Monday, May 16, 2011

Baby Regurgitation

Regurgitation is a common condition in babies, especially in premature babies or babies within the first 4 months of life. However, fret not as babies usually outgrow it by one year o of age.
understanding the cause
As we eat, the food travels from mouth to the esophagus, into the stomach and emptying into the small intestine.

There's a valve between the lower part of the esophagus and the opening of the stomach, called lower esophageal sphincter (LES), which helps prevent food from flowing back into the esophagus.

Hence, if the LES is still weak or does not close properly, or large feedings that increase the gastric pressure or food that cause LES to relax, a reflux may be triggered.

Tips to reduce the condition:
  • burp the baby after feed
  • provide small and frequent feedings to avoid overfeeding. Large feeding increase gastric pressure and trigger reflux.
  • place the baby in a prone position after feeding, as it improves gastric emptying (carry out under doctor’s advise)
  • avoid food right before naps or bedtime
  • provide thickening formula feedings
  • avoid any known irritants in the diet. Possible irritants include citrus, tomato, chocolate, peppermint, fatty food (these food may cause a decrease in LES pressure). However, food irritants are individualized and do not eliminate food unnecessarily
  • recall and record the diet intake/feeding pattern to help determine whether the baby is regurgitating due to over feeding
  • do not play with or jiggle your baby right after feeding as too vigorous movements may trigger a reflux

A Rainbow of Fruits & Vege - White

White coloured vege/fruit:

A Rainbow of Fruits & Vege - Blue/Purple

The blue & purple coloured fruits/vege :

Sunday, May 15, 2011

A Rainbow of Fruits & Vege - Green

Kids' 'favourite' colour for vege:
  • Broccoli
  • Cucumber
  • Spinach
  • Cabbage
  • Celery
  • Leek
  • Green pepper
  • Lettuce
  • Peas
  • Lady's finger/okra
  • Kai lan
The green fruits:
  • Avocado
  • Kiwi
  • Green apple

A Rainbow of Fruits & Vege - Orange/Yellow

A Rainbow of Fruits & Vege - The Red

Examples of Red coloured fruit/vege:
Red pepper
Red grapefruit

Thursday, May 12, 2011

Diet Recall

life as a dietitian..
taking diet recall everyday..
it can be annoying when you have this kind of patients..
how big is the bagel? well, it's a bagel size! lol
enjoy the video


- part of the cabbage family
- a good source of:
  • vitamin C
  • anti-inflammatory vitamin K
  • vitamin A (through its concentration of carotenoid phytonutrients)
  • heart-healthy folate
  • soluble fiber
  • enzyme-activating manganese
  • muscular-system-supporting potassium, protein, and magnesium
  • energy-producing vitamin B2, vitamin B6, and phosphorus
  • omega-3 fatty acids
  • bone-healthy calcium
  • immune-supportive zinc & vitamin E

Sunday, May 1, 2011

Food Pyramid Malaysia

Comparing The New and Old Food Pyramid

New Food Pyramid Malaysia 2010

Old Food Pyramid

The New Food Pyramid

The Previous Food Pyramid

Rice, cereal, tubers

4-8 servings/day

Eat adequately

8-12 servings/day

Vege & fruits

Vege: 3 servings/day (Eat plenty)

Fruits: 2 servings/day (Eat plenty)

Vege & fruits:

3-5 servings/day

Meat, fish, poultry, legumes

½ -2 servings chicken/meat/egg /day

1 serving fish/day

½ - 2 servings legumes/day

Eat in moderation

2-3 servings/day

Milk, dairy products

1 – 3 servings / day

Eat in moderation

1-2 servings

Fat, sugar, salt

Eat less

In a small amount

Per Serving

Based on 30g carbohydrate

Based on 15g carbohydrate