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Content provided by Thomas W. Tryon, MD, MBA, FAAP; UCA Pediatric Section Chair
One of the more common questions I encounter from parents in our Pediatric Urgent Care is whether or not their infant is growing and feeding normally. We also see the frequent infant who is “vomiting everything they are eating” according to the parents, but in fact they are often being overfed by their parents who are unsure of how much to feed their infant. Certainly, hypertrophic pyloric stenosis does occur in infants (blockage of the passage out of the stomach due to thickening of the muscle at the junction between the stomach and intestines), but spitty babies are much more common. Interestingly, the National Institutes of Health recently released a news article, “Guidelines for introducing solid foods to infants may lead to unhealthy weight”. (https://www.nih.gov/news-events/news-releases/guidelines-introducing-solid-foods-infants-may-lead-unhealthy-weight) According to the NIH, “Common recommendations from hospitals and infant formula manufacturers for introducing solid foods to infants could raise the risk of overfeeding or underfeeding, suggests a computer modeling study funded by the National Institutes of Health. Parents often seek guidance from medical professionals on how and when to first give solid foods to their infant. Many national and international organizations recommend waiting until an infant is 6 months old before introducing solid foods. However, recommendations vary significantly for infants between 6 months and 1 year.
Little research evidence is available on how much solid food is appropriate during this time and what types of solid food are best.” In general, I would support this being a discussion between the family and their primary care provider who is best equipped to be monitoring appropriate growth and development. However, since this question is frequently asked of us in urgent care, here are a few general guidelines:
I am indebted to my wonderful Pediatrics attending Dr. Joanne Kennedy who shared these pearls with me many years ago while training as a resident. I trust you find them useful it your practice, as we daily work to improve the lives of patients in our urgent care practice.
Urgent Care Association
28600 Bella Vista Pkwy, Suite 2010
Warrenville, IL 60555
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