tall parents VERY small two year old? Humour me!

[iclaudius]

My two year old appears to be on the short side. His siblings and parents are all tall people ...

Any one experienced this and it been nothing or they have suddenly shot up? He has been referred to a paediatrician but along with a couple of other little niggly bits we are a bit concerned

Thank you

I'm in a similar position with my daughter, who is tracking the 0.4th centile. Paediatrician appointment in a couple of weeks to check for underlying issues. She seems to be hitting developmental milestones, but she's tiny.

cafecito yes he has failed to reach his gross motor milestones...

or at least not when he should have done

he has hypotonia (diagnosed)

thank you all- again

badlystuffedwalrud poor you - hope its all ok...

to my lay-person eye - ds just ticks all the boxes
big at birth - dropped down on height but not weight (now appears borderline overweight in a very tall thin family) failed to reach milestones. Seems mentally ok but am stressing now

have got an nhs referral date of 8th April (sob) so for my own peace of mind am now looking into private

to my less-layperson eye I'd think the same. April's not far away now - put it all in writing as a list if you think it will help as well, and they will run tests. It is diagnostically hard to get started because GH deficiency accounts for 5% of all cases of being short - but it is present in 1 in 3500 children or so in the UK and also has numerous completely differing causes. Try not to worry. Obviously the one that needs exclusion, if it is this at all, is a pituitary or hypothalamic tumour - this is a very rare cause though. Many are simply idiopathic, some are structural in origin, some have been acquired by infection or trauma or some other event, some are part of a chromosomal disorder like Turners, some are triggered by something else, some may be a genetic receptor protein code gone a bit awry- you still can't say for sure it is not constitutional growth delay etc instead.

Try not to panic, it's great that you think his cognition etc is not affected, and rest assured if it is GHD or that plus other hormone deficiencies, then they can be given as soon as you think it is the right time, and treatment is extremely effective at normalising growth and height.

Thanks so much cafecito
Had an awful night last night with Dh saying I was doom mongering and already decided ds was ghd

Which I haven't
But it's hard

My 8 year old has had growth hormone treatment since she was three years old after falling off growth charts for height and weight. She had other complications too due to premature birth.

She is still dainty and one of the smallest in the class but is now growing and following her own line on the growth charts, 9th% at the moment.

I was terrified at the start when growth hormone deficiency was discussed. She had to have various blood tests to diagnose the problem which weren't much fun (more the fact that they were spaced out every half hour for best part of a day to check her hormone levels) and she also had a brain scan to check her pituarity gland which showed a fault. The NHS consultant was brilliant at sorting out her care. Her deficiency was IGF1 hormone which is ridiculously expensive to treat medication wise (think we were told approx. 100K a year). We were told that if she needed the drug, she would get it but it would require the hospital applying for funding centrally rather than funding it themselves. The eligibility for the treatment required her to have had a six month trial of normal growth hormone first and thankfully she responded well to the normal growth hormone and started to grow so has been on it ever since. It will probably need to be altered around puberty age if her body doesn't start puberty on its own.

She has an injection late at night with a special pen device, usually she sleeps through it or goes straight back to sleep if she wakes. When she was younger she used to get in a state when it was time for her injection at bedtime, hence us now injecting her late at night. Apart from having to make sure the medication is correctly stored in the fridge and making arrangements with a local pharmacy to store it for us during power cuts etc, it doesn't make much of an impact on our lives.

Thank you for all your comments they really help and make us normalise things more in our heads

Seen a paediatrician now who has put the fear of god in us ( or me more than Dh)

Started tests today to see what this is and hoping beyond hope it's something not too major

Ghd not the worst of my worries now as at least that's treatable

((( ))) hope you get some good results on the tests as soon as possible. remember the fb page for the child growth foundation is very good.

adoptmama - thank you so much
amidst my days and days of endless googling I have not looked at the fb page so will look when i have five minutes !

please don't focus entirely on GH deficiency.
It is concerning that you LO has fallen through the centiles, and needs looking at. 'Failure to thrive' can have many causes- apart from GH deficiency, there are undiagnosed heart problems, lactose intolerance, Coeliacs disease, malabsorption syndrome etc etc to be thought of. Self diagnosis may hinder rather then help the diagnosis.
Please see your GP and get a Paed referral for failure to thrive in the first instance!

thanks oldernotwiser thank you we are not focusing on ghd so much now since we saw the paediatrician last friday

older- sadly ds is not failing to thrive but rather 'overweight' due to lack of height

hello just to update we paid to see an endocrinologist in the end after the initial paediatrician painted a very bleak picture of our boy and have just got a diagnosis of GHD
sob
but really want the treatment now - our boy seems so tired and listless all the time

Hi, just on the off chance that you see this. My 23month old is very similar sounding to your son. He is at the bottom of the 9th centile on the growth chart and a bit delayed with his speech and a few other things. I have had a few worries since he was tiny but the fact he is so small has made me more concerned as his brother and both my husband and I are tall (5ft8 and 6ft3) family on both sides are tall too. Our doctor won’t take me seriously and says we just have to wait and see. I feel so anxious about it every day and worried that there’s a serious underlying cause. I was just wondering what the outcome was with your son and if you’d recommend anything? Thanks 🙏

Hi there, I jsut wondered if anyone from this thread had any updates? it's very similar to something I'm going through with my toddler and I'd love to know how things ended up.