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We took the kids down for their 6-Month GI appointments today. Dr. L said Buddy is a bit of an enigma. He was expecting him to be thriving at this point, but that isn't the case. The poor kid has lost another pound, he looks pale, has red circles under his eyes a lot of the time, and he still complains of tummy pain and reflux at bedtime, even while on medication (ranitidine, twice a day). He still can't tolerate dairy or much fructose. Dr. L wants to re-scope him in a couple weeks, to do the following: Recheck for Eosinophilic Esophagitis & H. Pylori, check the amount of healing in the duodenum, test for vitamin D deficiency, run a food allergy panel, recheck his Anti-Tissue Transglutaminase antibodies (celiac number), check his SED rate and CBC. We aren't excited about putting Buddy through another scope, but the last one was pretty quick and simple so hopefully this one will go the same way.
We will try adding more oil to his meals and in his homemade almond milk, sunbutter to his toast and pancakes, and offer more snacks between meals to add more daily calories.
Buddy was 61lbs 3.2oz and 4' 6.96". His BMI was 14.24. He will be 9 on January 7th.
According to the CDC, a healthy BMI range for boys (by age):
According to the CDC, a healthy BMI range for girls (by age):
We will try adding more oil to his meals and in his homemade almond milk, sunbutter to his toast and pancakes, and offer more snacks between meals to add more daily calories.
Buddy was 61lbs 3.2oz and 4' 6.96". His BMI was 14.24. He will be 9 on January 7th.
According to the CDC, a healthy BMI range for boys (by age):
- 2 yrs = 14.7 to 18.2
- 3 yrs = 14.3 to 17.3
- 4 yrs = 14 to 16.9
- 5 yrs = 13.8 to 16.8
- 6 yrs = 13.7 to 17
- 7 yrs = 13.7 to 17.4
- 8 yrs = 13.8 to 18
- 9 yrs = 14 to 18.6
- 10 yrs = 14.2 to 19.4 and obesity occurs at a BMI of 22.2
Tootsie's check-up went well. She is symptom free, but needs to put on a little weight as well. The dietician recommended offering whole milk with meals and snacks. She said to pour a little heavy cream in it to add some fat and calories. We'll also use more butter, oil, and sunbutter for added calories. The dietician also recommended making trail mix baggies with nuts, seeds, cereal, and crackers to offer between meals. She'll see Dr. L again in 4 months for a weight check.
Dr. L also wants to try stretching out the monthly Xifaxan to every-other-month for 6 months, then every 3rd month for 6 months to see how she does. And with all the talk about re-scoping Buddy, I forgot to request the celiac genetic testing for Tootsie. Maybe we can have that done when we are there for the scope.
Tootsie was 41lbs 3.2oz and 3' 9.91". Her BMI was 13.75. She will be 7 on January 17th.
According to the CDC, a healthy BMI range for girls (by age):
- 2 yr = 14.4 to 18
- 3 yr = 14 to 17.2
- 4 yr = 13.7 to 16.8
- 5 yr = 13.5 to 16.8
- 6 yr = 13.4 to 17.1
- 7 yr = 13.4 to 17.7
- 8 yr = 13.5 to 18.3
- 9 yr = 13.7 to 19.1
- 10yr = 14 to 20
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