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Quick reference medical handouts used by Pediatric offices


My son will be 15 in January next year. However he is only 5 feet tall. His brother who is 14 months younger is over 6" taller than him. He is well proportioned but has no signs of reaching puberty yet. I, his mother, am 5' 6" and his father is 5' 10". He has gown about 3 1/2 " in the last year. He has had an x-ray of his hand and I have been told that he has little growth left (this was not done by a pedriatician but by a specialist on rhumatism). He has offered no explanation for why he is so small. Is there something that can be done and what futher course should I take? I find it very hard to accept that is just the way it is. I am desperate and my son is very upset, your advice would be most welcome.
    
Dear Concerned Parent:

Your son is 14 9/12 and 60 inches tall. Thus, his height falls just below the lowest normal (3%) channel on the growth chart. Apparently, he experienced a growth spurt in the last year (3 1/2") , You do not advise us of his pubertal development (but apparently his brother is a "late bloomer" with no puberty yet at 13 6/12). You also do not provide us with his weight (is he underweight for height, for example?), and whether or not he is taking any medications. Why was he consulting with a rheumatologist? Given your concerns I would suggest that you take your son to see a pediatric endocrinologist, as this specialty focuses on growth problems in childhood and adolescence.

Frank Diamond MD

 

As a reminder, this information should not be relied on as medical advice and is not intended to replace the advice of your child’s pediatrician. Please read our full disclaimer.

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