Overweight 20mth old

[Toastypate]

My ds2 is 20mths old and is overweight. I know I don't over feed him but he's getting bigger.
At birth he was tiny, on 2nd centile and stayed there for ages, suddenly started filling out which was a joy to see but it's not slowed down.

He's short for his age and heavier so it's really noticeable.
I tried to not let it show the constant comments bothered me. It's the first thing people say when they see him. "Aw look at those rolls" "he's so chubby" "offt he's a chunky monkey isn't he?" etc etc before lockdown it'd usually be followed up with a poke or squeeze of his face or arm rolls etc. My over the fence neighbour pointed his size out to me then just a few days later said "don't worry now he's walking he'll lose all that fat" he's been walking for months as she knows as she sees us outside in the garden most days.

My ds1 is 3 and a half and only 1lb heavier than his younger brother, despite at his age eating more and even now eating lots more, and while being pretty active can sit still at times.

I'm now finding age 18-24mths are tight around the waist/body but arms/legs still too long. Body wise I need to move him up to 2-3 Yr old clothes but he's totally swamped length wise, legs, tops arms.

He eats a balanced diet, rarely snacks and never ever sits still. He is constantly on the move but keeps getting bigger.

Guess what I'm asking/posting for is to find out if there are other kids who where really chubby at this age but leaned out as they got older.
I don't want him to lose weight as such just stay the same til he grows more but that doesn't seem to be happening.

I not sure what to do about his size, I want him to be healthy.

Thank you everyone, I wish I went to speak to our gp before every blew with coronavirus. Last I heard our surgery isn't seeing people unless it's an emergency.
I'm really reluctant to contact HV as she's useless. No offence to her but every time I saw her I'd be left feeling the appointment was pointless.

Ds was behind on all milestones but he is catching up in last few months and doing brilliant.

I don't think it's prada willi syndrome since he doesn't seek out food and will leave some.

I thought lockdown would see him slim out a bit since we aren't seeing grandparents etc who naturally will hand over a treat of some description but it's made no difference. If anything its made me realise when he did see grandparents/cousins etc and ate a snack he ate less at dinner.
Like most kids if you offer a snack he'll take but might take an age to eat it, usually walking about with it in his hand while other kids munch away.

I don't want to reduce his food, if he wasn't big I'd worry he isn't eating enough.

The drinking lots has been there since maybe around 10month, used to joke he'd the one to prob up the bar when he's older.
My sister has kids similar ages to my dcs so when all together it's toddler cups they have and my ds just works his way round them all guzzling them, we just thought he was being greedy.

I'm more worried now I'm made this thread than I was before, not sure what to do if gp surgery isn't open.

Can you call your GP to have a chat?
Ours is doing telephone appointments and then inviting people in if they have to be seen, or doing video consultations.

I’ve found it easier to speak to a GP since this all kicked off.

Might be worth looking into?

Phone the GP, here they are doing telephone appointments, it's likely you will be able to speak to someone.

Is your surgery not open at all? Most are doing phone consult initially and then seeing f/f if needed.

I'd be querying diabetes TBH, it can cause weight gain although weight loss is more common.

My niece was exactly as you describe. Always ate less than her sister who is a skinny minny constantly looking for food. She slimmed down when she took a growth spurt and is the tallest in her class by far. She still looks stocky on the surface but actually you can see her ribs.
This just seems to be her shape tbh. My sister had to fight with health visitor at every check who wanted her to put her baby on a diet when she was eating perfectly well and was healthy and happy.

Thanks all, I'm not sure to be honest what our surgery is doing.
We got a text message send out just before lockdown saying all routine appointments are cancelled and not to phone the surgery. I think I will call them this afternoon anyway and see what they say.

To answer @LeGrandBleu I was giving examples of his meals, not an inclusive list of the only foods he eats, we all eat the same meals. Today so far he's had cereal for breakfast, lunch was some omelette with half a slice of toast.
He doesn't like much fruit but managed for him to have half a pear after lunch before the rest got tossed on the floor.

Dinner is packed full of veggies, usually hidden as he can be fussy and will not eat so I blend it and hide it then add more to the plate so encourage him to eat them.
His afternoon snack with zero nutrition value... As I said he doesn't take a daily snack, I offer one most days as 3yo takes one but ds in question doesn't eat it. Its usually of the fruit variety or veggie sticks with houmous etc . those food where an example of a rare treat I may offer my kids and certainly not daily.
I appreciate what you mean but generally speaking they do have a healthy diet the foods I listed was to give an idea of size of portions like I say not an inclusive meal plan.
I also home cook all dinners from scratch.

Height is smack bang in the middle of the 25th - 50th centile
Weight is just under 91st centile

Can someone explain the rule of 2 that pp's mentioned

Sorry weight just over 91st centile

Basically two lines so 25th,50th, 75th, 91st, 98th if memory serves.
So in theory if you're mid 25-50 then up to mid 75-91 wouldn't a cause for concern so yes he's out of that by one line I'd say. BUT length is notoriously difficult to measure, he isn't eating tons and sound he's happy and alert and mobile. It's the thirst that would make me call the go now than anything. How much does he drink? Could you give snack that contain water like peppers etc?

@SleepingStandingUp thanks, I made a mistake on his graph so measured and weighed him again. There is 4 lines between height & weight.
Height just over 9th centile
Weight just over 91st centile

My concern is on his size, don't get me wrong he is such a cutie but even as his mum I can see he's chubby. He's a little shortie and it's very noticeable.
He doesn't eat a lot but drinks a lot.

Anyway I called my GP surgery, left a rambling description of my concerns with the receptionist and a hr or so later my gp called me back, had a chat than turned to a video call so go can see ds, he said he can see he's a bit bigger, but not alarming. From what he can see he's not massively disproportionate. He asked lots of questions and I've to have his sugars checked. So will do that tomorrow. Feeling bit relieved now.

Glad you've gotten some guidance and support

I am glad you were to talk to a doctor and put your mind a peace @Toastypate . I hope I didn't offend or upset you.

As a French in Australia, I see so many of these ultra processed snacks targeted at young children like rice cakes, or other savoury crisps-like , very processed which just hook you on industrial food. As I was saying nothing to do with the weight, and we French are known to pay a visit to a bakery after school for a croissant or other pastry/ I think it is absolutely fine to have a biscuit. It is part of the pleasures of life after a visit to the Parc to have one. I wouldn't call it a treat.
What a sad childhood if there are no biscuits or pieces of cake.

For the veggies, try new ones the whole family can enjoy. A oven -roasted pumpkin with garlic and rosemary, sweet potatoes or celeriac oven chips, or even kale chips. Very easy to do. Why not give it a try.
Or present the fruit on a skewer, alternating a strawberry, a grape, a slice of banana.

As I said in previous post, I don't think he has diabetes as it was known as the melting disease, the melting down of flesh and limbs into urine, and weightloss is often how diabetes is identified in children, along increased hunger not only increased thirst. And remember that you came here enquiring about his weight not about his endless drinking so it wasn't so evident to you.

Of course, better safe than sorry, so nice it will be ruled out.
I have two boys. One blonde, one brown, one very thin, one very muscular, they both eat the same things I put on the table three times a day. The thin one likes avocado on toast, the muscular one likes apples and strawberries for snacks. One would think the avocado and toast child would be bigger but he is not.

I am tall and slim, always was. My sister is 10 cm shorter than me and rounder, and always was. . We are in our 50s and she still complains that I took all the good genes and left none for her. We ate the same meals, did both zero sport, same parents, and you look at us and our body are very different. We are both however very happy.

Glad you've spoken to the GP and they aren't concerned

Oh that's great :) Really good turnaround. I think the point about it not being massively disproportionate is good. And they do switch from length to height at 2, so that can cause a discrepancy in height measuring at this age (plus I find it really difficult to measure mine).

Thanks everyone. I'd still like to see him slim down as he grows and not to continue gaining weight and have no idea how.
But glad the dp doesn't think at this stage he has a medical issue. We've to keep an eye on him and if in a few months his height isn't budging much but weight still going up he will be referred but gp hopeful it won't come to that.

I was surprised how fast I got a call back. He was eating his dinner and I have to go whip him out his high chair, clean his face and plonk him in front of my phone to see the gp.

I've long known he drinks lots, just assumed he was a greedy sod.

It's his control over food that makes me question his "greed" over drinks

As soon as he finishes his cup he looks to his brother to see if he has left his unattended. I do now believe he's thirsty alot whereas before it could have been mistaken as enjoying his cup/drink and pinching his brothers, cousins or anyones cup.
Hopefully test comes back ok, and he grows out of it

Really pleased it was so easy for you to speak to the gp Toasty! Fingers crossed for the tests and all he needs is a wee growth spurt.