Good morning doc i am worried with my 11 yr old female child, she is underweight at 25 kg, even i gave her a, lot of multivitamins but still she is underweight . i want her to gain more weight to a normal scale at her age now.

There are many potential explanations for the child being underweight. In the Tropics and in Public hygiene- Challenged environments, Worm, intestinal infestations and other parasites can be part of the problem. A visit with the PCP for a thorough Physical Medical examination and appropriate Labs including Ova and Parasites are indicated for starters.

There are many causes and a full evaluation includes screening for GI and other chronic diseases. Are there any symptoms? Cough, diarrhea,vomiting? Intake of adequate calories is recommended, review with your physician whether high calorie shakes ma be beneficial. Weight and height measurements in graph form should be reviewed to detect a pattern of poor growth. Screen for TB and HIV as indicated.