When is a lack of growth a cause for concern? All children grow at different rates. The same boy that is the smallest in his class in elementary school might be the tallest at his high school graduation. In most cases lack of height can be attributed to genetic factors or in other instances it could just be that the child is a “late bloomer.”
After years of collecting statistics on childhood development experts have developed a standard growth chart. Pediatricians use this chart as a guideline to monitor the growth of their patients against other children of the same age during a child’s annual well visit. Children are ranked by percentile (from 1 to 100). If a child is ranked either below the 3rd or above the 97th, a doctor will usually want to investigate potential reasons as to why.
While in most cases there is no need for concern, for some children, a lack of growth could be caused by a growth disorder. The most common reason for a growth disorder is related to the pituitary gland, which is located at the base of the brain. One of the main functions of this gland is to release growth hormones to your body. When the pituitary gland doesn’t make enough growth hormone, it causes a condition known hypopituitarism, which can slow down a child’s rate of growth. Special tests can determine if a child isn’t producing enough growth hormone. If not, daily injections of growth hormone can often help them grow at a more conventional rate.
Another gland that produces hormones important for growth is the thyroid. Your thyroid makes a hormone called thyroxine. If it makes too little, the condition is called hypothyroidism. Having too little thyroxine cause a child to grow more slowly. Doctors can do a simple blood test for hypothyroidism. If it’s needed, pills can be prescribed to compensate for the lack of this hormone.
Thankfully, many growth disorders can be successfully treated today. The best advice is to make sure your child sees their pediatrician for their annual visit so any issue can be immediately identified. If you do not have a pediatrician, you can make an appointment to see one inJamaica Hospital’s Ambulatory Care Center.
For more information, or to make an appointment, please call 718-206-7001.