Should I Worry About My Child's Toe Walking and Weight Gain? - Pediatrics

Share to:

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.

Similar Q&A

Understanding Toe Walking in Children: When to Seek Medical Advice

Hello Doctor: My daughter is now 6 years old. Since she started walking, she has been walking on her tiptoes. I initially thought she was just having fun, but I have noticed that her balance is significantly worse than that of other children her age! She easily falls while runnin...


Dr. Pei Rensheng reply Pediatrics
Dear Xiao Ai, Hello! After a child learns to walk, it is indeed concerning if they frequently walk on tiptoes, as this improper walking pattern can lead to conditions such as pes planus (flatfoot) and may affect their stability while walking, potentially causing spinal deformiti...

[Read More] Understanding Toe Walking in Children: When to Seek Medical Advice


Is My Child's Toe Walking Normal? Pediatric Concerns Explained

My son is almost four years old, and since he was little, he has been running by jumping on his tiptoes, almost like riding a horse. Is this normal? Does he need to go to the hospital for correction? Sometimes he also walks barefoot on his tiptoes. Thank you.


Dr. Xiao Kaiwen reply Pediatrics
Typically, children do not achieve a stable gait until they are around 4 to 5 years old. However, it is advisable to consult a pediatric rehabilitation department or pediatric neurology at a major hospital to assess the possibility of increased muscle tone in the lower limbs.

[Read More] Is My Child's Toe Walking Normal? Pediatric Concerns Explained


Should I Worry About My Toddler's In-Toeing While Walking?

Hello Dr. Huang, I would like to ask you a question regarding my 2-year and 4-month-old son. He has a tendency to walk with an inward toeing (also known as "pigeon-toed"). Should I take him for correction, or will he return to normal once he is out of diapers? Which s...


Dr. Huang Zheming reply Pediatrics
A two-year and four-month-old child exhibiting an inward walking pattern (also known as "pigeon-toed" gait) is not related to diaper use. It is advisable to take the child to an outpatient clinic to see a pediatric orthopedic specialist. Please inquire about the correct...

[Read More] Should I Worry About My Toddler's In-Toeing While Walking?


Correcting Your Child's Walking Posture: Tips for Parents

My child is 6 years old, 110 cm tall, and weighs 20 kg. He has asthma and is currently undergoing treatment. Recently (over the past six months), I have noticed that he tends to lean forward and walk on his tiptoes. Even his kindergarten teacher has reported this issue. I am unsu...


Dr. Li Wenlin reply Orthopedics
Hello: In response to your question. You are truly a caring and attentive mother, but please don't be too anxious. Most children's gait issues are benign and are unlikely to worsen or require special treatment. However, online consultations can be difficult for accurate...

[Read More] Correcting Your Child's Walking Posture: Tips for Parents


Related FAQ

Foot

(Pediatrics)

Infant Growth

(Pediatrics)

Fingernails

(Pediatrics)

Baby Stool

(Pediatrics)

Bowel Movements

(Pediatrics)

Pediatric Cold

(Pediatrics)

Hemangioma

(Pediatrics)

Lymph

(Pediatrics)

Thalassemia

(Pediatrics)

Medical Report

(Pediatrics)