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Expert Q&A:
Is my 5 1/2-month-old eating too much?

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Loraine Stern
Answered by Loraine Stern M.D.
"I adore children and being a pediatrician because of all the hugging and laughing that we do," say Loraine Stern, M.D. 

Loraine Stern, M.D., clinical professor of pediatrics at U.C.L.A., has been in private pediatric practice for 35 years. Dr. Stern wrote for Woman's Day magazine from 1986 to 2005. She is a former editor of and contributor to Healthy Kids magazine. She has published two books on child care and has edited a book about pediatric nutrition for the American Academy of Pediatrics. A spokesperson for children and families, Dr. Stern has appeared on national networks and programs such as CNN, The Today Show, and Good Morning America.

Dr. Stern has two stepchildren but no animals or even green plants.


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Question


Is my 5 1/2-month-old eating too much?

Answer


Years ago I took care of a baby who was exclusively breastfed but was growing fatter and fatter. At the same time, his mother was wasting away. When she expressed her milk, it quickly separated a cream layer on the top! Although breast milk is indisputably the best food for babies, breast milk varies from one woman to another. It sounds as if you are giving him good, rich milk. My sympathies for your back until he learns to walk.

The simple answer to your question is that the right amount of food is enough to keep him gaining weight and growing along his normal growth curve, which, I am sure, is way above the charts. You don't say anything about his length and about his father's and your height and weight. If you are tall and have large frames, his large size is just his genetic composition. If his development and muscle tone are normal, your pediatrician is probably not worried.

If, however, your son seems to have no check on his appetite but keeps eating as long as you keep feeding him, he may have a problem with appetite control. Make sure you give him only what he needs to avoid serious weight problems. His daily requirements at this size would be about 900 to 1000 calories. He should seem satisfied when you stop feeding him. If you are in the ballpark combining solids with an estimate of how much breast milk he is taking, and his weight gain is not accelerating, relax.
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