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.
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