Discussions By Condition: Infant conditions

Failure to Thrive?

Posted In: Infant conditions 7 Replies
  • Posted By: eecame
  • October 23, 2007
  • 05:03 PM

My daughter is just shy of Six months and currently weighs 10lb 7oz.

She was born one month pre-mature at 6lbs 8oz dropped to 5lbs something in the first couple days.

She's not losing weight but her gaining is below the standard chart. Her length is good for her age as is her head size.

She is very alert and very active and meeting all her milstones... she very close to being mobile too. She eats well, two full jars of stage 1 foods a day and nurses every 3-4 hours.

She does have acid reflux disease which was causing an abnormal amount of vommiting and spit-ups but medication has curtailed this weeks ago.

My wife's three other children are all small and didn't gain according to the standard charts and they are still quite skinny. My wife is small, and her mom is small.

Our doctor is pushing FTT on us and wants us to switch to formula (which we don't want to do) and suggesting a referal to a GI. She's not taking these factors into account and is strictly looking at weight.

Does this sound right? She looks healthy, is always smiling and active and is always looking around and exploring things and sucking on her toes and grabbing for this and that and pulling hte dogs and cats ears whenever they're foolish enough to get to close.

I just don't see any other reason to be this concerned but yet the Dr. has me scared out of my mind (yes, I'm a first time daddy, hehe, aside from my step kids who were 4 at the youngest I came around, hehe).

The whole pregnancy has been miserable with trips in an out of the hospital (my wife had hyperemeis gravidarum) and the delivery almost killed them both. And now this.

Is a red flag warranted?

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7 Replies:

  • well you posted this awhile ago but hopefully this will help you. My son who is 15 mos old is small too(he's my 3rd..the other were not small)...he has other problems rightnow but as far as failure to thrive goes it is my understanding if the wgt is not effecting the hgt then she should be okay and would not be considered FTT. Especially if she is appropriate in developmentally.I woudl think at 6 mos there wouldn't be enough info for your dr to tell what her curve ont he % charts looks like anyway. in my opinion you should NOT stop nursing i am appalled that the dr even suggested it. Youcould go see a GI specialist just to see what they have to say but most likely they woudln't do anything. but don't stop nursing!
    onescaredmomma 2 Replies
    • November 18, 2007
    • 11:14 PM
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  • From what you have explained, it seems that your daughter is relatively healthy aside from reflux which is common. Genetic dispositions skip a generation and seeing as how this is your first child it is not unusual for her development to be slightly delayed. Your spouse's first children contained genetic markers that prepped her body to create the appropriate sustenance for a post natal infant, assuming they were breast fed as well. Your spouse's immune system is adjusting to the new genetic input of your DNA mixture, and the doctor who told you to switch to formula is probably right to do so. He may be scaring you with possibilities of what could happen, but it is a necessary evil. Acid reflux can also be caused by allergenic factors, you said she plays with the dog and if it is prone to excessive shedding that could be your problem. I'm guessing it's a labrador of some sort? If you really want to prevent any complications relating to digestation I suggest getting an air filter.
    Helper 101 4 Replies
    • November 29, 2007
    • 08:47 PM
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  • I hear exactly where you're coming from. my daughter is 10 mo. old and was a very slow gainer(less than a pound a month) up until 3 weeks ago, then she started dropping. she was at 15lbs 13oz and is now 15 even. she has been through a battery of tests and went to Riley's Children Hosital in Indianapolis, Indiana on the 2nd of Sept. for a surgical consult(she had hat her pediatrician thought was a tumor on her rectum), that turned out to be nothing serious, thank God! but while there, after the doctor examed her, she found that she had a small bowel obstruction. she got her cleared from that and she sees a GI specialist on the 23rd to see why she is getting SBO's & where they are sarting at. as far as the growth charts go, she is in the 30th % for height & dropped off the chart again for weight, it took over 2 months just to get her back on at 1%. she sees a developmental specialist & she has her on a high calories diet. she eats alot of pasta and each meal(drinks included) has to equal over 450 cal., plus she drinks ensure & her snacks are over 300 cal ( 3 times a day), and the docs are still stumped as to why she can't keep the weight on & is now losing. to give you insight on her, she was born 1 mo. early, there was marconium present in the amniotic fluid during delivery & the ran a constant saline flush while she was being born, she was deep lunged suctioned 2 times after she was born, she was 6lbs 14 oz & 20 1/2 in.at birth, she dropped to 6-9 when we took her home 2 days later. she was going really good on her charts until she had RSV at 2months & 3 mo. of age, after that was when she started haywire on the weight. i hope you can get some answers. i personally would find another doc. for your child, any pediatrician that is too quick to jump and not be thorough is no one i would want touching my child.God be with you & good luck.
    jeep4x4girl 2 Replies
    • September 10, 2008
    • 03:22 AM
    • 0
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  • 5 month old low weight gain. birth weight 6 lbs 15 oz. Now 10 lbs 8oz.Symptoms are major formula spit up, drawing legs up and screaming, generally a very unhappy baby. Dr. did CBC, white blood count was 500, two weeks later it was 1000. Put in hospital for MRI of brain, everything there good, test for cyctic fibrosis, negative. Baby put on 1lb in hospital taking rtf formula. I was feeding powdered. Dr. say no difference in formulas.
    Anonymous 42789 Replies
    • February 15, 2009
    • 03:05 PM
    • 0
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  • Kids who fail to thrive don't receive or are unable to take in, retain, or utilize the calories needed to gain weight and grow as expected.FTT, as I understand it, is general diagnosis. There are many possible reasons. If your child is having trouble with acid reflux and vomiting.....they aren't utilizing the calories needed to gain and grow as expected. If the meds for that are working but only have been for a couple of weeks...maybe giving your child time to catch up would be appropriate? Is a red flag warranted?IMO, yes. If the child is only six months and not growing as expected, of course a red flag is warranted. Things can take a turn for the worse very quickly in a child this age. However, the size of the 'flag' must be in direct proportion to the threat. Why not take her to a specialist? It's natural to assume that because your wife and her other kids are small, this baby will be small too. But why take the chance? I don't see what would hurt seeing a GI or other specialist and hearing what they have to say. If for no other reason than to give you, the first-time Daddy, peace of mind. You can then make a more informed decision about all this. Bring up your concerns and choose a doc that listens to them.
    Harmonium 322 Replies
    • February 15, 2009
    • 04:47 PM
    • 0
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  • I cannot find a place to post about my problem, so please excuse me if I'm in the wrong. I am so desperate for help. My son's girlfriend did drugs while pregnant with my grandson. we didn't know this, she also told us she was seeing an OBGYN and was going off with friends using drugs. She finally saw a doctor on aug. 18th and was due the 22nd of sept but did several things to try and induce early labor. The doctors advised her strongly against this early delivery and put her in the hospital to keep her in bed, but she walked, , did jumping jacks, smoked and had numerous pills to take. Aug.20th she put the baby into a drug induced coma and they couldn't get his heart rate going. About 4-5 doctors really got her, fussed at her hard and accused her of almost killing her baby. They found many drugs in her system yet NEVER REPORTED IT TO C.P.S. or D.H.S. or anything.My grandson was premature but weighed 6lbs so not too bad but his lungs were very small and his heart wasn't finished forming. His left value hadn't closed completely and she was notified to bring him in for some heart tests that she never took him for or let any of us know about. We found out this only when an autopsy was preformed.She left him with me and his father the very day they were released from the hospital after he was born, to meet out of state friends and actually stayed over night at a motel never calling to even check on her newborn.Then she left every single weekend during his 4 weeks alive, going out of town to party with her friends, plus some weekdays as well. She maybe spent a week with him.She wasn't there the day he turned one month old, the next morning he passed away and she wasn't there, had been gone for 4 days. All of this just blows my mind. I can't imagine any mother doing such a thing.She was over an hour late for his funeral and put on a show that was noticed by all. She's a cold blooded person. This girl cannot even tell you how to get to his grave, nor what type flowers we've placed there or the headstone.But my main question here is.....can't she be prosecuted for doing drugs while pregnant? What can I do to make this happen? I've talked to the D.A. who wants this case, but the investigator will not get her medical records that we need.......I'm at wits end. My son's lost , he's not the same and never will be. This is killing me and it was his son and believe me he spent every minute with that precious angel. Can anyone please help me???? I've been working on this since the 1st of oct. 2008This all occured in Jackson, Ms. (hinds county hospital)but we live in Rankin co. which is where I am unable to get any help from the investigator assigned to this case.Has anyone been through this or does anyone have ANY idea who I can go to to make her pay for what she's done.By the way- SHE WANTED TO GET PREGNANT......this was her 2nd child and she left the 1st one too but he's still alive. She tries hard to get pregnant, then hates being pregnant and the leaves when they're born.I hear she's pregnant again , but I don't know if that's true.
    justice4lilangel 3 Replies Flag this Response
  • my 3 month grandson born a month early has been labeled FTT (failure to thrive) he is not losing weight just putting on extremely slowly at birth 6lbs8 20 inches. At 3 months only weighs 9lbs 8oz but has grown in length... has changed milk increased feeds has polycose supplement in every bottle still not enough weight gain. He smiles coos looks around but has still no real control of head.. has some but not as much as 3 month baby..follows you with his eyes... definately get your baby checked... my little guy is being checked now at a very good hospital and undergoing loads of tests... it will be worth it to know if anything is wrong so far a reflux has been diagnosed but looking at lots of other things too. PLEASE get your baby checked it is safer than not doing so and finding later something that could have been controlled had you known....My daughter is just shy of Six months and currently weighs 10lb 7oz.She was born one month pre-mature at 6lbs 8oz dropped to 5lbs something in the first couple days.She's not losing weight but her gaining is below the standard chart. Her length is good for her age as is her head size.She is very alert and very active and meeting all her milstones... she very close to being mobile too. She eats well, two full jars of stage 1 foods a day and nurses every 3-4 hours.She does have acid reflux disease which was causing an abnormal amount of vommiting and spit-ups but medication has curtailed this weeks ago.My wife's three other children are all small and didn't gain according to the standard charts and they are still quite skinny. My wife is small, and her mom is small.Our doctor is pushing FTT on us and wants us to switch to formula (which we don't want to do) and suggesting a referal to a GI. She's not taking these factors into account and is strictly looking at weight.Does this sound right? She looks healthy, is always smiling and active and is always looking around and exploring things and sucking on her toes and grabbing for this and that and pulling hte dogs and cats ears whenever they're foolish enough to get to close.I just don't see any other reason to be this concerned but yet the Dr. has me scared out of my mind (yes, I'm a first time daddy, hehe, aside from my step kids who were 4 at the youngest I came around, hehe).The whole pregnancy has been miserable with trips in an out of the hospital (my wife had hyperemeis gravidQUOTE]arum) and the delivery almost killed them both. And now this.Is a red flag warranted?[/
    Anonymous 42789 Replies
    • October 6, 2009
    • 11:59 PM
    • 0
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