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Thread: 18 months old and 19 lb. Too small?

  1. #1
    Join Date
    Jul 2006
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    58

    Default 18 months old and 19 lb. Too small?

    My son is 18 months old and he is only 19 lbs (and 31 inch tall). He was a 6 lbs 12 oz at birth, and have been off the growth chart for weight since 6 months old. He was 17 lbs at 1 year old. He is still mostly breastfed. He is a picky eater. He either eats very little solid, or he eats too fast and too much that he can't handle all these food in his mouth and had to throw all up in the end (sigh). Both my husband and I are small Asian (5' 2"). When my son was 10 months old the doctor prescribed Pediasure but my son hates it. Now the doctor thinks he needs to see a gastroenterologist because of the weight. Any advice?
    I am very depressed after the well visit today (I feel like a failure).

  2. #2
    Join Date
    Apr 2006
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    1,064

    Default Re: 18 months old and 19 lb. Too small?

    So he has gained about 2 pounds in the last 6 months, right? That sounds fairly normal to me. He is very small, but if both you and your husband are small then that could very well be his "normal" size. Is he meeting all his milestones?

  3. #3
    Join Date
    Apr 2007
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    103

    Default Re: 18 months old and 19 lb. Too small?

    As long as there wasn't a sudden stop in growth or major decline, I'd say he's probably just small. Was there some kind of change that concerned your doctor? He really doesn't sound extremely small to me. My dd is only about 20 lbs, and she's only 2 months younger. But I'm small, and she's always been small, so my doctor wasn't worried.

    I just don't see the need for a GI specialist unless there was some negative change in his growth/eating habits. As long as he's growing and meeting milestones, he sounds healthy to me. Please don't feel like a failure! You're doing great.
    Bee- proud mama to Maggie, 6/12/06 and Maya, 10/15/08

  4. #4
    Join Date
    Dec 2006
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    882

    Default Re: 18 months old and 19 lb. Too small?

    My daughter was 19 pounds at a year old...and even at 5 years old, she's just hit 40" tall and weighing in at 35 pounds.

    Some people are just small. Some kids are just small. That does not mean anything at all. I agree with the above posters...as long as your son is happy, healthy and meeting all of the milestones, he should be fine.

    If you feel any concern, at all...then grab his height/weight records from your doctor...take them to another doctor and get a second opinion.

    I'm sure everything is fine. Follow your instincts. If you do not feel that there is anything wrong, then fine. If you feel that you need to look into it more, then do so. A mother's instincts are usually right on!

  5. #5
    Join Date
    Oct 2006
    Posts
    473

    Default Re: 18 months old and 19 lb. Too small?

    If you feel any concern, at all...then grab his height/weight records from your doctor...take them to another doctor and get a second opinion.
    That's what I would do, my DS is barely tipping the scales at 18 pounds and some odd ounces and he's 15 months. I don't see that he'll make it to 20 pounds by the time he is 18 months either.

    There have been several threads on the boards about 'small' babies. Mine is tiny but not the smallest fellow on these boards either. I have never had my pedi suggest he is small, underweight, needs further checking etc. I am sometimes shown the chart and where he is, but that's it and just for info. It's developmentally that our pedi focuses on, and with that he's right on target. Genetics play a huge role obviously, and if you and DH are both of a smaller stature I don't see why your pedi hasn't acknowlegded that.

    Is your LO meeting all the developmental milestones? Please don't feel like a failure, we all come in different shapes and sizes.
    Last edited by LunaticLibrarian; October 22nd, 2007 at 01:23 PM.

    My Little Reverse Cyclers
    *DS born July 2006, nursed 3 yrs 10 mos!
    *DD born January 2011, happily nursing and bucking the bottle just like big brother
    *One Angel baby we sadly never met July 2009

    Happily married to an amazing man who puts up with all my craziness since 1999.


  6. #6
    Join Date
    Oct 2006
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    8,272

    Default Re: 18 months old and 19 lb. Too small?

    Our pediatrician looks at my DS *personal* growth curve and not where he fits on the charts. My understanding is that the pedi is looking for consistent growth (height / weight / head) from visit to visit and not at a percantage on the growth charts. Which is a good thing because my DS has consistently been under 3% on the growth chart. By the way - I seriously our pedi for looking at my DS and not at the charts.

    Here's some of DS recent stats:
    12 mo - 16 lbs 4 oz
    14.5 mo - 17 lbs 12 oz

    We don't think that DS is going to hit 20 lbs any time soon.
    Lynn
    DS1: bf 7/2006 -> 4/2009; multiple food allergies
    DS2: bf 9/2009 -> ???
    ; multiple food allergies
    Breastmilk Donor - http://hmbana.org/index/donatemilk
    Click HERE to learn about baby led solids (BLS) / baby led weaning (BLW)

  7. #7
    Join Date
    Jul 2007
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    Default Re: 18 months old and 19 lb. Too small?



    DD weighed a little over 15 lbs at 12 mos, but our family doctor and pediatrician are not concerned because she is active and alert. Just a petite girl following her own curve.

  8. #8
    Join Date
    Feb 2007
    Posts
    139

    Default Re: 18 months old and 19 lb. Too small?

    my dd is 23 mos today and weighs 21lbs. She's tiny. Our Dr used to suggest a gostroenterologist to us too but as long as she's "on the chart" he's not pushing the issue....she's between 1 and 3%. Does your dr use the standard growth charts? Those are based on formula fed babies not breastfed babies. Take in the WHO growth chart and see where your lo plots. That's what I did. As long as your lo is growing and hitting those milestones of development I wouldn't be too worried. I have a home daycare and right now I have 5 kids around 2 years old and they are all very different sizes and builds. I also watch a 9 month old who weighs 25lbs so I think it really depends on the kids as individuals. Good luck!

    Cathy
    Wife for 11 yrs and counting
    Mom to ds (12/96) bf 11mos
    dd (9/98) bf 6mos
    dd (11/05) bf 27mos and counting!

  9. #9
    Join Date
    Mar 2007
    Posts
    532

    Default Re: 18 months old and 19 lb. Too small?

    I dunno, I would see what another Dr said but it really wouldn't hurt to see the GI Dr. I have a 9mo old that is 19.9 right now. I haven't read everything yet so I don't know what advice others have given but how is his eating habits? Do you offer solids first then nurse?

  10. #10
    Join Date
    Jun 2006
    Posts
    470

    Default Re: 18 months old and 19 lb. Too small?

    My son is 17 months, and about the same weight and height as yours, except he isn't as tall. But he's active, alert, meeting his milestones, happy... I'd say he's probably just small, like me.
    Caylen Koen Chew (25/05/06)
    Lost No.2 in Aug 2008 ... Lost No. 3 in May 2009 Hoping for another ... Enjoying No.1



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