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Medicine Mondays- ADHD and Poor Weight Gain and Breast Feeding Frequency and Babies

Posted Sep 22 2008 10:58am
Hi Everyone,

Welcome back to Medicine Mondays.

As suggested by the title, each Monday I'll post the questions that I have collected over the week. If you have a question please feel free to send me an email or leave me a comment. I welcome every comment and hope to help answer some questions. Just remember that my advice is not a substitute for a physical exam and medical advice that your family doctor can provide.

We had a couple of questions this week.

Here's the first:

ADHD and Poor Weight Gain

Question - Dr Cason,

I have a 5 year old boy that has ADHD and has been on Focalin XR 15mg. The meds aren't strong enough but they are scared to up his meds more because he is 35 lbs....

You can read the whole post here:ADHD and Poor Weight Gain

Nursing Frequency and Babies

This next question I just found buried in my comments. It comes from a friend of mine. She posted it on my other blog where I showcase my life as a Pediatrician and pretend to be a Photographer!

Question: Hello Mommies,

Just wondering at 8-9 months old how often everyone nursed? I am getting varying opinions from friends, between 4-8 times a day. We are eating solid foods 3 times a day and nursing 4 times a day. I have a chart for food qty at this age but I can’t find a good nursing chart. Just wondering?- JH


Dear JH,

I haven't found a specific nursing chart per se and as a physician I don't refer to them. I usually look at how the babies are growing and thriving. You have to remember that some babies are snackers and love to nibble and nosh their way through the day.

Some babies though prefer to be off and crawling around much like a busy 8 or 9 month old. Who has time to eat when there is so much of the world yet to be explored!

Look at your child. Don't worry about the number of times she eats. (Though 4 sounds good to me) She may be a very efficient nurser and gets a lot when she does nurse. Just ask yourself, Is she growing? Is she happy?

If she is tugging and punching at your breast when you are nursing then you know your supply is decreasing. Just make sure you eat and drink and keep nursing and it'll increase. Also see your pediatrician and look at her growth. At about this age babies will plateau a little because they are too bust exploring. It's normal and I usually don't worry about it.

Hope this all helped! See you all next week-

Sheila Cason MD
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