10 Possible Reasons Why Your Child Is Not Growing
- The most common reason that accounts for more than 90 percent of these cases is inadequate intake of calories. This can occur when a child is not interested in eating due to variety of reasons, or when there is a lack of understanding by the parents regarding the caloric needs of the child. This happens with toddlers who are active and otherwise well, but who are less interested in eating. For even younger children in their first few months of life, this may be due to an inadequate supply of breast milk or to the improper mixing of formula in a formula-fed baby.
- Occasionally, a caregiver with emotional problems may not adequately feed the child. In the case of an older child or teenager, they may limit calories secondary to body image issues, which is considered nutritional insufficiency (previously called anorexia nervosa).
- A child may also not feed well if he or she has heightened oral sensitivity or neurological issues. Such problems may affect their ability to swallow and may be caused by conditions such as cerebral palsy or a cleft palate.
- Sometimes, a child cannot keep formula or food down due to excessive vomiting. This may be due to severe acid reflux; in a child with neurological issues, this causes low muscle tone and a variety of other disorders. Most infants with acid reflux will improve, and their growth will continue without issue. Less frequently, a younger infant with excessive vomiting may have a narrowing of the outlet of the stomach called pyloric stenosis and may need a special evaluation that would include an ultrasound of the abdomen.
- A child with the inability to digest food due to poor capacity of the pancreas may not gain weight well. In this scenario, parents report their children as having bulky, frothy, loose, foul smelling and greasy stools.
- Disorders affecting lining of the bowel, including celiac disease or Crohn’s disease can also cause children to have poor weight gain. In celiac disease, symptoms start when foods that contain gluten are introduced into the diet.
- In some situations, a child may burn too many calories if he or she has an over-active thyroid gland.
- A child with a heart disorder that leads to heart failure may also not feed well if they’re working too hard to breathe.
- Rarely, kidney failure or other kidney disorders will affect weight gain (as well as height) by affecting certain mechanisms of growth.
- Additionally, some children may have genetic disorders that affect weight gain and require evaluations by specialists.
If you’re concerned that your child is not gaining weight well, you should seek the help of your child’s primary care provider. The child would need a good physical exam, and his or her doctor should be looking for signs of medical disorders other than simply inadequate caloric intake.
The BMI chart may need to be closely monitored, and your child may need frequent follow-ups and weight checks during this time. Negative signs from the exam would be fatigue, paleness, thin extremities, loose folds of skin on the arms and thighs, and loss of fat over the cheeks. The provider may run tests to evaluate for anemia, nutritional status and kidney function.