Growth Problems Symptoms & Causes

In-Depth
How is “normal” growth defined?
Measured in height, “normal” growth is described as growth of:

 0 to 12 months - about 10 inches. Growth during this phase is primarily a function of

nutrition.
 1 to 2 years - about 5 inches. From the age of 1, hormonal factors play an increasingly
important role in your child’s growth.
 2 to 3 years - about 3 1/2 inches a year
 3 years to puberty - about 2 inches a year. There is minimal difference in growth seen in
boys and girls until puberty, which results in an average height difference of 4 to 5 inches
between the sexes.

What causes growth problems?

Growth problems can be caused by a number of factors, including genetics, hormonal disorders,
systemic illnesses and poor absorption of food. Causes of growth problems usually fall into the
following categories:

 Familial short stature, a tendency to follow the family's inherited short stature (shortness).
 Constitutional growth delay, also known as delayed puberty. A child with this condition
enters puberty later than average, but is growing at a normal rate. Most of these children
tend to eventually grow to about the same height as their parents.
 Illnesses that affect the whole body, also called systemic or chronic illnesses, or illnesses
that affect the digestive tract, kidneys, heart or lungs.
 Malnutrition. Constant malnutrition prevents a child from growing as tall as she could; a
well-balanced diet generally prevents or corrects this. Malnutrition is the most common
cause of growth failure around the world.
 Severe stress
 Endocrine (hormone) diseases, such as diabetes or a lack of thyroid hormones, which are
necessary for normal bone growth.
 Syndromes (genetic disorders). Growth problems may be a feature of syndromes such
as Cushing's syndrome, Turner syndrome, Down syndrome, Noonan syndrome, Russell-
Silver syndrome and Prader-Willi syndrome.
 Growth hormone deficiency. A child with this growth disorder has a problem with the
pituitary gland (small gland at the base of the brain) that secretes several hormones,
including growth hormone.
 Congenital (present at birth) problems in the tissues where growth occurs.
 Intrauterine growth restriction (IUGR). This condition results from a fetus’s slow growth
within the uterus. The baby is born smaller in weight and length than normal, in
proportion to his short stature.
  Chromosome abnormalities. Having too many or too few chromosomes can result in
health problems, including problems with growth.
 Skeletal abnormalities. There are more than 50 bone diseases that affect height and
growth, many of which are genetic. The most common is achondroplasia, a type of
dwarfism in which the child's arms and legs are short in proportion to his/her body
length. The head is often large and the trunk is normal-sized.
 Precocious puberty. This growth disorder is characterized by an early onset of
adolescence in which a child is tall for his age initially, but due to rapid bone maturity,
growth stops at an early age and the child may be short as an adult.
 Genetic conditions. There are a few genetic conditions that result in tall stature, where
other health problems are also present.
 Idiopathic. There are several growth disorders that are idiopathic, meaning that there is
no known cause for the growth problem.

What are the symptoms of a growth problem?

The primary symptom that may indicate a growth problem is when a child grows less than two
inches a year after his second birthday. Other symptoms may include:

 slow development of physical skills, such as rolling over, sitting up, standing and walking
 delayed social and mental skills
 delayed development of secondary sexual characteristics in adolescence

source : http://www.childrenshospital.org/conditions-and-treatments/conditions/g/growth-
problems/symptoms-and-causes

https://www.ncbi.nlm.nih.gov/books/NBK279142/