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Failure to thrive (Increase loss (Chronic diseases (Renal disease…
Failure to thrive
Increase loss
Chronic diseases
CLD
CHD
Renal disease
Nephrotic syndrome
DI and DM
Hyperthyroidism
Occult malignancy
Chronic Infection
IEM
Reduced intake
Psychosocial
Poverty
marital disharmony
Spouse abuse
Alcoholism
Parental depression or psychosis
ABUSE/NEGLECT
Quality of food
Feeding technique
Freq and duration of feeds
Ask WD and Bowel
Child receptivity
Palate defect
Obstructed nasal passage
Oral thrush
Swallowing defect
CP
Malabsorption
Definition:
20-30g/day birth till 3 mths
20g/day 3 to 6 mths
12g/day 6 to 12 months
8g/day 12-18 mths