron levels as assessed by a pediatrician through blood tests. However, there are some general indicators that might suggest a need for iron supplementation:
1. **Risk Factors:** If your child has risk factors for iron deficiency, such as a history of prematurity, low birth weight, a diet low in iron-rich foods, or a significant intake of cow's milk (which can inhibit iron absorption), your pediatrician may recommend iron supplements.
2. **Symptoms of Iron Deficiency:** Watch for symptoms such as pale skin, irritability, fatigue, decreased appetite, delayed growth and development, or frequent infections. These could indicate a potential deficiency that may require supplementation.
3. **Dietary Intake:** Evaluate your child's diet to ensure they are receiving enough iron-rich foods such as meats (especially red meat), poultry, fish, beans, lentils, fortified cereals, and green leafy vegetables. If their diet lacks these foods and their intake of iron-fortified formula or cereals is inadequate, supplementation might be considered.
4. **Medical Evaluation:** Ultimately, the decision to start iron supplements should be made in consultation with your pediatrician, who can assess your child's individual needs based on their growth, diet, and any symptoms or risk factors they may have.
Always follow your pediatrician's recommendations regarding iron supplementation, as excessive iron intake can also be harmful. Regular pediatric check-ups and monitoring of your child's growth and development are important for detecting and addressing any nutritional deficiencies early on.
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