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THE QUESTION :

My 2-year-old doesn't want to eat anything. How can I get her to eat? She only takes about 2-3 bites and she's done.
 

THE ANSWER:

Parents often tell me that their toddler doesn't eat anything, yet most of those toddlers are growing and developing fine. First step is to check with your pediatrician and make sure that your daughter is truly gaining weight and growing appropriately. Here are a few reasons why she may not be eating what you think she should:

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Tanya Remer Altmann
THE QUESTION :

As a busy mom of three kids, I can't figure out what to feed the baby. He's almost a year old, and he's started solid foods, but I don't want to give him the same thing every day. Are there any easy and simple solid food ideas for dinner and daycare?
 

THE ANSWER:

Unlike adults, children often don't tire of eating the same thing every day. As long as it is healthy and he eats it, I wouldn't worry too much about repetition. When he stops eating it, then it's time to get creative or try new items.

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Tanya Remer Altmann
THE QUESTION :

My daughter is about to turn one, and she has quit eating baby food. If it's mushy, she won't touch it. She wants to eat what we eat. What types of food can I give her? I do give her small amounts of what we eat, but I know she can't have everything we do. She only has two teeth, but manages to chew it up just fine.
 

THE ANSWER:

She CAN have almost everything you eat, as long as it's cut into small pieces. Infants actually learn to eat by mashing food with their gums, so even toddlers who don't get their first tooth until they're a year old do fine with soft pieces of grown-up food. I find that one-year-olds love eating small pieces of steamed veggies (such as carrots and sweet potato), whole grains (pasta, cereal and bread) and chicken. Take whatever you eat, cook it a bit more if needed or mash it slightly so it's soft, cut it into small pieces and serve it as finger food. Thick yogurt works well when it comes to learning to use a spoon, and most infants and toddlers love it.

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Tanya Remer Altmann
THE QUESTION :

Should I be concerned about my 14-month-old? She wants to eat non-stop. She'll stand in the kitchen and cry for more food -- even if she just ate -- and if we give her a snack she just keeps wanting more! I don't know what to do. I don't think it's healthy for her to eat all day long. Could she really be hungry, or could something else be wrong?
 

THE ANSWER:

Around this age, parents either tell me that their child won't eat anything, or that they eat all day long, so yes, it is very common. Your daughter may be going through a growth spurt and therefore is truly hungry.

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Tanya Remer Altmann
THE QUESTION :

I'm nursing my 3-month-old son and want to switch to a bottle soon so I can go back to work. I don't want to pump, so I've decided to feed him formula once my milk runs out. What can I expect during this transition, and what can I do to make it easier on both of us?
 

THE ANSWER:

If you haven't yet given him a bottle, I would recommend introducing a bottle of breast milk or formula as soon as possible so he can get used to drinking from a bottle.

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Tanya Remer Altmann
THE QUESTION :

My son is almost 14-months old. I switched him to Vitamin D milk when he turned 1, and for the first few weeks, I mixed the milk with his formula. Now that he's on milk alone, he doesn't seem to have regular bowel movements. He's always constipated, and I have to give him a laxative mixed in with his milk or juice. I give him juice daily but that doesn't seem to improve anything. He's pretty active, although he doesn't walk yet. Is there anything else we can do? I don't like giving him laxatives every day.
 

THE ANSWER:

Constipation is common in toddlers and can usually be corrected with some simple, healthy dietary changes. So before you take him off milk, take a look at everything your son eats and drinks.

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Tanya Remer Altmann
THE QUESTION :

I know fast food is not the best choice, but when I have to drop one kid off at violin and another has to get to soccer practice, there are few options. What tips can you offer for eating on the run?
 

THE ANSWER:

Try a half-and-half meal: buy half the dinner at a fast-food place, and make the other half with food from home. For example, go through the drive-thru, buy everyone's favorite sandwich, skip the fries, bring the food home and serve it with a fruit plate, salad or vegetable dish that you prepare.

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Eileen Behan
THE QUESTION :

My daughter's body is changing. She has never had a weight problem, but since her 11th birthday she has started to get chubbier. I can tell that she's self-conscious about her rounder physique, and I think she's purposely watching her diet, as I see her declining seconds and treats. How can I broach the subject with her and encourage her to eat well?
 

THE ANSWER:

You might not need to broach the subject at all. She is already declining desserts and seconds so you don't need to tell her to stop eating but you will need to protect her from misinformation. Most girls her age learn what they know about food from advertisers. They incorrectly believe foods carrying nutrition claims such as "low fat", "sugar-free" or "lite" are always better choices than regular foods, and your daughter may eat these highly-advertised foods thinking they do not count. I find snack foods and drinks marketed to kids her age can be a tremendous source of unnecessary calories.

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Eileen Behan
THE QUESTION :

Should I let my 2-year-old eat lollipops and cookies along with his older siblings? I think it's far too much sugar for a little body to handle. My husband thinks I'm being unrealistic. Who is right?
 

THE ANSWER:

The real question to ask is: are the treats interfering with mealtime, appetite or causing arguments? I don't worry about the occasional lollipop, because the portion is small. I do worry about larger baked items. A two-year-old requires half the amount of food his 9-year-old sibling needs. Depending on the size of the cookie, it could crowd out the more nutritious food he requires. I don't recommend sneaking treats to the older kids and hiding them from the little one; it might work sometimes, but eventually you'll get caught!

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Eileen Behan
THE QUESTION :

All these sneaky tips to get kids to eat well concern me. How is a child ever to learn healthy eating habits if parents hide the good stuff?
 

THE ANSWER:

I absolutely agree. Serving fruit and vegetables in recognizable forms is the only way a child will get to experience the food, and it's the only way a child will learn to like it. Parents who sneak foods into the menu have the best of intentions -- they think it makes their child's diet more nutritious. What they don't realize is that many of today's children are well-nourished, but not well-fed.

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Eileen Behan
THE QUESTION :

My daughter is 12 and has just decided she wants to be a vegetarian. I'm concerned that she might not get the nutrients she needs from this kind of diet, and I also think she's too young to make such a decision. What do you think?
 

THE ANSWER:

Age twelve is not too young to make this decision, and it provides her with an ideal opportunity to take on a little more personal responsibility -- very important as she moves into the teen years. There are two major considerations here: what she needs to be a healthy vegetarian, and how she'll get the foods and nutrients she needs in a family that isn't vegetarian.

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Eileen Behan
THE QUESTION :

When my 3-year-old daughter eats all the food on her plate, my husband has a habit of saying, "Good job!" And when she goes to the potty, he sometimes rewards her with jelly beans or cookies. I've tried to explain that this isn't a good idea, but he disagrees and thinks I'm "making a big deal over nothing." Who's right? 
 
THE ANSWER:

I think you need to explain to your husband exactly why you are concerned. I suspect rewarding good behavior with food, and congratulating your daughter for cleaning her plate has you worried your husband is teaching her to crave sweets and overeat. You are right; these practices can lead to overeating.

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Eileen Behan
THE QUESTION :

Our son is a 13-year-old athlete. He's 6'1" (and still growing) and weighs 160 pounds, which he has to maintain for football weigh-ins. I worry that he's ingesting too much saturated fat, because he craves meat and mill. What are some healthy snack ideas for after school, pre-game, post-game? He has no food allergies, but is particular about what he eats. I am out of ideas.  
 
THE ANSWER:

Active teens like your son are a pleasure to work with because they have such good appetites and need to eat a lot of food. Your challenge will be to satisfy your son's craving for protein-rich foods without giving him a diet high in saturated fat. Since he eats plenty of meat and milk I suggest the snacks you offer include less animal proteins and more plant-based sources, which are much healthier for his heart.

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Eileen Behan
THE QUESTION :

My 18-month-old is still drinking plenty of baby formula fortified with DHA. Is this okay?
 
THE ANSWER:

It’s an expensive way to get nutrition. You can get DHA from other sources. DHA is a fatty acid that is found in breast milk (and marine animals), and it’s linked with brain development and disease prevention. It has been added to formula in the past few years for the purpose of replicating breast milk.

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Eileen Behan
THE QUESTION :

No matter how hard I try, my daughter will eat only pureed baby carrots. The problem is she's 4 years old. And sneaking vegetables in doesn't work. I didn't like vegetables as a kid, but now I love them. Can't I just wait until she's older and avoid food struggles?
 
THE ANSWER:

Absolutely. If you like veggies, chances are your kid will like them. Just offer good food, and eat it yourself. That’s all you need to do. I wouldn’t worry about it. If your pediatrician says your child is growing well, you’re okay.


Kids do need some texture in their foods, though, so I would offer foods like apple slices. By the age of 4, your child should experience the texture of cooked vegetables like broccoli. If your child is healthy and sees Mom and Dad eating it, chances are she’ll eat it, too. You do need to offer new foods as many as 10 or 15 times, though, but most parents stop at three.

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Eileen Behan
THE QUESTION :

I’ve been breastfeeding my baby -- she’s almost 4 months old now -- and I want to start her on solids. However, eczema runs in my family and I’ve heard that food allergies can cause it. Is there any way I can feed her so she won’t get eczema?
 
THE ANSWER:

By breastfeeding, you’re already doing the very best thing you can do to prevent allergies. There’s evidence that breastfeeding for at least four months may prevent or delay eczema.

 

We used to think that holding off on feeding a baby certain foods would delay the onset of food allergies. Earlier this year, however, the American Academy of Pediatrics, after evaluation of all the research, released a statement that basically says that doing so may not decrease the chance of a child becoming allergic later on. 

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Tanya Remer Altmann
THE QUESTION :

I’ve been told by my pediatrician that my 8-year-old son is overweight, yet he seems active and happy. Should I really be concerned?
 
THE ANSWER:

Yes. Your pediatrician won’t bring it up unless it’s really an issue. So listen carefully. He or she looks at the height and weight chart to get your child’s BMI (body mass index), a measure of fatness. Your pediatrician is looking for a change. For example, if your child is in the 80th percentile for BMI, and suddenly there’s a blip and he’s in the 90th or 95th, something has happened. What’s going on? This is especially important if there are any health issues in the family, such as a history of heart disease.

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Eileen Behan

 
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