Conversation: The conversation between human and AI assistant.
[|Human|] Hi my baby is 4 months old and is very fussy and crys when feeding by breast or bottle. He spits the bottle out & milk and only has 90ml (forced) per feed & around 6 feeds per day & weighs 6kg. The Dr didn t seemed too concerned about his weight last time but he is way under the recommended ml/day & hasn t gained weight for the last couple of weeks. He feeds ok at night or when sleepy but then also falls to sleep and doesn t get recommended amount. What should I do?
[|AI|]  Hello, What was the birth weight of the child? Has he been on exclusive breastfeeding since birth or partial breastfeeding?  We need to monitor his weight on a growth chart and observe whether he is within the percentile of growth a child on breastfeeds and bottle feeds gets nipple confusion and sometimes refuses to feed with the bottle. How frequently is the child passing urine? How is his daytime sleep pattern? He needs to be stopped force-feeding as this aggravates the problem. Feed on demand. Try exclusive breastfeeds until six months of age. Check his weight every two weeks. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.