Your Toddler's Growth: Height, Weight, and Health Concerns - Pediatrics

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Regarding children's growth?


My daughter is currently one year and ten months old, with a height of 85 cm and a weight of 13 kg.
However, I have difficulty understanding the growth chart in the child health handbook and I'm unsure if her development is normal.
Since she was little, her belly has always been bloated and does not seem to go down.
The doctor examined her and said it was fine, and that it would get smaller as she grows up.
But what exactly is going on?

Ting Ting, 0~9 year old female. Ask Date: 2005/08/15

Dr. Zhang Peixin reply Pediatrics


Hello: Most children often have softer abdominal and intestinal wall muscles, which can sometimes lead to a feeling of bloating.
As long as the abdomen feels soft to light pressure and there is no discomfort, it is generally not a concern.
If you are still worried, an abdominal ultrasound can be performed for confirmation.
Weights at the 90th percentile and 50th percentile are both considered normal.
Sincerely, Dr.
Pei-Hsin Chang, Pediatrics.

Reply Date: 2005/08/15

More Info


When it comes to understanding your toddler's growth, it is essential to consider various factors, including height, weight, and overall health. Your daughter, at one year and ten months, has a height of 85 cm and a weight of 13 kg. To determine if her growth is within a normal range, we can refer to growth charts that track the development of children based on age and sex.
According to the World Health Organization (WHO) growth standards, the average height for a girl at 22 months (which is approximately your daughter's age) is about 85 cm, and the average weight is around 12 kg. This means that your daughter is within the normal range for her age group. However, it is important to note that growth patterns can vary significantly among children, and individual growth trajectories can be influenced by genetics, nutrition, and overall health.

Regarding your concern about your daughter's abdomen appearing distended or "big," this can be a common observation in toddlers. Many children experience a protruding belly due to several factors, including:
1. Normal Anatomy: Young children often have a higher proportion of body fat in their abdominal area, which can give the appearance of a larger belly. As they grow and develop muscle tone, this may change.

2. Dietary Factors: Certain foods can lead to temporary bloating or gas, which might cause the abdomen to appear larger. Foods that are high in fiber, such as beans or certain fruits, can sometimes lead to gas production.

3. Digestive Health: If your daughter has been checked by a physician and no underlying health issues were found, it is likely that her abdominal appearance is normal for her age. However, if you notice any signs of discomfort, changes in bowel habits, or other concerning symptoms, it is always best to consult with a healthcare professional.

4. Developmental Changes: As children grow, their bodies undergo many changes. The abdominal muscles and the overall body composition will evolve, and the appearance of the abdomen may change as she matures.

In terms of monitoring her growth, it is essential to keep regular pediatric appointments where her height, weight, and developmental milestones can be assessed. Pediatricians use growth charts to track a child's growth over time, comparing their measurements to standardized percentiles. If your daughter consistently follows her growth curve, it is a positive sign of healthy development.

If you have concerns about her growth or any other health issues, do not hesitate to discuss them with your pediatrician. They can provide personalized guidance and reassurance based on your daughter's specific health needs. Additionally, ensuring that she has a balanced diet, regular physical activity, and adequate sleep will support her overall growth and development.

In summary, your daughter's height and weight appear to be within the normal range for her age, and the appearance of her abdomen is likely a normal aspect of toddler development. Regular check-ups with her pediatrician will help ensure that she continues to grow healthily and address any concerns you may have.

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