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Description:Query : How much milk can I give to a 20 months old baby and is it ok to keep giving milk with the bottle till she is 2 yrs_?
Answer: A 20 month old baby usually can eat and digest normal food cooked for the other family members. As a source of calcium and protein, a moderate quantity of 400 - 500 ml per day {1 glass twice a day} is generally adequate. Large quantities of milk would satisfy the child`s appetite and restrict the quantity of solid food intake which is more essential for a growing. Very large quantity of milk intake would deprive the child of certain vitamins {A,D,C,B12} and minerals like iron and lead to many problems including anemia. Bottle feeding is a method to bypass the period when a child is not able to sip liquids from a tumbler. It is no longer logical to continue bottle feeding when a child is able to sip and swallow liquids from a tumbler just as adults do. It is also well documented that prolonged bottle feeding does significantly predispose to serious dental caries and orthodontic problems {crooked teeth}. Prolonged bottle feeding can also predispose to ear infections especially in the presence of upper respiratory tract infections. The same goes with sucking the liquid through a straw as a greater suction force is required to use a straw. As a general recommendation, bottle feeding should be tapered gradually and changed to tumbler feeding once the dentition {teething} starts. There are many children who have started to sip and swallow liquids since the age of 6 - 8 months {of course with assistance}. Mohammed Shaf