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gain.
Classically failure to thrive has been described as weight less than the 3rd centile on two or more
separate occasions, or weight which crosses two centile lines over time.
Failure to thrive refers to children whose current weight or rate of weight gain is much lower than that
of other children of similar age and gender.
Failure to thrive may be caused by medical problems or factors in the childs environment, such
as abuse or neglect.
There are many medical causes of failure to thrive. These include:
Parents do not understand the appropriate diet needs for their the child
Exposure to infections, parasites, or toxins
Poor eating habits, such as eating in front of the television and not having formal meal
times
Symptoms
Failure-to-thrive may cause:
Diagnosis
Failure-to-thrive is diagnosed based on following a child's growth. Your child's weight, height,
and head circumference will be potted on standard growth charts. If the child falls below a
certain weight range or crosses two lines on the growth chart, the doctor will evaluate the child
further.
Based on your child's symptoms, additional tests may be ordered.
Rarely, a child must be hospitalized for a period of time to find the cause of failure-to-thrive.
During this time, the doctor will:
Monitor the relationship between parent and child, paying particular attention to their
behavior around feeding
Set up a feeding schedule with an adequate amount of calories
Make sure that an appropriate feeding technique is used
This will also be done in an outpatient setting and often require referrals to feeding specialists.
If your child can gain weight under these circumstances and no underlying disease is found, this
supports the diagnosis of nonorganic failure-to-thrive.
The doctor will perform a physical exam and check the child's height, weight, and body
shape. Parents will be asked about the child's medical and family history.
A special test called the Denver Developmental Screening Test will be used to show any delays
in development. A growth chart outlining all types of growth since birth is created.
The following tests may be done: