failure to thrive

we have a 2yr girl who has been dx as failure to thrive. she wighs only 22pounds at 25mo.  she does have a some physical problem like scoliosis, and a possble sm right kidney, she was growth retarded prior to birth. we do leave food out for her soit is available but she still dont eat she may go 2-3 days not hardly touch anything, she always got gas. can you think of anythink to make her eat more, she gets enough to stay healthy but she has nothing left togrow with we figure she gets around 600 a day is that enough?

[Kevin Kennedy, Ph.D.]

Dear Katelynn,

My expertise is in the assessment and treatment of emotional and psychological conditions, but I will ask our pediatrician to take a look at your question.

[HVM M.D. - EV]

Dear Katelynn - Feeding a toddler can be a real challenge, as many do more grazing than real eating. Many toddlers only eat a few good meals a week - and still seem to grow and remain healthy.
   So - it is always hard to sort out what is normal and what is not.
   With that in mind - I would encourage you to meet with a Pediatric Nutritionist for diet recommendations.  I would offer high calorie foods - like milk shakes - and even add supplements to your child's diet - either Pediasure or supplemental oil -   if your child's diet is truly calorie poor.  A nutritionist would be best able to evaluate your child's diet and offer suggestions that would be appropriate for her and your family.
  Also - do make sure that your daughter isn't drinking lots of water or juice that could sabotage her solid intake.  Finally, try not to make feeding a big issue - hard as that may be.  And follow her growth and development closely with her doctor.
  Good luck; Hope this helps  - Dr. EV