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WEBCHAT GUIDELINES: 1. One question per member plus one follow-up. 2. Keep your question brief. 3. Don't moan if your question doesn't get answered. 4. Do be civil/polite. 5. If one topic or question threatens to overwhelm the webchat, MNHQ will usually ask for people to stop repeating the same question or point.

See all MNHQ comments on this thread

Online chat with Dr Rob Hicks, Friday 7 March 2008 between 1-2pm

86 replies

OliviaMumsnet · 04/03/2008 11:46

Dr Rob Hicks will be here for an online chat with Mumsnetters this Friday 7th March.

Dr Rob is a practising GP, health writer and medical journalist with a specialist interest in family health and child development.

A regular contributor to Prima Baby magazine he is also the Classic FM radio doctor and frequently appears on television in the role of medical expert. He is also dad to a 4 year old daughter.

Dr Rob will be joining us for an hour at 1 o'clock to answer any of your questions about children's health and diet, so get your questions ready, grab a cuppa and join us then.

But if you won't be here during the chat itself, then do please post any advance questions for Dr Rob here.

Thanks, MNHQ

OP posts:
elesbells · 07/03/2008 11:46

Hello doctor Rob

My DD is 23 months. Over the last few weeks she has not stopped eating/asking for food. She has two weetabix/or a whole bowl of porridge for breakfast followed by toast, a huge lunch and dinner with fruit and fruit pots as snacks. she still has a nine oz botttle of milk before bed. She could eat an adult size portion and still scream for more! she is now waking in the early hours crying for food. I can't believe she puts so much away. After eating her own food she will cry for mine. She has lost weight (but she must cover 10 miles a day running up and down - she never sits still!) but is not skinny. she is fine in every other way.

I'm worried something is wrong what could it be?

DrRobHicks · 07/03/2008 11:58

Test

YellowBrickRoad · 07/03/2008 12:46

Hi Dr Rob,
I hope you can help me. My 3 years old son will hardly eat anything. He only eats pasta, spaghetti and cheese. The rest of the family follow a healthy, varied diet. I love cooking and am constantly trying to make new dishes to entice him. He's very small for his age and very pale. Can you give me any advice?
Thanks so much.

JustineMumsnet · 07/03/2008 12:49

Hello Dr Rob,
My five year old has developed a nervous blink - except that he doesn't seem to be very nervous/ worried about anything in particular. He says he doesn't know he's doing it. What would you advise?

pooka · 07/03/2008 12:51

Hi Dr Rob.
My children seem to have been ill constantly since Christmas. We've had tonsillitis, ear infection, UTI, colds, conjunctivitis, impetigo and now possibly ds has impetigo and dd thrush.

Is there anything I can do to try and build them up a bit? DD is quite small and looks pale and wan (has also just started school). She eats well. DS (2.5) is a big lad but an incredibly fussy eater (but loves fruit above anything else). I am reaching the end of my tether dealing with constant illness. Tell me it'll get better soon.

cathkidston · 07/03/2008 12:54

Hi Dr Rob
I'm 9 months pregnant and have come down with a UTI - saw a locum GP who prescribed me amoxycillin but I'm wondering if there's anything nutrition-wise I can do to help get rid of it. I understand cranberry is a preventative and not much use once the infection's there?
Thanks

Overrun · 07/03/2008 12:55

Hello Dr Rob

My 5 year old who has a reasonably healthy diet, but not esp fibrous, has very loose bowel movements. He is regular as clockwork, and always uses the toilet in the morning first thing.
It is certainly not diarrohea, but I sometimes wonder, if I should get him checked out. He has Asthma and low Iga levels.

Cam · 07/03/2008 12:58

Hello Dr Rob

My 11 year old daughter is quite tall and is very slim. She does loads of sport at school and is in the school swimming team.

I am concerned that she is not getting enough nourishment, what kinds of food should I be offering her given that I know it is important to build up strong bones during adolescence?

Wotz · 07/03/2008 12:59

Hi Dr Hicks

Evening Meal with children 8 and 11 yrs

As a working mum I find it hard to cook and eat much before 7pm. They don't have a problem finishing their meals but they then go to bed about an hour to an hour and a half later.

Is this too late for children to have their main meal of the day?

CatherineMumsnet · 07/03/2008 12:59

Hello all,
Thanks to everyone who has posted questions so far and a very warm welcome to Dr Rob Hicks....

DrRobHicks · 07/03/2008 13:00

Hello Everyone!

Dr Rob here.

Thank you very much for asking me to join you today, and thanks to those of you who've already posted messages - I guess it's time we got cracking!

DrRobHicks · 07/03/2008 13:02

We?ve had a lot of questions about children being ?fussy eaters?. It can drive you barmy can?t it!

Here?s some thoughts that have been shared by my patients, friends, family, and those I?ve overheard in various coffee shops:

Try not to get into a battle ? I know it?s hard but getting into a fight makes matters worse. If you feel you are going to shout, get up and walk away, then come back after having taken a few deep breaths, I know this works ;-)

Offer a variety of foods, and when introducing new foods, simply show it to them, let them handle it. Don?t worry if they don? want to eat it. Let them see how you eat it so they learn how and that you like it too ? children can tell if you?re faking it!

Get children involved in preparing and making meals. Those children who are involved are more likely to eat the foods themselves.

Cut up fruits of different colours into shapes and put in a container in the fridge. Let your child decorate the outside with favourite stickers so it?s his/her special pot. My experience and the experience of others is that this helps the fruit go down.

Put lots of colours on the plate.

Try mixing foods together (I know, children will identify microscopic pieces of food and pick them out!) ? for example favourite cereal, plus enjoyed fruit, plus whatever is a suitable ?challenge? food.

Try for all the family eating the same foods.

And last but not least, as a general rule of thumb if a child is happy, well, playing and growing (check height and weight charts), then he/she is probably getting enough nutrition.

DrRobHicks · 07/03/2008 13:03

...... oh, and if you've any advice on overcoming fussy eaters, then tell us now - shared ideas bring solutions.

DrRobHicks · 07/03/2008 13:05

Hi ceebee 74

Take a look at this site, it?s where I go to remind myself about what children need, and to reassure myself when I feel that perhaps my daughter is missing out on something!
www.eatwell.gov.uk/agesandstages/children

From age 5 it?s advised for children and adults to have at least five portions of fruit and veg a day. It should be a variety of fruit and veg making up the 5 portions, not all fruit and no veg. The balance could be fruit:veg 4:1 or fruit:veg 1:4, but I guess most would go for a 3:2 ratio of either way. I think a variety is best, and if possible introduce new foods as often as possible, keeping the known favourites as back up in case noses are turned upwards! The more you offer a food the more a child is likely to accept it and then be happy to eat it. Many of us gave up after offering a food on 2 or 3 occasions and it being refused, but research suggests that offering it let?s say every other day over two weeks makes it more likely that a child will eat it and continue to eat it happily for months later. I?m not aware of a minimum amount of veg for a one year old ? if anyone can point me in the direction of this please do?! I?d say try for one a day and build up. And don?t forget dairy, children need calcium for strong and healthy bones.

ceebee74 · 07/03/2008 13:07

Hi Dr Hicks

Thanks for the information but I don't think it was for me as I asked the question about pyloric stenosis

Ceebee74

DrRobHicks · 07/03/2008 13:08

Hi KatsLondon

Glad to hear that your son had the corrective operation and I hope he?s doing well now.

For those who don?t already know pyloric stenosis is when the passage between the stomach and the small bowel becomes narrower than it should be stopping food from passing from the stomach into the bowel to be digested. An operation is performed to widen the passage so food can pass through and be digested.

It?s more common in boys in a ratio of 4 to 1, and particularly in first-born boys. It can run in families and because of this subsequent children may be at a greater risk but I?ve not been able to find a figure as to how much greater this risk is. If anyone knows the answer then please post a message.

You may wish to contact the surgeon who performed your son's operation as he/she may be able o give you a precise answer, but be prepared for the exact risk not being known, and good luck in conceiving your next child!

DrRobHicks · 07/03/2008 13:10

Whoops - looks like a technical gremlin somewhere ;-)

I've just posted an answer to your question, apologies to you and KatsLondon for the mix-up.

ceebee74 · 07/03/2008 13:12

I have just read your last post which I think is for me.

Thanks for the information - my son is 20 months now and appears to have suffered no ill-effects of the condition/operation apart from being able to vomit with ease .

I will try and contact the surgeon but I do feel that we will be much better informed and prepared if any subsequent children do develop it as we know what to look for.

Thanks again for your help.

tortoiseSHELL · 07/03/2008 13:13

Hi Dr Rob.

I have 2 questions.

Dd (4) has just been referred following a school vision test - the nurse said her right eye wasn't functioning as well as her left. Is this likely to be a lazy eye? If so, what is the best treatment, and could it have been caused by hair flopping in her eyes?

Secondly, ds1 (6) has a dreadful diet - he is virtually vegetarian (only eats fish and mince), but doesn't like vegetables/fruit, apart from fruit smoothies, baked beans, peas, grapes. He seems to have an over developed sense of taste/smell. Is this possible and is it going to REALLY affect him? Because I have tried EVERYTHING to get him to eat better.

DrRobHicks · 07/03/2008 13:13

Hi EasyTanya

Take a look at this site, it?s where I go to remind myself about what children need, and to reassure myself when I feel that perhaps my daughter is missing out on something!
www.eatwell.gov.uk/agesandstages/children

From age 5 it?s advised for children and adults to have at least five portions of fruit and veg a day. It should be a variety of fruit and veg making up the 5 portions, not all fruit and no veg. The balance could be fruit:veg 4:1 or fruit:veg 1:4, but I guess most would go for a 3:2 ration of either way. I think a variety is best, and if possible introduce new foods as often as possible, keeping the known favourites as back up in case noses are turned upwards! The more you offer a food the more a child is likely to accept it and then be happy to eat it. Many of us gave up after offering a food on 2 or 3 occasions and it being refused, but research suggests that offering it let?s say every other day over two weeks makes it more likely that a child will eat it and continue to eat it happily for months later. I?m not aware of a minimum amount of veg for a one year old ? if anyone can point me in the direction of this please do?! I?d say try for one a day and build up. And don?t forget dairy, children need calcium for strong and healthy bones.

DrRobHicks · 07/03/2008 13:17

Hi JingleyJen

It sounds like you?ve have particular experience of this, and yes, this is a problem isn?t it? One person says one thing, another says something different, your own mother says something else, you read in a parenting magazine yet something else, and so on it goes. Meanwhile whilst you?re trying to do your best for your child it feels impossible to believe you?re achieving this.

Part of the problem is the abundance of advice now available to parents from newspapers, magazines, radio and TV, and the internet. Plus, science is moving at an incredible pace such that by the time guidelines are developed results of studies are published that question the validity of the guidance. You may have noticed that over recent years parenting advice has become less prescriptive, because it?s no longer so crystal clear what is best.

Believe me, I understand how you feel, I find it difficult to keep up too!

In reality, there are very few absolute rights and wrongs, and many more ?well you could try this, or you could try that, but we don?t know what is actually best". Much has medical science has progressed over recent years, if anything this has left us with more questions than answers. But some things are currently carved in stone, for example, not smoking around a child, or better still not smoking at all.

My advice to parents is never be frightened to ask questions if you are not sure about something. Yes, this may mean that you are left with having to make up your own mind, but at the end of the day we all have to decide what we feel is best for our children, and when the ?experts? don?t have the answer, then until they do we have to make the choice. It's not always easy is it!

DrRobHicks · 07/03/2008 13:21

Hi charlysangel

I know exactly what you mean! My personal experiences are mostly good, but with a few ups and downs, of course.

Like many parents I now do some work from a ?home office?, in fact this is where I am now. On the plus side it allows me the flexibility to be around and experience what my daughter is getting up to and to be able to help out when needed. On the downside it can be difficult to get stuff done if there are ?angel-face? interruptions inviting me to play ? we have a family concert rehearsal going on at the moment! The truth is it works for me. It?s made me adapt the way I work, re-assess my priorities, and simply put my family first. If someone is out at work, it can be difficult to come back home from work and have to be the happy, playful parent, bath, read story, when all you want to is fall in front of the TV. It?s not easy either when two parents are working, especially if others at work don?t have children so don?t appreciate that sometimes you have to just get up and go home because your child is unwell, for instance. I think the arrival of children is hard on those who work, who may have been used to a routine ? we all know how children upset routines!! The bottom line is how well some one deals with change, and the unexpected. It?s this that influences how stressed, or calm, a person is each day.

Of course there are times when I start to feel stressed, and this is when I?ll do something I find relaxing and think back to when a cab driver once said to me ?you don?t reach your death-bed and say I wish I?d worked more, you say I wish I?d spent more time with my family, friends, doing the things I enjoy?.

With regards health and wellbeing work and family integration can strengthen these or bring about their downfall. My advice to parents is don?t forget yourself, you need me-time and shouldn?t feel guilty about this. I always remember what a consultant said to me when I was a junior doctor, ?Rob, unless you look after yourself you won?t be able to look after your patients properly?, and I think this applies to parenthood too.

AhhChewww · 07/03/2008 13:22

Again question about iron ans babies. M
My nearly 10 months old daughter won't touch any meat and very littl fish. Not keen on pulses either.
Is she getting enough iron from vegetbles, fruits, fortified cereal etc and a breast milk?

Thank you

DrRobHicks · 07/03/2008 13:24

Hi NewtHerts

Any child can get constipated, but breast-fed babies are less likely to get constipated than formula-fed babies. Not going for a number of days is unlikely to cause harm but if she?s distressed by this, or by trying to go, then you?re right to be concerned. The worry with a child becoming distressed is that one painful pooing experience triggers a fear that doing a poo will be painful again. In fact, holding on and not going invariably results in the next poo being painful so a child?s belief is reinforced.

Diluted fresh orange juice, or apple juice should be OK. I?ve found a stool softener such as Lactulose usually solves the problem. You can get a prescription for this from your GP.

2sugars · 07/03/2008 13:26

Dr Hicks,

You suggested things that might work for younger children who are fussy eaters. Have you any advice for struggles with older children for whom your advice won't work?