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Daughter now classed as overweight in 97th percentile.

(32 Posts)
trumphy Fri 09-Nov-12 21:48:37

Dear all, I am feeling absolutely wretched. I have become increasingly concerned over my daughters weight gain over the last 6 months. According to the NHS BMI calculator she is now in the severely overweight bracket. I have been to the Drs and she is referring me to the hospital paediatrician for blood tests etc. My daughter has also been constipated since birth and has always had a very swollen tummy, so I think this also has an impact on her weight. We are a very health conscious family. I don't buy junk food and cook meals at home, we exercise regularly. My other daughter does not have this problem and my husband and I are not overweight. I am wondering if something else is affecting her. Possibly a thyroid problem. I feel so helpless. We are taught that if we eat healthily and exericse we will be a healthy weight, but she continues to get bigger. Not sure what I want from everyone on here but I feel so worried and distraught. No one else I can talk to. Has anyone else had a problem with this? Possibly with chronic constipation and weight gain?

PartyFops Fri 09-Nov-12 21:50:15

How old is your dd?

trumphy Fri 09-Nov-12 21:51:36

She's 6 will be 7 in March.

MrsCantSayAnything Fri 09-Nov-12 21:51:55

How old is she OP?

cece Fri 09-Nov-12 21:53:12

My DD had chronic constipation but she had the opposite - where she lost weight due to not being able to eat.

MrsCantSayAnything Fri 09-Nov-12 21:54:41

X posts....so...you've been to the doctor and she's been referred for blood tests. That indicates that the doctor must not think it is only her diet...if at all...did the GP ask you about her diet in detail or suggest a dietitian?

Are there any other problems with DD? How is her general development?

MrsCantSayAnything Fri 09-Nov-12 21:55:10

As cece said, weight loss is normally associated with constipation in children.

trumphy Fri 09-Nov-12 21:55:19

She's always been chubby, which I didn't think was a problem when she was a bady and a toddler. But all her weight seems to be on her belly which worries me.

ArthurPewty Fri 09-Nov-12 21:56:58

constipation and weight gain are underactive thyroid symptoms...

go through the lists - are there any more symptoms?

duchesse Fri 09-Nov-12 21:57:16

Do you have any larger built people in your family that she might have inherited her build from? If she is eating the same as your other child, without snacking etc, eating healthy food and exercising sufficiently for her age, then I would seriously push testing for various conditions that could cause this. Especially as you sound very worried- a mother's intuition is a very powerful thing.

trumphy Fri 09-Nov-12 21:58:06

My GP did ask about her diet. But she said because constipation had been a problem since birth and because she had been on Movicol for three years with no improvement that it needed to be looked into further. In general her development is good, her speech and communication is excellent. But she has struggled with reading and writing. She is being assessed at the moment for dyslexia.

PartyFops Fri 09-Nov-12 21:59:07

Does her belly stay bigger all day or go up and down?

(am interested in this thread as my dd is a chunk, and has a large belly, also sometimes gets very constipated).

trumphy Fri 09-Nov-12 21:59:36

duchesse, interesting point. My husbands family are rather bigger built than mine and his sister is on the larger side. Not fat, just bigger built.

trumphy Fri 09-Nov-12 22:00:54

PartyFops, her belly is rather big all day, but particularly after she has eaten.

trumphy Fri 09-Nov-12 22:02:23

LeonieDelt, yes I have wondered if it is an underactive thyroid problem. I was diagnosed with that about 3 years ago. Do you think it could be passed on?

MrsCantSayAnything Fri 09-Nov-12 22:02:42

is she a normal height op? I understand an underactive thyroid can slow growth...

trumphy Fri 09-Nov-12 22:05:42

She is 3 feet 10 inches. She doesn't appear to be any shorter than her classmates, but I don't know what the avergage height for her age should be.

Sarahplane Fri 09-Nov-12 22:09:23

As a child I started gaining weight around age 8. Especially my belly and my face. I got diagnosed with an underactivd thyroid at 11 after 2 years of doctors appointments as the doctors had tested me for everything else but didn't think to test my thyroid because of my age. It might not be that but definitely worth testing. Does your dd have any other symptoms such as feeling cold or sparse eyebrows?

hazeyjane Fri 09-Nov-12 22:10:41

My dd2 is similar, she eats less than my dd1, who is a skinny little thing. Dd2 (5.6) has constipation and her tummy is always a round ball.

The underactive thyroid thing is interesting, Leonie, dd2 and I both suffer from most of the list of symptoms.

Sarahplane Fri 09-Nov-12 22:13:05

Trumphy thyroid problems do run in family's so it's much more likely if you have an under-active thyroid.

trumphy Fri 09-Nov-12 22:16:50

Sarahplane, she doesn't feel the cold and I think her eyebrows are ok. She is a bit forgetful sometimes and is a bit of a dreamer.

trumphy Fri 09-Nov-12 22:21:02

When I was diagnosed with underactive thyroid I didn't have all the symptoms. I didn't put on lots of weight but was unable to lose any of the weight gained during pregnancy. I was totally spaced out and foudn it hard to focus on anything, plus my hair got thin. My doctor said that because I was in the early stages it was easier to treat and that coincided with my pregnancy with my daughter and my diagnosis. Could she have been affected during pregnancy?

trumphy Fri 09-Nov-12 22:34:54

Thanks for everyones input. I am off to bed now but will check in tomorrow morning.

ArthurPewty Sat 10-Nov-12 07:56:42

it can be inherited - i have it, my mom has it, my brother has it, our nan had it. but we were all diagnosed as adults.

In children the effects can be rather different.

www.thyroidhistory.net/ will have pictures of children before diagnosis, as it used to be, 100 years ago - you can see how it coarsens the facial features and leads to very short very abdominally round children.

When they test your daughter, dont just go by TSH! FT3 and FT4 are thyroid hormones, TSH is not...

Sarahplane Sun 11-Nov-12 01:31:18

Let us know how your dd gets on at the doctors. I hope you get some answers.

Inmyopinion1 Sun 11-Nov-12 05:11:11

Pictures of children with congenital hypothyroidism (or what used to be called cretinism) are likely unhelpful here. All children are screened for hypothyroidism, albeit by TSH only (the stimulating hormone as opposed to the actual thyroid hormones), and there is a very effective national programme for this. If she is doing well in school and keeping up with her peers I wouldn't be concerned about the congenital form. Later onset thyroid disease isn't typically seen at that age.

Whilst there are conditions that lead to children being large they are invariably linked with over eating (the condition makes the child "hyperphagic") or the child has limited exercise. Whilst some people are constitutionally larger than others, this is often exacerbated by those families also eating more and giving their children larger portion sizes than required.

I'm afraid that ultimately weight gain is caused too much energy in and not enough expended and ultimately that's what will need to be changed.

ArthurPewty Sun 11-Nov-12 08:21:21

If you think that screening for congenital hypothyroidism will solve all cases just by testing TSH, you're mistaken.

ArthurPewty Sun 11-Nov-12 08:22:14

" Later onset thyroid disease isn't typically seen at that age."

Doesnt mean it is impossible. Means it ought to be effectively and thoroughly ruled out (with FT3 and FT4) before moving on to other causes.

Inmyopinion1 Sun 11-Nov-12 22:44:06

I don't think that screening with TsH only will uncover all cases which is why I took pains to point out that that is all that is looked for (on the newborn screening program). However, outside of pituitary problems it tends to be very effective and many hospital labs will only run TSH when asked to do a thyroid profile. Demanding free T3 and T4 from the GP will likely not be well received.

ArthurPewty Mon 12-Nov-12 17:01:37

I am a central/pit case and it took years to get past the TSH to diagnose my problem...

FT4 and TH are run here when a GP ticks TFTs on the bloods form. FT3 is usually only when ? hyperthyroidism, or patient on meds already. I have the nurse write "patient on T3" on mine so FT3 gets done every time.

trumphy Thu 15-Nov-12 18:34:56

Thank you everyone. We have an appointment in Jan so fingers crossed we will get somewhere with it.

Lillyaan Fri 16-Nov-12 00:09:45

Just to put your mind at rest because you are not alone. This very same issue is being voiced by many parents across the UK and causing some distress due to misunderstanding/ lack of information.
EG. Due to pressure on the Public Health Department to address the growing obesity problem in the UK, the implementation of the programme went ahead without public information /advertisment to explain it.
The NHS utilising the BMI chart from (World Health Organisation) selected the 97th percentile simply as the CUT OFF POINT.
Firstly one needs to consider the childs Birth centile. Was she (above 50th? near the 97th? or thereabouts? in addition to family genetics (tall/small) & medical history.
The following example is how one should read the chart.
3% of children will be below the 3rd centile and 3% above the 97th.
15% will be below the 15th centile and 15% above the 85th.
50% will be below the 50th centile and 50% above the 50%. = Read as 50% of the normal population will be below this line and 50% above it.

If a childs weight is 'OFF THE CHART' (ABOVE 97th centile) it is wise to have this checked but in many cases all is well. Also consider the 'confidence' long term effects on a child where lots of tests may emphasise or highlight a 'weight' problem.
Not entirely sure about your worry re- Thyroid problem as there are other very obvious factors you would have noticed and you have not mentioned.

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