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Ms. Mary Silva
Specializing in feeding and nutrition.
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Nine-Month-Old Not Eating Enough
QUESTION
Dear Ms. Silva,
I have a nine-month-old girl who was born 10 weeks premature. At my last visit with the home nurse, I was told to cut back on baby food feedings because she is not gaining weight as she should be. I have done this and initially things were fine; my daughter continued to drink 30 or more ounces of formula every 24 hours. But as of yesterday, she has no interest in her bottle and has stopped drinking. I have given her very little baby food (less than 2 ounces) and am concerned that she is not hungry. Yesterday she had less than three bottles (12-24 ounces) and today she has had about 10 ounces and still has no desire to eat. I am concerned. Her wet diapers seem to be normal and so do her bowel movements. Please advise me if I should be concerned or if this is just a phase. Thanks.

— First Time Mom in Madras, Oregon

ANSWER
August 3, 2001
Dear First Time Mom,
Being told, "It's a phase" isn't always helpful to concerned mothers. It is true that sometimes babies drastically decrease the amount of formula or food eaten without reason. However, sometimes a lack of appetite is a symptom of illness. Since she's still drinking a reasonable amount of formula and doesn't have any other symptoms, you can continue your usual feeding routine while observing for symptoms such as crankiness, fever, a change of bowel pattern, and fewer wet diapers. If these (or other symptoms) arise or if her decreased formula and food intake continue, you should contact your pediatrician.

— by Mary Silva, M.S., R.D.

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