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Dr Harveen Singh

Paediatric Gastroenterologist and Hepatologist, Sydney

Faltering Growth

Specialized evaluation and treatment for children whose growth falls across centiles.

Understanding the various causes and providing effective solutions for your child's growth and development.

Child with faltering growth

Understanding Faltering Growth

This is when a child's growth falls across centiles. The most common cause for this can be not having enough calories in their diet. Sometimes it can be a result of nutrients not being absorbed in the gut because of underlying conditions.

Growth Across Centiles

Faltering growth occurs when a child's growth falls across centiles, indicating a deviation from their expected growth pattern.

Insufficient Calories

The most common cause is not having enough calories in their diet, which can affect growth and development.

Nutrient Absorption

Sometimes it can be a result of nutrients not being absorbed in the gut because of underlying conditions.

Growth Across Centiles

Deviation from expected pattern

Insufficient Calories

Dietary cause

Common Causes

Understanding the various causes of faltering growth helps guide appropriate treatment and management strategies.

Growth Across Centiles

Deviation from expected growth pattern.

Inadequate Calories

Most common cause

Insufficient food intake
Poor appetite
Feeding difficulties
Food refusal

Malabsorption

Nutrient absorption issues

Gut disorders
Inflammatory conditions
Enzyme deficiencies
Nutrient deficiencies

Medical Conditions

Underlying diseases

Endocrine disorders
Chronic illnesses
Genetic conditions
Metabolic disorders

Signs and Symptoms

Recognizing the signs of faltering growth helps determine when medical evaluation is needed.

Poor Weight Gain

Inadequate weight gain or failure to gain weight at expected rates.

Slow Height Growth

Height growth that falls below expected centiles for age.

Poor Appetite

Reduced interest in food or decreased hunger.

Fatigue

Persistent tiredness and lack of energy.

Developmental Delays

Delayed milestones or slower development than peers.

Poor Feeding

Difficulty with feeding, swallowing, or eating.

Diagnostic Process

If there is suspicion of an underlying disease leading to slow growth, this is usually initially investigated with blood and/or stool tests.

Growth chart analysis
Blood tests for nutrition
Stool tests for absorption
Endocrine evaluation
Comprehensive medical history
Doctor examining child

Treatment Approaches

Medical causes of slow growth are numerous and so the treatment can vary widely.

Nutritional Support

Dietary modifications, supplements, and feeding strategies to increase caloric intake.

Medical Treatment

Addressing underlying medical conditions that affect growth and development.

Ongoing Monitoring

Regular growth tracking and assessment to ensure treatment effectiveness.

When to Seek Medical Help

Certain signs of faltering growth require professional evaluation to ensure proper development.

Growth falling across centiles
Poor weight gain
Decreased appetite
Developmental delays
Family concern about growth
Child with growth concerns

Compassionate Care Approach

With a compassionate approach and personalised treatment plans, we aim to make every visit a positive experience, ensuring both you and your child feel supported and well-cared-for.

Comprehensive growth evaluation
Personalized treatment plans
Family education and support
Ongoing monitoring and care
Child receiving care

Concerned About Your Child's Growth?

Contact Dr Harveen Singh to discuss your child's growth patterns and develop a personalized evaluation and treatment plan.