Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
120 Doctors are Online

3 year old, under weight, diagnosed with FTT . What treatment should be done?

User rating for this question
Very Good
Answered by

Practicing since : 1976
Answered : 1872 Questions
Hi, I am curious regarding my niece. She is under wt, has been diagnosed FTT on three sep occasions, is very pickey eater, seen by endo, several peds and no Dr. have given anything other than the diagnosis FTT to my brother and sister in law, they don't know what to do next. She just was ill with the flu and has lost more wt. She is 3 years old and wt is around the 20LB XXXXXXX They just started to give her pedasure through the day in divided doses however are concerned that she is not getting essential nutriens for proper development. She can get behavioural (tempotantrums and will refuse to eat). What should they do? On of the Doc mentioned to possibility of growth hormon use in January if no improvement. Should she been seen by speech path (?oral sensitivity to foods/textures?) I am trying to help them out by researching/contacting Docs for them.
Thanks greately XXXXXXX
Posted Sun, 6 Jan 2013 in Child Health
Answered by Dr. Rajiv K Khandelwal 5 hours later

Thank you for your query concerning your niece.

I can understand failure to thrive (FTT) can be both challenging and frustating for the parents and relatives. FTT can be due to endogenous or exogenous causes. As per your details endogenous causes have been ruled out. As parents and relatives you must be taking abundant care so exogenous factors need not be a cause of concern.

The parents are doing the right thing by giving Pediasure. Growth hormone is not used in suc cases. It should be used only if there is intrinsic growth hormone deficiency. Speech pathologist will not be able to help you in this matter.

My line of management is such cases would be:
1. First of all plot the weight and height parameters on a chart and analyse from when did the faltering of growth started.
2. Do not to force the child to eat. Rather keep the food in front of her at regular intervals and let her have her pick. If she does not have anything to eat then remove the food and offer again after half to one hour.
3. Encourage her to have food which she likes. That food can be fortified to provide more nutrients in a smaller quantity.
4. Let the child have small frequent meals.
5. Cyproheptadine 5 ml. twice a day before meals may be tried to increase the appetite.

I hope I have responded to your query to your satisfaction. Please feel free to revert back in case you need any clarifications or would like to add more facts to the case.

Wishing your niece all the best.


Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics

The user accepted the expert's answer

Ask a Pediatrician

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor