Sound like she's way too small? Sure does! Cause for concern??? To me-YES!!!To her daddy- NO! To her pediatrician- not so much! To her GastroInterologist-not at all! To her Nutritionalist-NOPE!
There are reasons that a Pedi, GI specialist, and Nutritionalist would have cause for concern for kids this small (failure to thrive, failure to gain weight, etc) but Cady IS thriving (exceeding some milestones -shout out to my potty trained 21 month old- and she IS gaining weight. Her body is proportioned (which they checked today), her brain is developing, she eats just fine and is not a picky eater, and is overall a normal, smart, 21 month old girl.
When you look at a typical growth chart, Cady's weight isn't on there! In fact, she in the -1.65% for children her age as far as weight is concerned. Though she has always been small, she was in the 3% at one point, lol.
Ever since she was about 6 months old i've asked the doctors is her weight ok... what do i need to do to make her gain weight... why is she so small... when will she gain weight, etc. Her pedi wasn't too concerned bc of the simple fact that she was growing at her own "normal" and that as long as she's "growing on a curve" she is fine. Well, she IS growing, and she IS, growing on a curve. She's just growing at her own pace. Her pedi is really nice and old and experienced and he basically would tell me that i have no cause for concern. He reminded me that in order to have the standard curve and averages, they have to have BIG kids, and SMALL kids in order to come with an average. I took math, and though i've never been good at it, i know that the average of 100 and 0 is 50! ;) I loved the fact that when I have a concern, he ALWAYS goes and study's her chart before he gives me an answer.
I wouldn't really press the issue UNTIL her next dr.'s appt, then we would start the cycle of Q&A all over again. In between appts I have been known to call and double check i'm doing everything right, lol. Chris would then lecture me on how we have done everything "right" and she's just little and healthy and CADENCE and perfectly created by God to be small.
Though I've continued (and will continue) to feed her healthy meals, and not a lot of junk, i admit that I do try to put a little meat on those bones, lol. I buy her the bread with the most calories and then slap butter on it, i often feed her peanut butter (which i learned too much PB can cause a child to develop an allergy, oops, bc the Lord knows the last thing she needs is another food allergy), and for the past few months I've been feeding her 1 avacado per day (high in fat and calories), and she also gets a heavy heavy snack (like oatmeal, or something that will stick) right before bed.
Well, Monday I took her to the pedi (she lost her voice) and i brought the issue up YET AGAIN. I got the same answer, "let me study her chart" and when they come back it's the normal "she's fine, just small" and they try to calm my nerves and say it's ok, she's little, don't worry, etc. And they suggest ways to add more calories to her diet. Well, typically, those "ways" involve adding a type of instant breakfast drink (which she can't have bc she's allergic to milk), or feeding her ice cream (which she can't have) or something made from milk (which she can't have, lol).
I kinda pressed the issue and finally, the dr set us up to visit the GasteroInterologist (sp?) who is part of the Cooks' Children's team. Luckily, someone cancelled a appointment and we were able to go today (wednesday). IDK why i was so nervous... i couldn't think of Cady's birthday :( That was the FIRST question they asked and i BOMBED it! It's worse than forgetting how to spell your name! lol.
As soon as they took us back, they made us strip Cady down to her bday suite and step on a scale. It read 7.7kl which converted to "almost" 17 lbs. They put us in the room and Dr. Keng (the gi specialist) came and gave Cady a physical evaluation, which included pressing all over her tummy. Cady was NOT feeling it at all! Then, Dr. Keng asked us a billion questions about her general health, family history, what she eats, etc. She looked at Cady's growth chart and said the same thing her pedi said, she's growing on her own curve, which is a good thing. Her conclusion??? She's perfectly normal and genetics is probably the reason why. I later called my mom and my grandma who confirmed that I was indeed super small growing up (where's that problem when i need it, lol).
Wait, let me back up, the FIRST THING we noticed when they put us in the exam room was this special "CHART" which showed the 7 types of poop... I spent about 5 minutes trying to identify Cady's poop number on the chart. Oh, the joys of motherhood :)
I asked Dr. Keng if Cady is underweight... She basically said, if i compare her to a normal child, yes... but when i compare her to HER chart and where SHE is supposed to be... NO, SHE IS AT HER AVERAGE! Even though her average is smaller it's fine since she IS growing (apparently, i didn't get the message the first few times she said it).
Dr. Keng ordered blood work (7 tests) to double check that there's no underlying issue with her kidneys or anything. I asked her if the weak vessel in the umbilical cord could have anything to do with it and she said no. Which is a major relief. IDK why, but i would have so much guilt if MY pregnancy caused any health problems for her.
Next, we met with a nutritionalist, Adriane (pronounced Audrey-on-AA) who spoke with this BEAUTIFUL Mexican accent. We went over what she eats, i told her how i try to fatten her up and she told me i'm doing a great job :) Both her and the Dr. wondered where I learned these "tricks" from and i told them good old google! :)
The GI specialist gave us some high calorie drinks (that are milk protein free) and Adriane, gave us a few more (thanks because i'm sure they cost a lot of money since you have to special order them through the pharmacy). She also gave us this powder type of stuff to boost caloric intake. She also gave me this Ensure type of drink which i learned (after reading the label) is used for the food when kids have feeding tubes. We got a few juice drink type of juice boxes that have 200 calories vs the normal 70/box drinks at the store... again, will need to be special ordered (and don't taste too great).
So after over an hour and a half, both the Gi specialist, and the nutritionalist concluded that Cady is perfectly fine and perfectly healthy! MAJOR RELIEF and I could see Chris give me the "i told you so" look.
I will have to call Adriane once a week to give her a rough idea of what Cady has eaten, and will do a 2 day study over what she eats so that they can analyze to see if she's getting all the vitamins and nutritions she needs. I GOT THIS! MY CHILD EATS THE RAINBOW :) Every food group and color is more than covered :)
The nutritionalist gave us a list of ways to boost caloric intake. Here is a sample of what's on the list AND I DID NOT MAKE THIS UP (though i am paraphrasing):
- add butter, more butter, and mayo! it even says to put butter on warm bread bc the butter will melt and allow you to add MORE butter, lol
-use sour cream and jelly (and honey if the child is over the age of 2) often
-top pudding, pies, and dessert with cream or whipped cream
-provide double strength milk (which i learned is whole milk with powdered milk mixed in)
-add Carb supplements like Karo Syrup to drinks
-give milkshakes over juice and water
-bread and fry meats and veggies
-eat marshmallows
-add dry milk powder when cooking (i have the can of calorie booster for this)
-add instant breakfast to milkshakes
-boil eggs, chop them up finely, and add to gravy
-choose dessert recipes that contain eggs
-spread peanut butter on fruit, sauces, shakes or as a topping for ice cream
THE DIET I'VE BEEN DREAMING OF MY WHOLE LIFE!!! lol
Though I will be incorporating some of these ways to boost her caloric intake, my goal is not to "fatten her up" but it is to hopefully get her to gain some healthy weight. I see the GI dr. in 3 months and i hope she's gained at least 2 pounds by then. If not, it's fine :)
Do u know how hard it will be for me to feed her a billion calories a day in all types of foods that i'm not supposed to eat and actually NOT eat it myself? I just got through eating half her fruit snacks :/
We did get another allergy test done on her to see if she is still allergic to milk and eggs. Prayerfully she's not!
I'm just glad that they confirmed that she is HEALTHY "just small" and i know the blood work will say just the same!
Speaking of bloodwork, Cady told the lady to "TAKE IT OUT!!!" talking about the needle, and it was hilarious!
Well, let me try to get her to drink one of these supplements... while I avoid trying to taste it ;0
-Our primary care physician is Jesus!!-
"Big momma"