Q&A:
Parental Concerns: from picky eaters to early
risers
By Gwenn Schurgin O’Keeffe, MD, FAAP
Your Kid’s
Health, The
Salem News September
16, 2003 Q:
My 4 year old is getting sick all the time
since he’s been in preschool the last
year. He never even had a sniffle before then
– he was home with me until he was 3.
Should I worry about this? When will he stop
getting every illness that goes through school?
A:
The bottom line with kids and sickness is
that all kids get sick – especially
once they are around other children. We all
pay these dues one way or another: either
in daycare when our children are very young
or when they are a bit older in preschool
or kindergarten. For families with more than
one child, you’ve likely noticed that
your older children were sick a bit less than
your younger children. Kids do get about 6-12
infections a year – often clustered
in during the school year and especially in
winter. So, for many of us, it really seems
like our kids are sick all the time when in
reality they are right in there with the pack.
If your child seems to be getting very serious
infections repeatedly – such as pneumonias
and other infections requiring antibiotics
or hospitalization- talk to your pediatrician.
Q:
How can I get my child to eat?
A:
Keep in mind that there is a reason the children’s
menus at restaurants all have the same few
foods – children have simple tastes
and those plain foods are what the majority
of children will eat. Most children become
more adventurous as they go through elementary
school but some kids do remain picky. The
best course of action is gentle encouragement;
offering choices and not making food into
a battle. Find one-two fruits and vegetables
that your children will eat and offer those
consistently. Often a simple reward system
will give your child incentive to try more
elaborate foods.
A colleague of mine always stresses being
“very matter-of-fact about food. Don't
grovel and beg the child to eat, don't become
a short-order cook for them, and don't freak
if they don't eat. Just take it away when
they are done and offer them a healthy dessert
and maybe a snack later if they get hungry.”
Unless your child is having trouble growing
or gaining weight, the picky eating phase
will eventually pass. Keep in mind that young
kids do have slow points of growth when they
are young and don’t eat much during
those phases. And, given how little kids are
in relation to adults, their appetites and
portion sizes are often much less than we
think. Regardless of your strategy, keep mealtime
fun and avoid making it into a battleground.
Q:
My 2 1/2
year old is starting to give up her nap, and
she still wakes up at 5:30 every morning.
How can I get her to stay in bed longer?
A:
There are a couple issues to consider. First,
her internal clock is clearly set to 5:30
and that will take some time to re-adjust.
You could try keeping her up a bit longer
and see if that helps. In the morning when
she does wake up, resist the temptation to
go in and get her right away – she may
fall back asleep on her own. Finally, she
may not be as ready to give up that nap as
you may think – especially if she is
falling asleep very early. Perhaps a shorter
nap with a later bedtime will help readjust
her clock. A final consideration is that some
kids are early birds and wake up at the first
crow of the rooster regardless of what time
they fall asleep. I’ve always believed
that’s why so many of us parents are
java junkies.
© 2005 Pediatrics
Now.
All rights reserved. PEDIATRICS NOW is a trademark
of Pediatrics Now.
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