Picky eater : When you need to worry

When my baby girl Rai  was 6 months old  we started her on all sorts of mashed food.From 6 months to 1 year it was a constant  battle of experimental baby food. From 1 year to 2 years some more experiments and finally we have a balance.

Once while travelling  my daughter refused to have anything ,except plain white rice and milk.Then I realized ,children have a difficult  time adjusting to new food.Because….its NEW!

Imagine giving a vegetarian, a nice stir fried  octopus  for dinner.

Not a good idea right.

Baby’s growing up on milk have essentially a bland diet.

Veggies lack taste and texture when given boiled.

Fish chicken eggs can be smelly.

Their tender taste buds can’t handle spices.

They are fighting a battle too.

The only way to win is to persevere.

They need to learn to stop being afraid of food .To enjoy their food.Make the right choices.Making positive food choices early in life,helps them cope even away from home .

When will you call a child picky eater?

Picky eaters have strong food preferences. They have a persistent unwillingness  to try new food.

Can it cause problems  with nutritional status?

Yes it will cause nutritional deficiencies

50% of  19 to 24 month old children are picky eaters.Because of this , they will be avoiding micronutrient rich foods like fruits and veggies This will affect the growth of your child.

2 main problems

1)Failure to thrive .With physical  and mental.development not upto the mark according to age .

2)If  children develop unhealthy  eating habits .This may lead to adult eating problem and health issues.

When you need to worry?

*If your  child is less than 1 year:Height weight and developmental milestones need to be checked monthly.Because your baby grows ,even while you watch.The first year of life is very important.You worry, if there’s  no significant positive  change in the monthly assessment.

*If your child is  more than 1-year-old :

Height needs to be checked every 6 months.

If child is not growing in height then that’s a cause for concern.Its a sign of chronic protein energy malnutrition.

Weight needs to be checked  every 3 months .

If your child doesn’t gain weight  or  gains too much.Both is cause for concern.

No weight gain is due to lack of adequate dietary  protein energy .

Excessive  weight gain, gives rise to malnutrition  of obesity.Where there is excess calories in the diet.But it lack important macro and micronutrient  .

When your child shows signs of micronutrient deficiencies:

  • Paleness of body.
  • Repeated skin infections.
  • Has repeated cold and cough
  • Suffer from mouth ulcers etc.
  • Is cranky
  • Has little energy to play

When you don’t need to worry?

  • Baby is happy ,active with good growth.
  • Both height for age and weight for age is within normal limit.

What’s Neophobia?

Neophobia  is the tendency of children to initially  reject new or novel food.

You will have to give new food 10 to 16 times before they accept them.

Tips for parents before starting new food

  • Start new food 1 at a time.
  • Give gaps of 3 to 5 days before starting another new food .
  • New foods should be stopped in the event of diarrhea /vomiting /rashes.These may be due to food allergy.
  • During complementary  feeding your baby will like softer and smoother textured foods.Gradually replace with thicker food items
  • Don’t give up.Just because your baby refuses something once don’t lose heart.Make it taste different. Make it look different  .A variety of food tasting is important for babies to get a taste for it.

My baby girl started her animal protein journey  with fish. She refused chicken  for the longest time.But mutton she liked from a pretty young age( around one and a half years)

I didn’t touch chicken throughout my pregnancy. Did you know mothers  diet in pregnancy determines a child’s  food habit?

She loves her eggs too.Boiled fried or poached.

I have noticed for all animal proteins  she likes  crunchy which will then melt in the mouth (She loves a crunchy Ilish  fry).Not chewy or oily.

Since she liked the crunchy texture and I burn stuff while cooking I went and bought an air fryer.I wrote about it here.

The airfryer keeps the taste intact and the food doesn’t lose its colour ,with a fraction of the calories.

Want Super tips to deal with fussy eaters?

Read my Ultimate guide to feeding your preschooler 

If baby is a picky eater blame yourself:Healthy eating habits in children (part 1)

 

 Childhood obesity :The control is in your hand(part 3)

Childhood obesity : Healthy eating habits & You (part 5)

 
I am taking part in the #ubc #blogboost Ultimate blogging  challenge with Blogchatter #DailyChatter

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By Dr.Amrita Basu(MBBS,MS)

I am an ENT surgeon by profession, previously working at a Medical college. I believe the Internet is God's way of providing health and wealth information for all. The important thing is to find the right information.

15 comments

  1. Informative post! I will share this post on social media channels to aware new mothers about this!

  2. I am a picky eater myself, but then I realized it is simply because I didn’t like the taste of “sweet”. There are some people who don’t like a certain taste. I guess you just have to find which kind of taste does the kid hate and you’ll be able to discover what kind of food he’ll most definitely would like. 🙂

  3. Ohh, picky eaters- we definitely have one, but we’re working on it. He’s growing well so we’re not worried, just trying to introduce him to everything! Thanks for the tips and info.

  4. Hi Dr Amrita, your post is very informative. I didn’t know about the effect of food during pregnancy is transferred to children. I’ve learned so much about feeding babies through this post, though unmarried and not a parent.

  5. Ultimate knowledge from the right person, you have very well described the eating pattern of a child and also the solutions of problems the mothers usually face.

  6. I have never worried about the eating habits of my children. Breastfeeding till 6 months and then semi solids and slowly solids. I feel you do not have to fuss about eating at all, it will only tense you and irritate your child. very well written Amrita,, doctors touch Menaka Bharathi has recently published <

  7. Interesting info. I didn’t know that a mother’s diet while pregnant can affect a child’s eating habits. Maybe that explains why my brother and I were never picky eaters!

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