طفل عمره ١٨ شهراً يشرب أكثر من لتر حليب بقري يومياً ويأكل قليلاً. شاحب وعصبي، والهيموغلوبين ٨٫٠، والكريات صغيرة، والفيريتين منخفض. ما أهم نصيحة مع الحديد؟

An 18-month-old drinks over a litre of cow’s milk daily and eats little. He is pale and irritable; Hb 8.0 g/dL, small cells, low ferritin. What is the key advice with iron?

1. Limit milk to about 500 mL
2. Give tea after every meal
3. Stop all solid foods
4. Increase milk to two litres daily

Answer: A) Limit milk to about 500 mL. Excess cow’s milk causes iron deficiency in toddlers (low in iron and causing occult loss); limit to about 500 mL with iron-rich foods.