Abnormal Height Growth During Puberty: When to Seek Help - Internal Medicine

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During puberty, a height growth of less than 5 centimeters per year is considered abnormal.
If you want to have a doctor check for potential growth hormone deficiency, you should consult an endocrinologist.

Shu, 10~19 year old female. Ask Date: 2006/02/04

Dr. Zeng Guosen reply Internal Medicine


Hello: In a year, height should increase by a certain number of centimeters, using your own height as a reference.
Some individuals grow earlier, while others grow later.
If you suspect there may be an issue with your growth hormone, please consult an endocrinologist.
Thank you!

Reply Date: 2006/02/04

More Info


During puberty, the growth rate in height can vary significantly among individuals. Generally, a growth of less than 5 centimeters (approximately 2 inches) per year during this critical developmental phase may be considered abnormal and could warrant further investigation. This is particularly true if the individual is still within the expected age range for growth spurts, which typically occurs between ages 10 to 14 for girls and 12 to 16 for boys. If a child or adolescent is experiencing such limited growth, it may indicate potential underlying issues, including hormonal imbalances, nutritional deficiencies, or other medical conditions.

If you suspect that you or someone else may have a growth hormone deficiency or other related issues, the appropriate specialist to consult would be an endocrinologist. Endocrinologists are medical doctors who specialize in the endocrine system, which includes glands that produce hormones. They can conduct a thorough evaluation, including blood tests to measure hormone levels, and may also recommend imaging studies like X-rays to assess bone age and growth plate status.

In addition to consulting with an endocrinologist, it is also important to consider other factors that can influence growth during puberty. Nutrition plays a crucial role; a well-balanced diet rich in essential nutrients, including proteins, vitamins, and minerals, is vital for proper growth and development. Regular physical activity is also beneficial, as it can stimulate the release of growth hormones and promote overall health.

Moreover, psychological factors should not be overlooked. Adolescents often experience anxiety related to their growth and body image, which can further impact their overall well-being. If feelings of distress or anxiety about height are significant, it may be helpful to speak with a mental health professional who can provide support and coping strategies.

In summary, if an adolescent is experiencing a growth rate of less than 5 centimeters per year during puberty, it is advisable to seek medical advice. An endocrinologist can provide a comprehensive evaluation to determine if there are any underlying issues affecting growth. Additionally, maintaining a healthy lifestyle through proper nutrition and exercise can support optimal growth during this critical period. If psychological concerns arise, consulting with a mental health professional can also be beneficial.

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