Pediatric

When Should I Worry About a Child Growth

20 Mar 2025Royal Medical Center

 

Parents and caregivers are very concerned about children's growth and development. It is something to be proud of and celebrate, but it is also something to be concerned about when growth is not as expected. At Royal Medical Center Abu Dhabi, we educate parents on what they need to know about their child's growth and when to consult a doctor.


What is the Importance of Monitoring Child Growth?


A child's growth is not only monitored bytheir height or weighte. It's an entire process in which there are physical, emotional, and mental developments. Child development can also tell us some very useful information about their health. Growth and development need to be monitored regularly because they can pick up underlying medical illnesses early.


Normal Growth Patterns in Children


Different children develop at different rates, and there's a great deal of variation in what is "normal." Knowing these patterns can reduce undue alarm.


  • Infancy (0-12 months): Babies develop and grow at an incredibly rapid rate. The weight of a child will typically triple in the first year, and his/her length grows by nearly 50%. There must be frequent monitoring by the pediatrician to monitor this growth and development. Problems in this age group are primarily about weight gain, feeding, and achieving milestones like sitting, crawling, and walking.
  • Toddlerhood (1-3 years): Development is somehow slower in toddlerhood than during infancy. The children, nonetheless, continue to gain weight and height at a similar rate. It is also a time of huge accomplishment in developmental domains, e.g., language development, motor development, and social interaction. Parents should ensure that the child gets a proper diet and sleep because both are quite crucial for growth and development.
  • Preschool (3-5 years): The children develop incrementally in preschool years. They gain about 2-3 kg of weight and 6-8 cm of height each year. It is the period of increasing independence, improved motor skills, and mental and social skill acquisition. Regular health check-ups enable observation of growth and vigilance for developmental advancement.
  • School Age (6-12 years): School-age growth is by children growing taller by around 5-6 cm and heavier by around 3 kg every year. Aggressive social and mental growth takes place in this period of growth. Growth monitoring has to be carried out using follow-up check-ups so that the child develops normally.
  • Adolescence (13-18 years): Marked by a sudden increase in growth, or puberty, which is different in age between girls and boys. Girls mature at the ages of 10-14, and boys at the ages of 12-16. The adolescents may grow a few inches taller and a few pounds heavier between these ages. Proper early detection with follow-up ensures that any problems in growth are detected in advance to be controlled.


When to Concern Yourself about a Child's Growth?


There are many normal patterns of growth, but there are red flags that need to be reviewed by a doctor. The following are red flags to look for:


  • Failure to Thrive: Failure to thrive or FTT is a clinical condition where the child does not gain weight or increase in size as desired. It can be caused by many reasons such as improper diet, recurring illness, or other possible diseases. If the child remains below the growth curve and does not show any visible weight gain after some duration of time, it's of utmost importance to consult a doctor.


  • Delayed Puberty: Puberty typically starts between 8-13 years in girls and 9-14 years in boys. Delayed puberty is when these do not happen within the normal time. Causes can be hormonal imbalance, genetic illness, or chronic diseases. Meet a pediatric endocrinologist to find out the cause and what will be the treatment.


  • Growth Spurts and Plateaus: Children are observed to experience growth spurts, but general growth spurts or slowing up in increase in height or increase in weight is not to be concerned about. If the child is not rising in height as anticipated or gaining weight altogether, then medical opinion should be obtained to determine any kind of trouble that may be happening.


  • Disproportionate Growth: In case growth is disproportionately occurring, i.e., limbs much shorter than the trunk, then it might be due to skeletal dysplasia or growth disorders. Early diagnosis and treatment of such a case are of utmost concern.


  • Developmental Delays: Growth and development go hand in hand. Where there is a significant delay in reaching growth milestones, e.g., walking, talking, or socialization, it can be linked to growth issues. A pediatrician identifies the cause and addresses it through proper assessment.


What are the Factors that Determine Child Growth?


There are some causes of a child's growth, e.g., genetics, diet, and health.


  • Genetics: Genetics has a lot to do with the development of a child. If parents are stunted or there is a family history of growth disorders, then the child is also stunted. Genetic counseling gives some idea about possible growth issues.


  • Diet: Diet has an essential role in healthy growth and development. Healthy growth requires a proper diet with a balanced ratio of calories, proteins, vitamins, and minerals. Poor diet or lack of essential nutrients results in growth disorders.


  • Chronic Disease: Congenital heart defects, gastrointestinal disease, or endocrine disorders are chronic diseases that may impair growth. Therapy must be started after consulting healthcare professionals to avoid retarded development and growth.


  • Emotional Well-being: Psychological and mental health also affects development. Abuse, deprivation, or stress may lead to retardation. Giving a child his warm, loving atmosphere will take care of him.


When to Seek Medical Advice?


Parents must also keep a close eye on the child's development and consult a doctor if they feel that something is amiss. The following are some of the situations in which medical assistance is necessary:


  • When the child fails to gain weight or grow as much as expected.
  • When there are clear delays in reaching development milestones.
  • When puberty is delayed or not reached at all.
  • In the event of established asymmetry of growth.
  • If the child has a chronic illness it can influence growth.


FAQs


Q: What Are the Signs That My Child Might Have a Growth Problem?

A: These are your child being considerably shorter or taller than children of the same age, growing much slower or faster, and any other delay in growth.

Q: How Frequently Do I Measure My Child's Height and Weight?

A: Your child's height and weight should be measured at least twice a year, but your pediatrician may recommend more if there is a growth issue.

Q: Are There Growth Problems Due to Medical Conditions?

A: Yes, certain medical conditions affect growth, such as hormonal imbalance, thyroid disease, and chronic illness. These need to be identified early and addressed early.

Q: What Can I Do to Support the Growth and Development of My Child?

A: Make sure they sleep, exercise every day, eat regularly, and see their pediatrician frequently.

Q: Will Stress Delay My Child's Growth?

A: Yes, prolonged stress can hinder growth by having an impact on appetite, sleep, and well-being. There needs to be a calming atmosphere.


Conclusion


Growth in a child is multifaceted and an uncomfortable thing to wrap your head around, involving so much more than weight and growth. While all children grow at his or her own pace, parents are the ones who must be awake and watchful on the occurrence of any growth challenges. Early intervention of early warning indicators of potential growth difficulty and professional intervention, if necessary, can enable any issues that have arisen to be diagnosed and treated in the early stages, thereby giving the best possible care to the child.


At Royal Medical Center for one-day surgery in Abu Dhabi, we have the best team of pediatric experts committed to specialist consultation, diagnosis, and treatment of the developmental needs of children. 


In case you are experiencing any complications related to the development of your child, we request the privilege of having you book an appointment with one of our seasoned pediatricians. Your child's health and well-being are the highest priority at Royal Medical Center.

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