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Health Issues:Re: To Ma
2006-12-20
Name: Hetal



hi, sorry, i couldnt get a chance to sit and read all the replies...i had written a post for you but after we had talk about psychological prob and your reply to what i wrote about functional problem,,,,the prev post which i wrote when you first posted the message,,will not be much help esp after we talked about her recent health stats...,,but i see other things here:
1. your child hb is 10.5,,which is less..yes your child needs an iron boost,,talk to your dr about it.Ma, what is your child whole days diet, or let me ask total intake per day of various foods ? let mee know and we will work out on basis of diet,,10.5 hb needs a supplement atleast for 1month.

2. about how far this low hb could give an impact on your child health,,let me give you a quick review :
--1. with less hb, kids often feed tired, weak or fatigue,,resulting in other psyco probs even though when not feeling tired ! complaining becomes habit mostly because kids sufferng internally, cant express or define what he means by \";feeling tired or weak\";....4year old is just the right candidate for that.
---2. tonic increases apetite that is true, i would agree but how far that tonic will work on kid who is mentally prepared to complain that she does not want to eat, she is tired,,and not feeling,,well is something that i will doubt first ! tonic increases apetite of normal child or child suffering from apetite loss due to some recent sickness or such things,,and not from something that is goin on in her mind !
even if tht tonic will make her hungry, she does not understand that there are 2 kinds of pain- one when stomach is hungry, it gives pain and other is stomach is full,overfed or stomach pain due to gas,,4 year old is not good in that !!!

her low hb has made her weak, makes her feel tired and i see that as a culprit of everything..
have you made another visit to your dr about functional or psycho prob that your dr said prevsly ? i would like to know the updates,,if so..
if you are sure that your kid wont lie to you i would like to rely on you but when a human body is not healthy, even the tongue is not in control,,,,so i would rather like to know your child current health statistics...
and once i know the current stats,,i want you to work on your child mind first,,,lets remove something called pain and tiredness from her mind,,and make her stop complaining about diff pains...all this can be done, by concentrating on her diet, and because her hb is very low, which explained me everything,,i want you to ask your dr about iron supplements for your child or some milk drinking additive that might help your child give an extra dose of iron !

rest we will frame in her diet.
hope you got the idea.
let me know,will be waiting for your reply.
take care.
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2006-12-22
#1
Anonymous Name: Malini
Subject:  Re for Hetals diet suggestions



I had a second baby 6m back after which this elder child was feeling lonely.

In my fleet of emotions for her, i started paying acute attention to her psych problems .. i actually created a plan on computer for development of her skills and perhaps overlooked simple things.... though today we are v good friends ... and i can say i can talk to her abt any probs with positive response from her ...

Amidst all this, and the baby and office, looks like i still failed to be a good mother as seems i ignored her diet :(

And she is one child i hv seen who is not afraid of injections! Touchwood :-)

Anyways.
Hetal, I want to know your residential address somehow ...
i want to come there and either give u a big hug or touch ur feet ..

My gratefulness cany be covered in 'thanks' word.
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2006-12-22
#2
Anonymous Name: Hetal
Subject:  Re



hey, comeon,,,,no one is perfect here and no one can be ! we all are human being and we have limits..if we were so perfect,,why do you think we would have been on earth ;) ....we would have been lving in heaven !!

relax,,happy mom means happy children.so njoy and have fun with your lil friend !
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2006-12-22
#3
Anonymous Name: Hetal
Subject:  sry about duplicate postss,,,



my ip window is actng weirdddd..
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2006-12-21
#4
Anonymous Name: Ma
Subject:  Latest updates and kids diet



Here's the update after doc's visit

- Doc says \" 10.5 hb is not bad, i dont think we need to gv her any supplement\" !!! :-(

- In the days that hv passed, the kid has started complaining again from past 3-4 days of stomach ache few timeas a day, but NOT followed by any cough/cold/fever this time.

- For all her complaints, the pain recedes after 5-10 mins or so

- Two times it happened that she went to loo after stomach ache

- Two times she has complained of stomach ache immdly after waking up in morning (or, she woke up bec of pain, i dont know)

- Once i clearly saw it as a psych problem when i asked her to finish her plate and she said 'stomach ache'. I talked to her, and she agreed she was lying.

- No more complaints of pains/aches other than stomach

- U seem to be right in saying the ache seems to be because of weakness/being tired and she is not able to distinguish betn the pains. I cannot judge if it is because of low Hb or what, but one thing i can say is i can trust ur diagnosis.

- Overall speaking: I dont know if its a psycho problem or real or weakness .... I just want to be sure I am not ignoring it and the child does not suffer later bec of my wrong assumptions.

-Her diet :
Frankly, her diet is managed and decided by my MIL (her Grandma) as i m a working person. I do not (dare) ask MIL what she gives
the child as she gets hurt. Also, I see my MIL taking good care of kid, giving her healthy things to eat and keep the schedule, so i avoid creating issues by asking.

I am listing what i know for sure the kid eats :
730 am - 250 ml plain lukewarm milk + 1 boiled egg + that herbal apetite-booster tonic

Breakfast (in school tiffin) - I pack some Snack like Upma/Cheese Sandwich/Poha/Paratha.
I send a fruit and some nuts but she brings that back.

Lunch at 1 pm with Grandma (I go to office) - 1-2 roti, sabji, daal, 1 katori curd, some salad like cucumber+raddish+tomato

530 pm - Milk 250 ml, plain lukewarm
530-630 - Plays in park

7 30 pm - Fruits (Not regular though, if Grandma has it, she makes her eat it)

9 pm - Dinner same as lunch

Before Sleep - I am giving her an iron and multivitamin (V-Syneral with Zinc) supplement that i take since 10-12 days, small spoonfull.

Ad hoc snacks - (i m listing healthy ones only) Soup, oatmeal, daliya (wheat porridge), juice, peanuts, sesame-jaggery til-gud laddoo etc.

*She doesnt eat junk food too much
*She is also undergoing homeopathic treatment for cough.
* Grandma says that apetite booster tonic seems to hv worked as the kid has
increased roti intake from 1 to 2.

So...
1- Things seem to be improving.
2- i want to ensure nothing's wrong with the child (not being tensed but being cautious).
3- If you hv any suggestions for her stomach ache or diet additions/changes to suggest, I wd surely include them.

Thanks
Malini
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2006-12-22
#5
Anonymous Name: Hetal
Subject:  Re: Latest Updates and kids diet.



Hi there,

10.5 is not bad but i dont think its good either,,she is already takng supplemnts,,,so no more supplemnts are required,,i happen to miss the data before that she is takng ne supplemnts,,so i suggestd to ask your dr about it..neways,,,

for ne child, or even adults, hb levels below 11 mostly causes tiredness, fatigue or weakness,,,because low hb is due to less red blood cells and those are the ones that gives vitality to human body...iron controls all these fctrs...

lets do onething thn,,,offer your child lots of iron fortified foods,,,,10.5 can be easily changed to above 11.5 with lots of iron foods !

i would rely on what all your grandma takes care of,,and will not like to comment on it,,but some comments :
1. avoid offering raddish with curd. whenever you offer curd, add in some sugar or salt,,dont offer it plain !
ask your caregiver/grandma to offer buttermilk(do tadka of ghee, jeera, curryleaves and hing), after the lunch to her...this will help her get regular bowels,,if at all thats what is bothering her ! just add the water to watever curd amt she has been taking ! offering curd with a lil crused jeera pwder/fine pwder jeera pwder with some sugar or salt is tasty and a very good for health !

2. with the iron supplemnts/mutivitamin that she is taking,,make sure to offer ne juice/mosambi pieces with it,,or vit c juice,,to ensure max iron absorption.
and offer this supplement when she takes fruits i.e. at 730,,ask your mom/grandma to offer it with ne vit c fruits only and not with banana or so...let banana etc be in first part of the day ! i would rather recmnd you to offer these supplemnts sometimes after lunch or so,,and after that drink atleast 2-3oz of vit c juice with it,,if not the full dose..a lil goes a long way ! but avoid before sleeping !

3.i want to know about her bowels and its regularity.if its comfortable, let me know.

4. in the morning, she is eating, drinking enough,,but see if you can include something like iron fortified dried cereal/without milk just for munching,,see if she likes it..many kids like munching such dry cereals,,they come in diff shapes and flavours. include raagi in her diet.

give her other varieties of food, diff in textures and playful colours and see if it interst her in takng some breakfast/snack in her tiffin box,,please go thru below links and it should help you get some ideas about fun foods :

http://www.indiaparenting.com/boards/showmessage.cgi?messageid=7151&table_name=dis_feeding

i just answrd a post on anaemia and diet that will help max iron intake foods,,see if it helps you in gettng some ideas:

http://www.indiaparenting.com/boards/showmessage.cgi?messageid=677&table_name=dis_bowelbladder

though the age of child is less thn yours,,but the foods remains the same,,and just the one additions that your child is having a boiled egg already so,,thats good. but for max iron absorption,,offer it with juice or some vit c juice..instead of milk.
let the morning part be milk with some cereals, or raagi malt, or raagi sheera,some cracked wheat khichadi(with some nuts, esp cashews and almonds, raisins,,you can alternatively replace vegies if you are giving this in noons),,check if she accepts this,, since she is in good routine,,i understand that acceptnce from her is also required ! and i very well understand that it might take time,,but the basic is offer iron foods with lots of vit c diet,,which ensures highest iron absorptn thn with dairy prods,,,

add in some milk additiive like complan, horlicks to her milk intake,,check the ingrediants,,go for the one that has highest iron %...the other things like addins wheat bran/wheat germ to your dals, and include soy products in her diet,include fibr in her diet,,,the iron supplments do give mild stomach upsets if taken at night,,i just mentioned in above post,,and see if offering in daytime with vit c juice helps !

thats all i could see with new updates and all these should help.and yes keep working on talking to her,,ask her where it pains and ensure her that even if she does not complain,,she will always be taken care of..tell her stories about what happens when kids lie and that they have to visit dr and all those injections part,,,try to make her more expressive and she will be able to express whats going on with her. talk to her more often...

let mee know if nething
take care, good luck !
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2006-12-22
#6
Anonymous Name: Hetal
Subject:  Re: Latest Updates and kids diet.



Hi there,

10.5 is not bad but i dont think its good either,,she is already takng supplemnts,,,so no more supplemnts are required,,i happen to miss the data before that she is takng ne supplemnts,,so i suggestd to ask your dr about it..neways,,,

for ne child, or even adults, hb levels below 11 mostly causes tiredness, fatigue or weakness,,,because low hb is due to less red blood cells and those are the ones that gives vitality to human body...iron controls all these fctrs...

lets do onething thn,,,offer your child lots of iron fortified foods,,,,10.5 can be easily changed to above 11.5 with lots of iron foods !

i would rely on what all your grandma takes care of,,and will not like to comment on it,,but some comments :
1. avoid offering raddish with curd. whenever you offer curd, add in some sugar or salt,,dont offer it plain !
ask your caregiver/grandma to offer buttermilk(do tadka of ghee, jeera, curryleaves and hing), after the lunch to her...this will help her get regular bowels,,if at all thats what is bothering her ! just add the water to watever curd amt she has been taking ! offering curd with a lil crused jeera pwder/fine pwder jeera pwder with some sugar or salt is tasty and a very good for health !

2. with the iron supplemnts/mutivitamin that she is taking,,make sure to offer ne juice/mosambi pieces with it,,or vit c juice,,to ensure max iron absorption.
and offer this supplement when she takes fruits i.e. at 730,,ask your mom/grandma to offer it with ne vit c fruits only and not with banana or so...let banana etc be in first part of the day ! i would rather recmnd you to offer these supplemnts sometimes after lunch or so,,and after that drink atleast 2-3oz of vit c juice with it,,if not the full dose..a lil goes a long way ! but avoid before sleeping !

3.i want to know about her bowels and its regularity.if its comfortable, let me know.

4. in the morning, she is eating, drinking enough,,but see if you can include something like iron fortified dried cereal/without milk just for munching,,see if she likes it..many kids like munching such dry cereals,,they come in diff shapes and flavours. include raagi in her diet.

give her other varieties of food, diff in textures and playful colours and see if it interst her in takng some breakfast/snack in her tiffin box,,please go thru below links and it should help you get some ideas about fun foods :

http://www.indiaparenting.com/boards/showmessage.cgi?messageid=7151&table_name=dis_feeding

i just answrd a post on anaemia and diet that will help max iron intake foods,,see if it helps you in gettng some ideas:

http://www.indiaparenting.com/boards/showmessage.cgi?messageid=677&table_name=dis_bowelbladder

though the age of child is less thn yours,,but the foods remains the same,,and just the one additions that your child is having a boiled egg already so,,thats good. but for max iron absorption,,offer it with juice or some vit c juice..instead of milk.
let the morning part be milk with some cereals, or raagi malt, or raagi sheera,some cracked wheat khichadi(with some nuts, esp cashews and almonds, raisins,,you can alternatively replace vegies if you are giving this in noons),,check if she accepts this,, since she is in good routine,,i understand that acceptnce from her is also required ! and i very well understand that it might take time,,but the basic is offer iron foods with lots of vit c diet,,which ensures highest iron absorptn thn with daires,,,

add in some milk additiive like complan, horlicks to her diet,,check the ingrediants,,go for the one that has highest iron %...the other things like addins wheat bran/wheat germ to your dals, and include soy products in her diet,include fibr in her diet,,,the iron supplments do give mild stomach upsets if taken at night,,i just mentioned in above post,,and see if offering in daytime with vit c juice helps !

thats all i could see with new updates and all these should help.and yes keep working on talking to her,,ask her where it pains and ensure her that even if she does not complain,,she will always be taken care of..tell her stories about what happens when kids lie and that they have to visit dr and all those injections part,,,try to make her more expressive and she will be able to express whats going on with her. talk to her more often...

let mee know if nething
take care, good luck !
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2006-12-22
#7
Anonymous Name: Hetal
Subject:  Re: Latest Updates and kids diet.



Hi there,

10.5 is not bad but i dont think its good either,,she is already takng supplemnts,,,so no more supplemnts are required,,i happen to miss the data before that she is takng ne supplemnts,,so i suggestd to ask your dr about it..neways,,,

for ne child, or even adults, hb levels below 11 mostly causes tiredness, fatigue or weakness,,,because low hb is due to less red blood cells and those are the ones that gives vitality to human body...iron controls all these fctrs...

lets do onething thn,,,offer your child lots of iron fortified foods,,,if not supplemnts,,10.5 can be easily changed to above 11.5 with lots of iron foods !

i would rely on what all your grandma takes care of,,and will not like to comment on it,,but some comments :
1. avoid offering raddish with curd. whenever you offer curd, add in some sugar or salt,,dont offer it plain !
ask your caregiver/grandma to offer buttermilk(do tadka of ghee, jeera, curryleaves and hing), after the lunch to her...this will help her get regular bowels,,if at all thats what is bothering her ! just add the water to watever curd amt she has been taking !

2. if you are offering iron and multivitamin supplement,,it means she is taking iron in that//so she is taking a supplement and so she does not need an extra supplement other than this one.,,i missed this info before.....,,
make sure to offer ne juice/mosambi pieces with it,,or vit c juice,,to ensure max iron absorption.
and offer this supplement when she takes fruits i.e. at 730,,ask your mom/grandma to offer it with ne vit c fruits only and not with banana or so...let banana etc be in first part of the day !

3.i want to know about her bowels and its regularity.if its comfortable, let me know.

4. in the morning, she is eating, drinking enough,,but see if you can include something like iron fortified dried cereal/without milk just for munching,,see if she likes it..many kids like munching such dry cereals,,they come in diff shapes and flavours. include raagi in her diet.

give her other varieties of food, diff in textures and playful colours and see if it interst her in takng some breakfast/snack in her tiffin box,,please go thru below links and it should help you get some ideas about fun foods :

http://www.indiaparenting.com/boards/showmessage.cgi?messageid=7151&table_name=dis_feeding

i just answrd a post on anaemia and diet that will help max iron intake foods,,see if it helps you in gettng some ideas:

http://www.indiaparenting.com/boards/showmessage.cgi?messageid=677&table_name=dis_bowelbladder

though the age of child is less thn yours,,but the foods remains the same,,and just the one additions that your child is having a boiled egg already so,,thats good. but for max iron absorption,,offer it with juice or some vit c juice..instead of milk.
let the morning part be milk with some cereals, or raagi malt, or raagi sheera,some cracked wheat khichadi(with some nuts, esp cashews and almonds, raisins,,you can alternatively replace vegies if you are giving this in noons),,check if she accepts this,, since she is in good routine,,i understand that acceptnce from her is also required ! and i very well understand that it might take time,,but the basic is offer iron foods with lots of vit c diet,,which ensures highest iron absorptn thn with daires,,,

add in some milk additiive like complan, horlicks to her diet,,check the ingrediants,,go for the one that has highest iron %...the other things like addins wheat bran/wheat germ to your dals, and include soy products in her diet,include fibr in her diet,,,the iron supplments do give mild stomach upsets if taken at night,,i just mentioned in above post,,and see if offering in daytime with vit c juice helps !

thats all i could see with new updates and all these should help.and yes keep working on talking to her,,ask her where it pains and ensure her that even if she does not complain,,she will always be taken care of..tell her stories about what happens when kids lie and that they have to visit dr and all those injections part,,,try to make her more expressive and she will be able to express whats going on with her. talk to her more often...

let mee know if nething
take care, good luck !
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2006-12-20
#8
Anonymous Name: Ma
Subject:  Dr visit today, shall update u tomm



I am surprisingly impressed (or impressively surprised ??!!??). You made it a point to reply to my so-old Q. I thot u were busy so did not want to bother u with new post, so let it go.

Thanks so much!

I am planning to go to Doc for my 8m baby today, and will also ask Qs suggested by you to him.

I shall post a reply with updates (my) tomorrow (I guess u r in US. I m in India).

Ma/Malini
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