Feed solid foods from a spoon if the doctors and dietitian tell you to. Talk and play with your baby whenever you can. Bath time , feeding time and diaper changes are great times for gentle hugs, talking to your baby and playing peek-a-boo. Your baby will really enjoy this!
Bonding between you and your baby is very important in his development. Be sure to ask your nurse and doctor questions. We want to help you with your child. When to Call the Doctor Call your doctor if your child has any of these symptoms at home: Decreased appetite is not eating as much as usual Diarrhea if bowel movements are always watery Sleepiness Vomiting more than just spitting up a little Weight loss or poor weight gain Follow-Up Appointment Be sure to keep all your appointments with your child's doctor.
This is very important. We will weigh your child at each visit so you will know if he is growing as he should. And When Should You Worry? Condition Failure to Thrive. The cause may be an identified medical condition or may be related to environmental factors. Both types relate to inadequate nutrition. Treatment is aimed at restoring proper nutrition. The physiologic basis for failure to thrive FTT of any etiology is inadequate nutrition Overview of Undernutrition Undernutrition is a form of malnutrition.
Malnutrition also includes overnutrition. Undernutrition can result from inadequate ingestion of nutrients, malabsorption, impaired metabolism, loss Growth failure is due to an acute or chronic disorder that interferes with nutrient intake, absorption, metabolism, or excretion or that increases energy requirements see Table: Some Causes of Organic Failure to Thrive Some Causes of Organic Failure to Thrive Failure to thrive is weight consistently below the 3rd to 5th percentile for age and sex, progressive decrease in weight to below the 3rd to 5th percentile, or a decrease in 2 major growth percentiles Illness of any organ system can be a cause.
Nonorganic FTT is due to insufficient calorie intake. It usually manifests as failure to gain weight. Growth in length and head circumference remain normal for a period of time until they too become impacted by poor calorie intake. This is the most common pattern of nonorganic FTT. Psychosocial FTT is a phenomenon in which growth failure accompanies or precedes poor weight gain. This is thought to occur because mental stress in the child may cause increased levels of counter-regulatory hormones eg, corticosteroids, catecholamines , which oppose the effects of growth hormone.
Improperly prepared formula eg, overdiluting formula to stretch it because of financial difficulties. Inadequate supply of breast milk eg, because the mother is under stress, exhausted, or poorly nourished. Nonorganic FTT is often a complex of disordered interaction between a child and caregiver. In some cases, the psychologic basis of nonorganic FTT seems similar to that of hospitalism, a syndrome observed in infants who have depression secondary to stimulus deprivation.
The unstimulated child becomes depressed, apathetic, and ultimately anorexic. Stimulation may be lacking because the caregiver. Is responding to real or perceived external stresses eg, demands of other children in large or chaotic families, marital dysfunction, a significant loss, financial difficulties.
Poor caregiving does not fully account for all cases of nonorganic FTT. A difficult feeder may uncover a problem with parent-child interaction that would have remained hidden if the child were an easy feeder. In mixed FTT, organic and nonorganic causes can overlap.
For example, children with organic disorders also have disturbed environments or dysfunctional parental interactions. Likewise, children with severe undernutrition caused by nonorganic FTT can develop organic medical problems.
Children with organic FTT may present at any age depending on the underlying disorder. Most children with nonorganic FTT manifest growth failure before age 1 year and many by age 6 months.
Until premature infants reach 2 years of age, age should be corrected for gestation. Weight is the most sensitive indicator of nutritional status. When FTT is due to inadequate caloric intake, weight falls from the baseline percentile before length does.
Reduced linear growth usually indicates severe, prolonged undernutrition. Simultaneous fall off of length or height and weight suggests a primary disorder of growth or a prolonged inflammatory state. Because the brain is preferentially spared in protein-energy undernutrition Protein-Energy Undernutrition PEU Protein-energy undernutrition PEU , previously called protein-energy malnutrition, is an energy deficit due to deficiency of all macronutrients.
It commonly includes deficiencies of many micronutrients It is defined as delay or difficulty in defecation. Normal frequency and consistency of stool varies with children's age FTT is associated with physical delays eg, sitting, walking , social delays eg, interacting, learning , and, if occurring in older children, delayed puberty Delayed Puberty Delayed puberty is absence of sexual maturation at the expected time.
It will also depend on how severe the condition is. And it depends on the cause. The healthcare providers will work with the family to find the cause of FTT, and help the child get more nutrition. Failure to thrive is slow physical development in a baby or child. A child with FTT is at risk for problems such as short height, behavior problems, and developmental delays. FTT has many possible causes.
A baby or child may not be getting enough nutrients and calories. Or a baby or child may take in enough food, but not be able to absorb enough nutrients and calories. In some cases, a family may not understand what a baby needs.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests.
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