Delayed growthDefinition: Delayed growth involves poor or abnormally slow gains in weight or height in a child younger than 5 years old. See also: Short stature
Alternative Names: Growth - slow (child 0 - 5 years); Weight gain - slow (child 0 - 5 years); Slow rate of growth; Retarded growth and development
Considerations: A child should be taken in to see the health care provider on a regular basis for well-baby checkups. See the following for more information:
Common Causes: Delayed or slower-than-expected growth can be caused by many different things, including genetics, nutrition, infections, chronic diseases, and psychosocial health. Many children with delayed growth also have delays in development. See also: Failure to thrive
Home Care: For slow weight gain caused by a lack of calories, try feeding the child on demand and increasing the sucking time. Also, prepare formula exactly according to directions. Do not dilute ready-to-feed formula, and try increasing the amount offered to the child.
Call your health care provider if: If you notice developmental delays or believe psychosocial issues may be contributing to a child's delayed growth, contact your health care provider.
What to expect at your health care provider's office: The health care provider will examine the child and measure the height, weight, and head circumference . The parent or caregiver will be asked questions about the child's medical history, including: - Has the child always been on the low end of the growth charts?
- Did the child's growth start out normal and then slow down?
- Is the child developing normal social skills and physical skills?
- Does the child eat well? What kinds of foods does the child eat?
- What type of feeding schedule is used?
- Is the infant fed by breast or bottle?
- If the baby is breastfed , what medications does the mother take?
- If bottle-fed, what kind of formula is used? How is the formula mixed?
- What medications does the child take?
- What other symptoms are present?
There may also be questions about parenting habits and social interactions with the child. Tests may include: - Blood tests (such as a CBC or blood differential )
- Hormone studies
- Stool studies (to check for malabsorption)
- X-rays to determine bone age and to look for fractures
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