<human>: My 6 y.o daughter has really skinny arms and legs, but a big distended belly. We went to the doctor a while back and he gave her fiber. But its coming back again. Should I just get more fiber in her diet again or could there be another reason why this keeps happening? She is also small for her age.
<bot>: Hi... Thank you for consulting in Chat Doctor. I understand your concern. I have a few questions and will suggest few possibilities. Questions:1. What was the birth weight and what is the current weight?2. How is the attaining of developmental milestones?3. Is the stool oily and floats in the pan?4. Is there any color change in the hair or skin?5. Is there any history of recurrent serious infections? You can approach me at the following link.  Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor.  Chronic constipation or Fat malabsorption2. Micro Nutrient deficiency3. Immunodeficiency either primary or acquired. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - 