Growth Delays in Children: When to Seek Endocrine Care

Growth retardation

My son was born weighing only 2700 grams and has G6PD deficiency.
He experienced projectile vomiting while drinking milk as a baby.
He was weaned at six months, and it has been a struggle to raise him since then.
He doesn't like drinking milk, but I often make bone broth for him.
At one year old, he was 80 cm tall and weighed 10.2 kg; at two years old, he was 88 cm tall and weighed 11 kg.
Now, at two and a half years old, his height and weight are the same as they were at two years old (his penis size is also very small).
Should I take him to see an endocrinologist? Which endocrinologist is available at Hsinchu Hospital? Thank you!

Xiao Nu Zi, 30~39 year old female. Ask Date: 2003/07/08

Dr. Zhao Yongkang reply Pediatrics

Dear Madam,
Regarding your letter, I still recommend that your child see a pediatric endocrinologist.
Our hospital has a special pediatric endocrinology clinic with Dr.
Niu Dao, which takes place on the second Thursday of every month in the afternoon.
You can bring your child for a consultation, and the registration starts at 1:30 PM.

Thank you for your letter! Wishing you peace.

Sincerely,
Dr.
Zhao Yongkang
Director of Pediatrics, Hsinchu Hospital

Reply Date: 2003/07/08

More Info

When it comes to understanding growth delays in children, it is crucial for parents to be vigilant and proactive in seeking medical advice, especially when there are concerning signs. In your case, your son was born with a low birth weight of 2700 grams and has a history of health issues, including favism (a condition that can lead to hemolytic anemia) and projectile vomiting during infancy. These factors can significantly impact his nutritional intake and overall growth.

At one year old, your son measured 80 cm in height and weighed 10.2 kg, which is within a reasonable range for his age. However, by the age of two, his height was only 88 cm and weight was 11 kg, indicating a growth rate that may not be keeping pace with typical developmental milestones. The fact that he has not gained height or weight since then is particularly concerning. Growth patterns in children are generally expected to show a steady increase, and a lack of growth can be indicative of underlying health issues.

The recommendation to consult with a pediatric endocrinologist is indeed warranted in this situation. Pediatric endocrinologists specialize in growth and hormonal disorders, and they can provide a thorough evaluation of your child's growth patterns, hormone levels, and overall health. They will assess whether your son’s growth delay is due to a hormonal imbalance, nutritional deficiencies, or other medical conditions.
In terms of specific growth metrics, it is important to note that children typically grow about 5-7 cm per year between the ages of 1 and 2, and this rate may vary as they approach puberty. If your son’s growth is significantly below these benchmarks, it could indicate a growth disorder. Additionally, the observation regarding his genital size may also be relevant, as it can sometimes correlate with hormonal development and overall growth patterns.

As for your question about which pediatric endocrinologist to see at Hsinchu Hospital, it is advisable to contact the hospital directly for the most accurate and updated information regarding available specialists. They can guide you to the right physician who can address your concerns.

In summary, given your son’s growth history and current status, it is highly recommended to seek an evaluation from a pediatric endocrinologist. Early intervention is key in addressing growth delays, as many conditions are more effectively treated when identified early. The endocrinologist will likely conduct a physical examination, review growth charts, and may order blood tests or imaging studies to assess hormone levels and bone age. This comprehensive approach will help determine the best course of action for your son’s growth and overall health.

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