More than two million children are at risk of malnutrition in Syria, a charity has warned.
Those caught up in the conflict have been left unable to produce or buy enough food, while prices have soared and the food production industry has collapsed, Save the Children says.
In rural areas Damascus one in 20 children is severely malnourished with 14 per cent classed as acutely malnourished.
The aid agency says it has gathered testimonies from refugees in neighbouring countries as well as residents trapped by fighting and enduring siege like conditions who have detailed families' desperate struggle to feed their children.
The charity reported accounts of children forced to live off nothing more than lentils or bread for days on end - with one family trapped in their basement by explosions eating just half a piece of bread each, over the course of four days.
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Food shortages are leading to a huge increase in food prices with the cost of the most basic supplies increasing by 100 per cent.
Meanwhile Save the Children said Syria's agricultural output has dramatically decreased, with grain production falling to less than half of what was typical before the war.
The charity's chief executive Justin Forsyth says the world has done too little to help.
"The children of Syria have been shot, shelled and traumatised by the horror of war. The conflict has already left thousands of children dead and is now threatening their means of staying alive.
"That some children are going to bed trapped amid fighting - terrified, alone, vulnerable - and with empty stomachs ought to be a stain on all our consciences," he said.
