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04.2022 Life Guide

The child is not tall. What should I do?

Far Eastern Memorial Hospital pediatric department / Dr. Gao Quanhong
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        Do your children have height problems? If the child is found to be more petite than children of the same age, or has not grown up, he should see a doctor as soon as possible and seek treatment.

        Teenagers aged 15 and 16 often come to the clinic because of the stagnation of height growth. However, after bone age examination, it is found that the bone growth plate has healed and can no longer grow tall. In fact, growing too slowly or too fast may be a growth problem. In order to avoid causing regret, it is recommended to seek medical confirmation as soon as possible.

        1、 Pay attention to the changes of children's height growth

        1. One year's height growth is less than 4cm, or the height falls below 3% of the growth curve of children of the same age

        How do parents judge whether their children need medical treatment? According to clinical observation, children before puberty, if their height falls below 3% compared with children of the same age, or they grow less than 4cm within a year, they obviously have the problem of short stature. It is recommended to take the child to Pediatrics for examination, and the doctor should evaluate the causes and prescribe the right medicine.

        2. Early onset of sexual symptoms, or sudden growth of height too fast

        Sexual precocious puberty may be the cause of girls' sexual symptoms before the age of 8, boys' sexual symptoms before the age of 9, or the rapid growth of height within a year, but children do not reach the age of puberty. Bone age examination must be arranged and blood samples must be taken to test sexual Hermon. Because too early development is easy to lead to accelerated bone age, I'm afraid that the bone growth plate will close early in the future, which will lead to short height.

        2、 What are the reasons for children's short stature?

        There are many factors causing short stature, which may be related to heredity or physical temporary short stature. In addition, we should also consider whether there are endocrine diseases, such as abnormal thyroid and growth hormone secretion, or unbalanced nutrition, which may lead to short stature. In addition, the above precocious puberty problems will also accelerate the bone age and close the growth plate early, limiting the continuous growth of height, which must be treated symptomatically.

        3、 Clinical diagnosis and treatment

        1. Children with precocious puberty can consider applying hormonal inhibitors

        Generally speaking, children with precocious puberty are easy to be ignored because they are not short in height. After evaluation, the doctor will recommend the application of hormonal inhibitors to delay the puberty of children and make the growth plate not close so quickly for a few years.

        2. For lack of growth hormone, it can be considered to apply growth hormone

        If the main cause of children's short stature is partial eclipse and malnutrition, balanced nutrition should be supplemented or diseases should be treated. If you want to confirm whether it is growth hormone deficiency, you must take blood in hospital to check whether the concentration of growth hormone in your body is sufficient. Once you are diagnosed with growth hormone deficiency, you can consider administering growth hormone, and the intervention time should not be too late. The closer the bone age of girls and boys is to 14 or 16 years old, the worse the treatment effect is.

        4、 Diet, exercise and sleep are the key to growing tall

        In addition to medication, diet, exercise and sleep are also very important. Sweets and fried foods should be avoided in diet, because sweets will inhibit the secretion of growth hormone, while fried foods are high in calories, easy to be obese and cause precocious puberty. In addition, children can try rope skipping, playing basketball, cycling and other sports. They should go to bed before 10 pm, because the human body will secrete growth hormone (only when they are asleep) from 10 pm to 2 am. If children can sleep soundly during this period, it will also help them grow tall.

        Children grow up only once, parents need to pay attention to changes in the process, especially at the age of 4~9 should pay attention to whether there are obesity, precocious puberty, growth hormone deficiency and other issues, and before puberty adjusted to complete the golden age of puberty, so that the child's growth without regret.

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