Walking on tiptoes?
Hello doctor, I would like to ask if my son, who is almost four years old, sometimes walks on his tiptoes.
Should I take him to see a doctor for an examination? Since he started kindergarten, he has been getting sick frequently and has been on medication almost continuously.
He was originally thin but has now gained weight.
His height is 108 cm and he weighs 22 kg.
Is it possible that the medication is causing him to gain weight? Is taking medication every week harmful to his kidneys or overall health?
Ms. Chen, 30~39 year old female. Ask Date: 2017/06/03
Dr. Xiao Kaiwen reply Pediatrics
You can visit the pediatric neurology, pediatric rehabilitation, or pediatric orthopedics departments at the hospital to check for any abnormalities in lower limb muscle tone or other issues.
Given that the height and weight have reached the obesity standard, it is difficult to determine if this is caused by medication; however, more often, it is related to dietary, exercise, and lifestyle habits.
It is recommended to consult with the pediatric endocrinology department at the hospital for further evaluation.
Each medication has different effects on the body or kidneys, making it impossible to assess here.
It is advisable for children to see a pediatrician trained at a major hospital for appropriate care.
Reply Date: 2017/06/03
More Info
When it comes to your child's toe walking and weight gain, there are several factors to consider. Toe walking, especially in young children, can be a common occurrence and may not always indicate a serious underlying issue. Many children go through a phase of toe walking as they develop their walking skills. However, if your child is consistently walking on their toes, it may be worth consulting a pediatrician or a specialist in pediatric orthopedics or neurology to rule out any potential concerns such as muscle tightness, neurological conditions, or developmental delays.
In your case, since your child is almost four years old and has been exhibiting this behavior, it would be prudent to seek a professional evaluation. A thorough assessment can help determine if there are any underlying issues that need to be addressed. The doctor may evaluate your child's muscle tone, balance, and overall gait pattern to provide a comprehensive understanding of the situation.
Regarding your child's weight gain, it is essential to consider various factors, including diet, physical activity, and any medications your child may be taking. The height and weight you provided (108 cm and 22 kg) suggest that your child is on the higher end of the weight spectrum for their height, which could classify them as overweight. Weight gain in children can be influenced by several factors, including dietary habits, sedentary behavior, and, in some cases, medications.
If your child has been frequently ill and taking medications, it is possible that some medications could contribute to weight gain. Certain medications, especially those used to treat asthma or allergies, can have side effects that include increased appetite or weight gain. However, it is crucial to discuss this with your child's healthcare provider, who can evaluate the specific medications and their potential side effects.
As for the concern about the impact of frequent medication use on your child's kidneys or overall health, it is essential to understand that not all medications have the same effects. Some medications can indeed have implications for kidney health, especially if used long-term or inappropriately. Regular check-ups with your child's doctor can help monitor any potential side effects and ensure that your child is on the appropriate treatment plan.
In summary, while toe walking can be a benign phase of development, it is advisable to consult a healthcare professional for a thorough evaluation, especially given your child's age and the persistence of the behavior. Additionally, addressing your child's weight gain through a balanced diet and increased physical activity is essential. Engaging with a pediatrician can provide guidance on healthy lifestyle choices and any necessary adjustments to medication if needed. Regular follow-ups will help ensure your child's overall health and well-being.
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