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Post by Deleted on Jun 2, 2016 21:45:21 GMT
I would be furious and getting a second opinion.
DS is 10 months old and isn't even on the charts for weight. At his 9 month appt, he wasn't on he weight chart and is 25th percentile for height. He was just shy of 5lbs at birth.
Our peds office is 5 rotating Drs and ALL of them have said they are not concerned because he's continuing to trend upwards and he will eventually catch up, he's just petite. The last ped said "if his weight is 0 and height is 25 you are worried, but if his height was 50 and weight was 25 we wouldn't even be having this conversation'". He told me point blank to stop worrying. DS weighed 16.12 at his 9 month appt.
I'd get another opinion.
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Post by dockmaster on Jun 3, 2016 0:51:43 GMT
I don't think the diagnosis is based on the fact she is small. I think they based it on the fact that she did not gain at the last appointment and only gained less the 2lbs at the most recent appointment. They see it as not gaining on the curve. Which is true, she had a stop altogether. Be glad they are finally taking it serious
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Post by Deleted on Jun 3, 2016 2:02:36 GMT
"failure to thrive" hurts parents because the most often use of the term is in news articles about orphanages where the condition it equated to severe neglect. So there is an unconscious "failure to thrive = neglect" and you know you haven't been neglecting YOUR baby!
eta: I have a grandchild that was diagnosed as failure to thrive. Dd went along with the testing just to make sure there was nothing wrong. She just kept reminding the pediatrician this particular child had always been "too small" up through the birth the ob thought dd was off by a month on her date of conception. dgc growth rarely gets her on the growth chart but she does grow steadily.
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paigepea
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Post by paigepea on Jun 3, 2016 2:28:27 GMT
Both of our dds were 3rd percentile until 24 months when the moved to the 10th. Doctors were concerned in the first three months with our first but since she continued to gain a little bit each time it was ok. My breast milk was so thin you could see through it.
I would they're concerned with no gain as opposed to a low percentile (someone has to fit the low percentiles). Chugging milk would be the thing I would change. Allow for milk after the meal but make her eat food first.
By the time my second dd came around no one was concerned because she followed the same pattern. At 10 and 7 my girls are in the 30th percentile range.
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Post by shescrafty on Jun 3, 2016 11:45:09 GMT
When my son was little we faced something similar. He was always very low on the weight chart. His birthday is in September and that is when I would take him for his check ups. In the summer he played and was outside all day long. We would stay at the pool for hours and he would swim and swim, or he and his best friend next-door would just be outside playing and writing tricycles all the time.
I once had to take him back every three months to check his weight. He is just extremely lean, and is now 14 almost 15 years old. He is 5 foot six and 105 pounds. But if you see him without a shirt on he is just solid muscle. He is long and lean and has always been that way. Some kids just aren't chunky and that is OK! If your child is Active and strong then that is what our pediatrician felt was important. It was always the nurses that seemed concerned about his weight, not his main doctor.
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Rainbow
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Post by Rainbow on Jun 3, 2016 13:13:03 GMT
A doctor is monitoring this and a failure to thrive "mention" or "discussion" or a "diagnosis" doesn't mean it is neglect. There is a big difference between failure to thrive and non-organic failure to thrive. A competent doctor should be monitoring this due to the myriad of possibilities: neglect, metabolic disorder, feeding or swallowing issues, other medical issues, slower height/weight gain, or you have a petite child. Adequate nutrition is vital to growth and brain development. I don't think anyone is being "misdiagnosed" with failure to thrive as someone posted. It is more that doctors monitor it and various things can be involved or something as simple as you have a tiny baby. I think the OP is being offended by the phrase "failure to thrive" where none is intended. What was mentioned a few months ago and now there is a longer period of time is part of the monitoring the length/weight.  I'm sure she's a fine parent. |
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MerryMom
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Post by MerryMom on Jun 3, 2016 13:21:40 GMT
Since the OP is getting this second hand from hubby, perhaps she should call the doctor and speak with him/her directly. Spending an hour with a patient in a busy pediatric practice?  Table 1. Common Anthropometric Criteria for Diagnosing Failure to Thrive Body mass index for age less than the 5th percentile Length for age less than the 5th percentile Weight deceleration crossing two major percentile lines Weight for age less than the 5th percentile Weight less than 75 percent of median weight for age Weight less than 75 percent of median weight for length Weight velocity less than the 5th percentile |
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Post by scrapaddict702 on Jun 3, 2016 21:06:12 GMT
Both of our dds were 3rd percentile until 24 months when the moved to the 10th. Doctors were concerned in the first three months with our first but since she continued to gain a little bit each time it was ok. My breast milk was so thin you could see through it. I would they're concerned with no gain as opposed to a low percentile (someone has to fit the low percentiles). Chugging milk would be the thing I would change. Allow for milk after the meal but make her eat food first. By the time my second dd came around no one was concerned because she followed the same pattern. At 10 and 7 my girls are in the 30th percentile range. My husband is really good about trying that. She will not at all under ANY circumstance allow me to feed her baby food anymore. She knows Mommy has the good stuff. My husband and her grandmas have no problems with baby food. My husband has gotten to a point where if she refuses to eat, he will sternly tell her no and she'll stop fighting and eat. When she really wants something to drink, she will fuss and refuse even when he tells her no, then he'll stop, let her drink some and then continue feeding them. It's so weird to have kids who sometimes don't want to eat because there's something fun to do instead. I thought we'd have kids with weight issues, but it certainly wasn't with them being too small. My niece's 5 month old outweighs my daughter by probably 5 pounds at this point. My Mom couldn't believe it when we had her and her brother over during her visit last month. She also feels heavier than she actually is because she can't hold herself up, yet. She's all chub and my baby is so lean. |
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Post by scrapaddict702 on Jun 3, 2016 21:17:08 GMT
I don't think the diagnosis is based on the fact she is small. I think they based it on the fact that she did not gain at the last appointment and only gained less the 2lbs at the most recent appointment. They see it as not gaining on the curve. Which is true, she had a stop altogether. Be glad they are finally taking it serious They base it on her not being on the chart for 3 appointments in a row. She was on the chart before her 9 month appointment, but because she had issues with adjusting to the introduction of baby food into her diet, she was exactly the same weight at 9 months that she was at 6 months. That's where she fell off the chart and I was very concerned and my concerns were blown off. From 9 months to 12 months, she gained 2 pounds and then from 12 months to 15 months she gained another 1lb 11oz and even though she's not back on the curve because of the issues between 6 and 9 months (where I see the issue actually was, she's been fine ever since, just never gained to make up for the no gain in those three months) but the curve from 9 months to now is consistent...it continues to follow how the curves go for the percentiles on the chart, she's just below it on her own curve essentially. She's on the chart for both height and head circumference (10-25% and 25-50%, respectively). This doctor didn't ask if there were issues that caused her to fall off of the charts...he never asked why she didn't gain anything from 6 to 9 months, he just looked at the chart and made the declaration because she's been off of the chart for 3 consecutive appointments and started lecturing my husband on why that's bad all while knowing nothing of her history. Because she's been growing consistently since then and there don't appear to be any obvious differences between her and my sons (except that she's smaller than they were) and the only oddity being her adjustment to baby food between 6 and 9 months causing her weight gain to stop, I am skeptical that there is something wrong with her. If there really is an issue, it's great that someone wants to get to the bottom of it, but I just don't FEEL as her parent, seeing her daily and knowing who she is, that there is a problem. She eats and drinks great, she tells me when she's hungry, she tells us when she doesn't want to eat anymore, she's reaching most of her milestones on target (started walking the same week age wise that my second son started walking) and just doesn't appear to me to have anything wrong with her. She poops more than I remember my boys doing so, but she was like that when she was first born (every diaper we changed was poop for the first few months, it seemed and she was swimming in pea soup at birth) and the pediatricians that we saw said that was great and not a bad thing...so really, something intestinal related is about the only thing I can see as being a problem. |
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Post by Basket1lady on Jun 3, 2016 21:31:40 GMT
The first thing I would do is not see the most recent ped anymore. A flat diagnosis with no discussion would worry me. Not that she meets the clinical diagnosis, but that they aren't helping you are involving you in the issue.
From what you are saying, I would take an evaluation as a good thing. It could be nothing. My best friend's boys were always at the bottom end of the chart and were small all through high school. Both have grown a ton in the last year. The oldest is 19 and must have grown 5 inches in the past few months. Some kids are petite, some are late bloomers, and some have other issues. I'd say it's worth getting checked out. And then you will have a plan to go forward with with confidence. Then YOU will know what is best for her.
I would be concerned with the pooping with every diaper. That doesn't sound normal at all. It could be that it's ok--but I wouldn't call it normal. And you are still feeding her baby food at 15 months? Both my kids were completely on solid foods at one year. Cut into tiny pieces, but still just regular soft food. I would try introducing her to what you are eating if she is interested in it. Tiny, tiny bits if she isn't used to chunky food and the food doesn't mush up under her tongue. And she's old enough to understand that she needs to eat first and then drink her milk. It could be as simple as she is looking for food with more flavor and texture.
My BFF used to say that she wasn't going to feed her kids milkshakes just to fatten them up. And so many kids these days are overweight, it's hard to tell what is normal anymore.
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Post by scrapaddict702 on Jun 3, 2016 22:01:27 GMT
The first thing I would do is not see the most recent ped anymore. A flat diagnosis with no discussion would worry me. Not that she meets the clinical diagnosis, but that they aren't helping you are involving you in the issue. From what you are saying, I would take an evaluation as a good thing. It could be nothing. My best friend's boys were always at the bottom end of the chart and were small all through high school. Both have grown a ton in the last year. The oldest is 19 and must have grown 5 inches in the past few months. Some kids are petite, some are late bloomers, and some have other issues. I'd say it's worth getting checked out. And then you will have a plan to go forward with with confidence. Then YOU will know what is best for her. I would be concerned with the pooping with every diaper. That doesn't sound normal at all. It could be that it's ok--but I wouldn't call it normal. And you are still feeding her baby food at 15 months? Both my kids were completely on solid foods at one year. Cut into tiny pieces, but still just regular soft food. I would try introducing her to what you are eating if she is interested in it. Tiny, tiny bits if she isn't used to chunky food and the food doesn't mush up under her tongue. And she's old enough to understand that she needs to eat first and then drink her milk. It could be as simple as she is looking for food with more flavor and texture. My BFF used to say that she wasn't going to feed her kids milkshakes just to fatten them up. And so many kids these days are overweight, it's hard to tell what is normal anymore. She's not pooping every diaper these days, but the color doesn't seem to stay the same...it changes every few days. I just chalked that up to what foods she was eating more of during that time. Some days she'll eat more baby food than solids and vice versa for other days. Yes, she gets baby food still, but it's not the only thing she eats. She eats whatever we eat when we eat, these are the main things she gets at mealtime in the morning and at lunch. However, she snacks constantly because my boys snack constantly and she wants what they have. Granola bars are a current favorite. I even tried halving fruit snacks because I was worried she didn't have enough teeth to chew them. She shovels them in her mouth as fast as she can get them. She helps my husband eat his cereal in the morning (just like my sons do) and loves most foods. Just like my second son, she has issues adjusting to fruit and veggie textures in solid form, so baby food is how she gets those nutrients. My oldest transitioned without any issues, so I don't know what's going on with the younger two. She LOVES pizza and pasta and almost anything with chicken. Her first food (before even baby food) was french fries...it was the ONLY non breastmilk straight from the breast food we could get her to show any interest in...it was something she slobber on but not eat for a while and after a bit of that, we started to notice pieces during changings that hadn't digested since she wasn't chewing them, she was swallowing them in kernel sized pieces. She's a GREAT eater. |
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Post by Lindarina on Jun 3, 2016 22:46:45 GMT
My daughter was a skinny baby, but so was I, so that made me relax a bit whenever we were called in to extra check ups. She usually followed her curve, so even though her weight was always low there was never any real concern about her "ability to thrive".
As long as you feel she's happy, thriving, eating and having energy I wouldn't be concerned. My skinny child is probably my most healthy child, and definitively my most energetic one ( she's 10 now).
She was eating regular food well before 15 months
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theshyone
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Post by theshyone on Jun 4, 2016 0:12:44 GMT
The first thing I would do is not see the most recent ped anymore. A flat diagnosis with no discussion would worry me. Not that she meets the clinical diagnosis, but that they aren't helping you are involving you in the issue. From what you are saying, I would take an evaluation as a good thing. It could be nothing. My best friend's boys were always at the bottom end of the chart and were small all through high school. Both have grown a ton in the last year. The oldest is 19 and must have grown 5 inches in the past few months. Some kids are petite, some are late bloomers, and some have other issues. I'd say it's worth getting checked out. And then you will have a plan to go forward with with confidence. Then YOU will know what is best for her. I would be concerned with the pooping with every diaper. That doesn't sound normal at all. It could be that it's ok--but I wouldn't call it normal. And you are still feeding her baby food at 15 months? Both my kids were completely on solid foods at one year. Cut into tiny pieces, but still just regular soft food. I would try introducing her to what you are eating if she is interested in it. Tiny, tiny bits if she isn't used to chunky food and the food doesn't mush up under her tongue. And she's old enough to understand that she needs to eat first and then drink her milk. It could be as simple as she is looking for food with more flavor and texture. My BFF used to say that she wasn't going to feed her kids milkshakes just to fatten them up. And so many kids these days are overweight, it's hard to tell what is normal anymore. She's not pooping every diaper these days, but the color doesn't seem to stay the same...it changes every few days. I just chalked that up to what foods she was eating more of during that time. Some days she'll eat more baby food than solids and vice versa for other days. Yes, she gets baby food still, but it's not the only thing she eats. She eats whatever we eat when we eat, these are the main things she gets at mealtime in the morning and at lunch. However, she snacks constantly because my boys snack constantly and she wants what they have. Granola bars are a current favorite. I even tried halving fruit snacks because I was worried she didn't have enough teeth to chew them. She shovels them in her mouth as fast as she can get them. She helps my husband eat his cereal in the morning (just like my sons do) and loves most foods. Just like my second son, she has issues adjusting to fruit and veggie textures in solid form, so baby food is how she gets those nutrients. My oldest transitioned without any issues, so I don't know what's going on with the younger two. She LOVES pizza and pasta and almost anything with chicken. Her first food (before even baby food) was french fries...it was the ONLY non breastmilk straight from the breast food we could get her to show any interest in...it was something she slobber on but not eat for a while and after a bit of that, we started to notice pieces during changings that hadn't digested since she wasn't chewing them, she was swallowing them in kernel sized pieces. She's a GREAT eater. Reading this I would really wonder if malabsorption of nutrients is occurring. A cons |
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Post by cadoodlebug on Jun 4, 2016 0:20:02 GMT
My DS had to go to Stanford Medical Center to be tested for all kinds of stuff because he wasn't getting any taller. Even though I told them my dad grew 5 inches in height when he was 20. After all the testing they concluded that he would have delayed height growth. He is now 6'2".  He also didn't talk much until he was 3 or 4. Could recite the alphabet and read before kindergarten but didn't talk much. He was constantly chattering in a sing-song language of his own. His ped kept telling us *he's talking, just not in our language*. Each child is different and it sounds like you know your DD just fine. |
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quiltz
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Post by quiltz on Jun 4, 2016 2:27:17 GMT
Is she eating the correct foods for her age group? What kind of table food is she eating? Are you breastfeeding her?
I would be keeping a food diary for her. This might help explain the bowel movements, consistency & colour.
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melissa
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Post by melissa on Jun 4, 2016 5:30:16 GMT
FTT is NOT a negative diagnosis. It is simply a description. Everything you've described, including the earlier history, indicates that she is, at a minimum slow to grow and gain weight. Isn't it much better to find out if something is going on sooner rather than later? Wouldn't you be more upset if she has some sort of malabsorption issue or metabolic issue and it was missed because no one paid attention to her growth history in infancy? Trust me. You would be livid. You describe a child who really sounds like a great eater, so where are all those nutrients going? She should be packing on the weight if she's really eating that much (and I am sure she is from your description!) Could this be constitutional? Sure. Could there be something else going on? Absolutely.
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I'm sure she's a fine parent. 
He also didn't talk much until he was 3 or 4. Could recite the alphabet and read before kindergarten but didn't talk much. He was constantly chattering in a sing-song language of his own. His ped kept telling us *he's talking, just not in our language*. Each child is different and it sounds like you know your DD just fine.
