Help. My Toddler Won't Eat!!!

Updated on October 05, 2011
M.G. asks from Flower Mound, TX
6 answers

Hi Moms,

I'm really starting to get worried. My 2 1/2 year old is barely eating. He has never been a good/big eater, but he has never refused food, like he has been lately. Today for breakfast, he ate one or two small french toast sticks w/ a few sips of almond milk (I just took him off milk and dairy in hopes of his awful behavior improving - that's another story). After breakfast, we went to playgroup, where he ate half of a big cookie and a few sips of juice. He refused lunch when we came home, so I put him down for a nap. When he woke up, he wanted a food bar. When I gave it to him, he just held it. When I broke off a piece and tried to put it in his mouth, he pushed my hand away and had a tantrum (like he always does). He has barely eaten today, and that's how it's been for the past few days. Last night for dinner, he refused to eat, so my husband held him while I shoved applesauce and honey down his throat. He ate some of it, but cried hysterically the entire time. On a side note - even though he is only 2 1/2, I do think he has ADHD. I know they say it can be the terrible two's and nothing else, but trust me - his horrible behavior is so much more than just being two. It isn't typical. I think we might have to take him to the emergency clinic this weekend for him to get some nutrients via IV, I fear. Why do you think he refuses to eat?? He is skinny, so there really isn't room for him to lose weight. He cries hysterically a good part of every day. Absolutely anything sets him off. He is the moodiest little toddler I know. I'm going to look into him having ADHD (he does have some of the symptoms), but for now, I am very concerned about his lack of interest to eat. What should I do??? Thanks so much!

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M.F.

answers from Dallas on

Two french toast sticks and half a cookie sound about right for a kid his age. Also, if you'll remember with your first one, this is when toddler willfulness can be at its best. He'll refuse to eat just because he can, and because it gets his parents in a tizzy. Forcing food is not the answer. Simply offer appropriate, healthy food at appropriate times during the day (breakfast, morning snack, lunch, afternoon snack, dinner, and possibly a small bedtime snack), and don't say another word about it. Toddlers are pretty economical eaters -- they'll consume what they need to make it for about 2 hours, then look for more when their body needs it. And yes, they can go a day or two on not much more than crumbs.
Be mindful of the calories in beverages. Some kiddos will drink their calories, so they'll eat less. A glass of milk (especially chocolate milk, if you've gone that route) has a lot of calories, and so does juice. Limit the offering of milk to about 8 oz a day, and juice to 4 oz, or nix it altogether.
The toddler years is when bad food habits start because 1) kids need less at one time than we provide, so we think they're "not eating" or "wasting" food, and 2) they have quite a will, and use it.
As far as quantity, think of the size of his little fist for the main dish, and about 2 tablespoons of 1 or 2 other things. For example:
Breakfast: half a container of yogurt and two slices of a peach, a handful of dry cereal, with a sip or two of milk or juice.
AM snack: 2 or 3 crackers and a slice of cheese, or maybe a couple of mini-blueberry muffins.
lunch: one quarter of a turkey sandwich, 2 apple slices, and some water.
Afternoon snack: a couple of oreos and 4 oz of milk (which he might not finish).
dinner: 2 tablespoons of green beans, a couple of tater tots, and a chicken nugget

As far as his will, you just have to win the battle -- but do it without a fight. First tactic is to stay calm. Your job is to offer the food, but it's his job to eat it. Refusing to eat? No big deal, sweetie, "you must not be hungry, why don't you play with legos while the rest of us eat." If you'd rather him stay with the rest of the family at meal time, let him play with a toy or color while you eat. Also, ask him lots of questions (what animal do you like? can you count to 10? let's all say the alphabet...) or play games like I spy. This will help keep him occupied at the table. Or, if he's squirming and being a distraction at the table, offer these options: "You may eat nicely/join us at the table, or you may play in your room/the playpen, etc."

As far as ADHD -- you're right, a lot of kids with ADHD/ASD have food issues, usually related to texture. I've seen ADHD/ASD moms overcome those issues though with persistence about what is offered at mealtimes. If there's a particular food that you'd like to serve, say broccoli, you plan to offer it every day for about 2 weeks (literally, I've heard 14 days) and eventually they try it. The key is to offer it without saying anything about it. If they turn their nose up or fuss about it, just say "that's ok, you can push it to the edge of your plate/put it on your napkin."
Medically --
I'd focus on fluids if you're worried about dehydration right now. Maybe a fun cup with a straw. If he really is TOO thin, and losing weight, definitely make an appointment ASAP with your doc.

Sorry, this is super long.
Hope some of it is helpful.

1 mom found this helpful

B.C.

answers from Dallas on

Could he be teething his two-year molars? My daughter wouldn't eat a whole lot when her's were coming in. She also gets bored easily with food. I'm always having to buy new things. She'll eat nothing but macaroni for a week, but then throw it across the room after that, then it's onto cereal bars, etc.
When he's hungry, he'll eat. Try giving him some tylenol about an hour before he eats, and maybe some teething tablets, see if that helps.
Good luck! Sorry he's going through all of this!

1 mom found this helpful
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K.C.

answers from Dallas on

That is more than my little girl eats. I try not to worry about it and just limit the "snack" foods I offer her (which is hard). Today she at one piece of cinnamon sugar toast and about a tablespoon of mac and cheese and a tablespoon of raspberries. You can't make them eat...

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N.J.

answers from Austin on

Hello,

I wanted to know how are things with your son? My sister is going
Through the same thing and I want to provide her with the support of others who have been through the same thing. She's so frustrated.

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K.F.

answers from Dallas on

He ate and drank "something" so I doubt he needs IV fluids. Is it possible that he has a sore throat or is teething? I would not force him to eat because a strong willed child will win that battle every time. When he is hungry he will eat unless there is something medically wrong. I'd give it a few days and get him checked out if it persists. Good luck!

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J.T.

answers from Dallas on

okay, i would not suggest that you hold him down and force feed him again... that's prob doing more harm than good, not to mention the risk of aspirating if he's crying hysterically while you're doing it. from the description of what he ate today, i would say with about 99.9% certainty that the child is not in medical danger and needing IV nutrition. you are prob doing exactly what he wants you to do - reacting! by all means, schedule an appt with your pediatrician if you're concerned, but i don't think this is ER material. with the irritability you describe, it's sound more sensory processing disorder than ADHD, schedule an evaluation - your pedi should be able to get you in contact with ECI. good luck!

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