Child nutritionist

[workmumma]

My 26 month old toddler has not gained weight or height for more than 10 months now. She is now beginning to look very small in comparison to other 2 year olds. She eats fine but is a bit fussy with how she wants her food. Would any one know of a good child nutritionist in or around London? Someone who was tried and had good results. Any information is appreciated.

Any one can call themselves a nutritionalist. What you need is a dietitian. Your GP should be referring you to one and more importantly to a pediatrician.

Go through GP for referral to paeds

Yes, GP for referral to paediatrician (bring her red book showing her growth pattern). We needed an official height/weight by the health visitor first as our GP doesn't have baby/toddler scales. I think either GP or paediatrician can refer to a dietician if needed.

Not London based but I had an appointment with Anghard Banner fory daughter. She's Wales based but does online appointments. She was very helpful, she's a paediatric dietitian x

Good to have this clarity thank you @Thenewnewme
@Tryingtoconceivenumber2 thank you so much for this. I'll reach out to her.
@Lighttodark @skkyelark I did go to the GP, they didn't have toddler scales. He said to go to a health visitor, for which I got an appointment 4 months later. And the GP didn't want to refer any dietician because he doesn't think there is anything wrong. I showed him the weight height data from my own home scales plotted on the red book, but he says if she is playing around and active, there is nothing wrong with her being small in size. To be honest, I find this logic quite ridiculous. Another doctor I had randomly met at an event saw her and told me that you should see a dietician. Honestly, I think that NHS is so clogged up with backlog patients that unless something critical happens, they don't want to do anything extra. As a parent I don't want to wait for a time when something absolutely critical happens to my daughter because I didn't look into her diet or nutrition she is intaking currently. I am happy to even visit a private paediatric dietician, if I can get some good recommendations.

If she is getting well, 3 meals a days and at least 2 snacks a day, including a good range of healthy food including fats, protein and carbs and she isn’t growing then I think you need a peadetritian. Either go privately or see a different GP.

Are there any baby weighing clinics in your area that you can drop by? It's the same set of scales for toddlers, so that could at least get you a weight faster than 4 months. Then I would try a different GP, and go armed with the NICE guidelines for when to suspect faltering growth and what to do about it (https://cks.nice.org.uk/topics/faltering-growth/diagnosis/when-to-suspect/, there's a link to the information on management in the sidebar). If you and her father can both go to the appointment, that may make the GP take you more seriously (shouldn't be that way, but sometimes it works).

I would find your local weigh in session and go every 2-3 months

Height is notoriously difficult to measure. My daughter has hers measured at every hospital appointment and once had two appointments 6 weeks apart and based on those measurements she shrank 4cm in that time. Most likely one of both of the measurements were wrong.

My daughter dropped from the 25th to 1st percentile for height between 1 and 2 and dropped a percentile in weight between 2.5 and 3. She has had other periods of slow weight gain and for us along as she isn't actively loosing weight we are told not to worry. Getting the semi regular weight checks every few months so you can see that things are tracking in the right direction even if not on the previous percentile