slmkhoo\" post_id=\"1944602\" time=\"1572854794\" user_id=\"28674:

shisan\" post_id=\"1944597\" time=\"1572854143\" user_id=\"145867:

Been to the doctor this morning. Pediatric Gastroenterologist Measured and weighed him. She doesn’t go by BMI, and his height is 50% while weight is on the Low side, but not something she will pursue. I asked why not BMI, she just says she uses international CDC chart and it will not be wrong, and my son is fine. His tonsils are enlarged but not meeting each other, as for nutrition, same advice as we discussed; no more than 30 mins, and feed meat, cut into small pieces or minced if needed. She says ENT is not her specialty but she thinks it’s a habit problem more than a medical problem. So I’ll have to take it from there if I want to. His sleep test is end nov, and meanwhile I’ll trust what she says and continue to get him to eat, punish or whatever just so he gets food in within 30 mins meal time. No tests were done, so we will come back in 6 mths.

Glad to hear that there doesn't seem to be anything medically wrong. However, eating is one of those things where psychological factors have quite a large impact, so perhaps go easy on the \"punish\"? If he still pouches the food a lot, investigate if there are textures that he find hard to swallow, or if size of the pieces and quantity is a problem. If you really think it's getting worse, and no physical reason can be found, perhaps you could get a referral to an eating disorders clinic.

shisan\" post_id=\"1944597\" time=\"1572854143\" user_id=\"145867:

Been to the doctor this morning. Pediatric Gastroenterologist Measured and weighed him. She doesn’t go by BMI, and his height is 50% while weight is on the Low side, but not something she will pursue. I asked why not BMI, she just says she uses international CDC chart and it will not be wrong, and my son is fine. His tonsils are enlarged but not meeting each other, as for nutrition, same advice as we discussed; no more than 30 mins, and feed meat, cut into small pieces or minced if needed. She says ENT is not her specialty but she thinks it’s a habit problem more than a medical problem. So I’ll have to take it from there if I want to. His sleep test is end nov, and meanwhile I’ll trust what she says and continue to get him to eat, punish or whatever just so he gets food in within 30 mins meal time. No tests were done, so we will come back in 6 mths.

slmkhoo\" post_id=\"1944342\" time=\"1572683200\" user_id=\"28674:

shisan\" post_id=\"1944304\" time=\"1572660982\" user_id=\"145867:

Gp we go to comments that he is thin but otherwise nothing seems wrong, and that ‘children are children, food isn’t their priority’ and that things will change when they get older. Husband was commenting that he eats, just that he doesn’t swallow. The food he keeps in his mouth literally becomes mash before it gets swallowed so that would take a lot longer than how we would normally eat. So frustrating.

OK, that doesn't sound very helpful given that the problem has been going on for many years. You could seek another opinion, I guess. Anyway, hope you find a cause and solution soon.

shisan\" post_id=\"1944304\" time=\"1572660982\" user_id=\"145867:

Gp we go to comments that he is thin but otherwise nothing seems wrong, and that ‘children are children, food isn’t their priority’ and that things will change when they get older. Husband was commenting that he eats, just that he doesn’t swallow. The food he keeps in his mouth literally becomes mash before it gets swallowed so that would take a lot longer than how we would normally eat. So frustrating.

shisan\" post_id=\"1944166\" time=\"1572580565\" user_id=\"145867:

Yup I feel like I’m throwing darts in the dark. Anyway I decided on a gastroenterologist, since she also checks on growth and nutrition. I’ll also see what sleep tests reveal.

It helps that exams are over.

6thisnthat9\" post_id=\"1944093\" time=\"1572529368\" user_id=\"145858:

Removal of tonsils need general anesthesia hoh. We were hesitant too. but stop breathing 17 times through the night, can be damaging too.

slmkhoo\" post_id=\"1944070\" time=\"1572523104\" user_id=\"28674:

shisan\" post_id=\"1944055\" time=\"1572515531\" user_id=\"145867:

Ya, all I recall is the kkh doctor saying his tonsils are enlarged. And because one time he was sweating while he slept, and snoring, so they said they will do a sleep test which kept being postponed because it was coinciding with exam periods, so this time it’s after exams, I’ll go for it. But I don’t know if the Doctors recommend you remove his tonsils if I should let him go through it. For now I suspect this as the problem. Because we went for 2 appointments at the pediatric endocrinologist and she says he’s ok though on the skinny side. No tests were done.

Actually seems like this is a pretty common problem, small appetite, small eater and hamster syndrome (keep food in mouth). My nephew on the other hand eats huge amounts of food but looks very underweight, very very skinny. Now my son can eat a normal portion of chicken rice, duck rice, Kopitiam portion, just that it takes so Long and usually with a struggle.

I think you should take medical advice seriously, not just pick and choose what to follow. Why consult a professional if you don't trust their advice? It seems now that you are looking for a doctor who will validate your already-formed opinions. For your son's sake, if there is something that can be done, don't just let this issue drag on.

shisan\" post_id=\"1944055\" time=\"1572515531\" user_id=\"145867:

Ya, all I recall is the kkh doctor saying his tonsils are enlarged. And because one time he was sweating while he slept, and snoring, so they said they will do a sleep test which kept being postponed because it was coinciding with exam periods, so this time it’s after exams, I’ll go for it. But I don’t know if the Doctors recommend you remove his tonsils if I should let him go through it. For now I suspect this as the problem. Because we went for 2 appointments at the pediatric endocrinologist and she says he’s ok though on the skinny side. No tests were done.

Actually seems like this is a pretty common problem, small appetite, small eater and hamster syndrome (keep food in mouth). My nephew on the other hand eats huge amounts of food but looks very underweight, very very skinny. Now my son can eat a normal portion of chicken rice, duck rice, Kopitiam portion, just that it takes so Long and usually with a struggle.

shisan\" post_id=\"1944002\" time=\"1572497160\" user_id=\"145867:

shisan\" post_id=\"1944035\" time=\"1572506690\" user_id=\"145867:[quote=shisan post_id=1944035 time=1572506690 user_id=145867]
I would also buy some snacks so he has a choice; like Oreo but sometimes he would just go for white bread (strange fellow).

MyPillow\" post_id=\"1944042\" time=\"1572509843\" user_id=\"70594:

Shisan , keep sinus n tonsil issues a look out
Dh fren son was with this prob , after surgery for sinus in p5, the boy appetite chg n eat a lot so grow into fat fat now. So it may be this issue your ds is facing !

Did he bite n chew his Mac burger ?
P3 science learn abt digestion right
Encourage him to chew bite his food
If it is not medical issues , he may be the lazy grp who find biting n chewing Tiring or he maybe having gum or dental problems?
Let’s not rule out those health n Under lying medical Problems too

Ok, to share - I have two still severely under weight kids . They are healthy, eat balanced meals , love tidbits, eat lots of fruits as well
Dd is 150cm, Abt 32kg
Ds is 178, abt 52kg
Both dun look sick , weak , frail Though lean.
But all their food prob go into vertical growth
I also dunno how - I let them eat lots of meat , fish , white rice , normal veg , lots of fruits
My ds was fussy , in P3, he only ate slightly more than half a plate of chicken rice n full. Only managed to finish one packet in P6. Small appetite but ate few times a day for snacks, dun like milk products n cakes . so after psle year - I felt he was still small built - Iet him get fast food so long he eat n like : kfc, mac , pizza , pasta, 3 times a week . He grew even taller but still slim Lah - at least he is not small size in Sec 1
My ds waist line is abt 25 + only
Dd even smaller
I was worried before , but since Sch health check din refer them to kkh for further checks so I think they are ok
Eat, sleep , play - all are normal n alright

Ds learnt Taekwondo’ n swam a lot fr P2 to P6 - so u can consider .
though severely under weight but they are lucky to look like those Korea / China idols with long legs n slim built - Hahahaha ..
Doc did comment if too under weight - can’t do proper NS Coz not enuff muscle mass
I still feeding him snacks like chicken chunks ,harsh brown , prata for supper to pump him up

I also learn to continue give them multi vits
As these thin people - mayb their body can’t retain much essence fr food

Is it genetic? My dh is lean too ! he is lighter than a lot of woman .. but he is v fit , best unit in NS time lor ... So I dun expect my kids to meet the desired weight , maybe until they are real adults .

Dun give up - check with doc first on health issues first . Jia you

floppy\" post_id=\"1944014\" time=\"1572500125\" user_id=\"97579:

shisan\" post_id=\"1944002\" time=\"1572497160\" user_id=\"145867:

...
But seriously at this point, just to get his weight up, I’m considering allowing whatever junk he would eat, and he would happily pounce on MacDonald’s fish burger dipped in curry sauce. Sugar packed I know. If I give him ‘healthy food’, which he might or might not like, he could struggle, he could try, but it might take 2 hours probably, and he will take half at most and then gag.
...

That is what the specialist and dietician at KKH suggest I do with my previously underweight daughter. As I said earlier, they don’t allow her to eat “too healthily”. What’s healthy for some people, is unfortunately, unhealthy for her.

I also do what Imp75 did. I’ve introduced sports to her to help manage her metabolism. So far, so good. She is likely to remain diminutive in stature but she is extremely fit and healthy, which is more than good enough.

shisan\" post_id=\"1944002\" time=\"1572497160\" user_id=\"145867:

...
But seriously at this point, just to get his weight up, I’m considering allowing whatever junk he would eat, and he would happily pounce on MacDonald’s fish burger dipped in curry sauce. Sugar packed I know. If I give him ‘healthy food’, which he might or might not like, he could struggle, he could try, but it might take 2 hours probably, and he will take half at most and then gag.
...

shisan\" post_id=\"1943604\" time=\"1572255586\" user_id=\"145867:

will be away for 2 weeks, I’m gonna be on leave then, I hope that can help.