Failure to Thrive - Pead referral at 13 months

[UntoldAngel]

Miss X has been sick for ages and she has started walking, and she has continually been putting on weight. "Try" not to stress about the appointment too much, I'm sure they just want to check her over and make sure everything is okay.
Like the MCHN and drs always told me with P, DH and I aren't big people or have big builds, so P isn't going to be either and as long as they are happy alert and meeting milestones, it doesn't matter if their weight gain is rapid. Is X in proportion with her height and weight?

Also, a friend was told to give her 15month old sustagen (sp?) to help with her weight gain

xx

[aussienic]

I had a similar issue with my DD aside from the sickness.. She was perfectly healthy but weighed 8.9kg at 19 months.. She hadn't gained a thing since 6 months of age.. I wasn't concerned as she was active, ate well and was meeting all her milestones just fine

CHN wanted to get a blood test to find out what was wrong.. My GP agreed with me that she was fine but tiny.. We had to increase certain foods and was given a month to see some sort of weight gain.. One month later (after increasing yoghurt, cheese and milk which she didn't like as she was BF) she gained 200 grams

Long story but she is now a very exciting 15.1kg at 3 yrs and 8 months (that is what my boys all weighed before they turned 2)

[YoYo]

Oh honey please don't stress. Darcie has only just cracked 9kg after hovering over 8.5kg for about the past 6 months. I thought it was odd at first as max weighed 12kg at 12 months..... Weight doesn't mean everything. As you said x does everything she should be, and apart from colds and dodgy ears she would be perfect, and she eats well.

You're obviously doing a fab job. A gorgeous little girl who loves to socialize and is a happy little soul (I've seen pics!!) so try not to let it upset you.

Don't forget a little thing called genetics plays a part in how our bodies are built and neither you, nor your dh are the size of a house from what I've seen!

Go easy on yourself and just enjoy your baby girl and I hope all the lurgey germs leave her soon! Xx


Sent from my iPhone using Tapatalk so sorry for mistakes!!

[trishalishous]

Don't forget a little thing called genetics plays a part in how our bodies are built and neither you, nor your dh are the size of a house from what I've seen!

I agree! they weren't too worried about our DD, as Im tall and I WAS skinny, as long as she had a gain at each weigh in. Shes always been active and alert, just is a skinny minney

[Ca Plane Pour Moi]

Looking at DS - birth 3.75kg (75th centile), 12m 8.5kg, 14m 9kg (9th centile). Currently 14kg, has been since he was just over 3 (he's now 4.5yrs). The puts him on the 2nd centile: so still perfectly normal. There are children out there lighter than him still.

He eats like a horse and has the same metabolism as his parents had. What a shocker! If anyone were to refer him for failure to thrive at 13m I would laugh and point out he eats, he develops, he is as skinny as expected given genetics.

[Lisa B]

I just thought I'd comment on the tests that my DS is having as he hasn't been gaining on the normal curve. Our paediatrician is great, she is reassuring but at the same time very thorough in her approach.

We've had a stool sample to check for how he absorbs nutrients as I'm reporting quite a reasonable BM intake (I EE so I know how much he has).

I'm also coeliac and you can get a Buccal Swap taken (they run a brush inside their cheek at pathology) to see if they have the genetic mutation for coeliac disease. If it's positive it means they have the potential to develop coeliac disease in their lifetime. This test can be bulk billed!

If you LO has been having gluten for the last 6 weeks they can also take a blood test to check for coeliac antibodies.

The slowed weight gain for my DS just might be him finding his centile after birth (he was on the 75th for weight at birth) due to his genetic imprint for body size - my family is mostly on the thin side.

[Marnikat]

I think you need to consider that she hasn't lost weight - she has consistently gained, just not quickly. I think that says something. If she was FTT I would think that she wouldn't be gaining at all. You have said she is happy and healthy - not lethargic. Also I think a mum is the first person to get an idea that something is wrong, not a dr. You are with her all the time, if something wasn't right you would notice! And JFYI my youngest is constantly sick (ear infections every fn) so is on AB a lot and when they irritated her tummy she stopped eating, so if there was something wrong with her tummy I would think she wouldn't want to eat, which isn't the case!
I hope the MCHN helps to calm your fears though but I say if mummy instinct says she is fine she probably is!

[starangelk]

I just wanted to post an update in here about what has happened since I started this thread. I decided to go and see the midwife at the hospital and get her opinion on everything including getting her to check my food diary which I'd kept for about a week. It's $30 but I really wanted another opinion and this is the same midwife that we saw until DD was 6 months old so I have complete faith in her and wanted her opinion. Anyway......she weighed X and she was 9.7kg!! That's 1.4kg more than the GP had weighed her at the week before. There is no freaking way DD could have put on that amount of weight in one week, the measurement must have been simply incorrect. GP weighed her by getting DH on the scales, then getting DH to hold DD and subtracting. The midwife was really annoyed as it turns out she is on the 25th percentile for weight and length and 50th for head. She said that is perfectly fine and looked at our food diary and said that was great for a toddler her age and the GP clearly doesn't understand about genetic disposition (I think that's the word) and him saying that due to her birth weight she should be 10kg was just wrong. So I left feeling SO MUCH BETTER. You guys had all already made me feel heaps more confident about the whole thing but now knowing that her weight is okay I feel so so relieved.

Thanks so much for all of your lovely comments.

[HotI]

Wow, that is a big difference in measurements! Glad you were able to see someone whose opinion you trusted, and her advice gave you confidence in what you are doing.

take care

[onthefly]

Excellent!

[RainbowBrite]

That is great news, a second opinion is always a good thing.
You must be relieved and able to relax a bit more now.

Sent from my iPad

[UntoldAngel]

[Cassius2]

love a second opinion...especially as this makes heaps more sense IYKWIM...