Of course Mommy is baffled as to how Juan Or turns out to be underweight considering that the babysitter gives him 3 or 4 times of milk feeds (ranging from 7 to 9 oz. of milk per feed) per day, and Juan Or is also capable of finishing 2 bowlfuls of porridge (rice bowl size) in a day. And the porridge contains mashed up carrots, some butter or cheese (to fatten him up) and fish meat or ikan bilis stock. Then one day, a quick flash of thought occurred in Mommy that Juan Or's condition of being underweight may be caused by him taking his antibiotic (trimetoprim) on a daily basis. Juan Or has to take trimetoprim daily as a preventive measure of him getting urinary tract infection. Juan Or has this congenital condition called mild bilateral hydronephrosis (laymen's term: mildly dilated kidneys) which makes him susceptible to getting urinary tract infection. And the HUKM peadiatrician mentioned that any infection to his growing kidney is no good because it can cause kidney scarring and along the way will cause the kidney function to deteriorate. Mommy thinks perhaps the antibiotic, taken in long run, has killed many of the natural friendly microorganisms in Juan Or's gut system. And these microorganisms have been known to aid nutrien absorption. So perhaps Juan Or's nutrient absorption is not efficient, that's why he has poor weight gain.
(The antibiotic that Juan Or has to take every day, trimetoprim.)
(The PediaSure that the paediatrician recommends Juan Or to take, which Mommy bought for RM55.90, then later for RM53.90 at the same shop.)
After 9 days of consuming PediaSure, Juan Or already showed some results. His cheeks are puffier now and the diameter of his hand looks bigger. Haha....to put it in a light way, Juan Or's extra flesh or fat costs RM55.90!
(A photo of Juan Or a week or so before the visit to the paediatrician. )
(A very recent photo of Juan Or about 9 days after consuming PediaSure. Cheeks are puffier and the diameter of his hands are slightly bigger now. Photo taken at this angle may not reveal such big difference, but the difference is easily seen in real life.)