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Suggest Treatment For FTT In Infant

Posted on Sat, 23 May 2015

Question: My baby is 1 year old and 13.5 lbs. So far, blood, urine and stool tests are normal. Her pediatrician did not check any endocrine functions because he did a wrist x-ray and said that the growth plates look normal which would rule out endocrine issues. Does this sound right?

Answered by Dr. Sumanth Amperayani (41 minutes later)

Brief Answer:
Kid is failing to thrive - needs evaluation

Detailed Answer:
Hi....your kid is born slightly underweight.

She definitely needs evaluation.

Along with endocrine work up, I would prefer to rule out other metabolic causes like renal tubular acidosis, liver disorders and heart issues.

I would suggest -

1. Renal function tests
2. Liver function tests
3. Urine specific gravity
4. Thyroid function tests
5. Ultrasound abdomen
6. ECHO of heart
7. Urine screening for inborn errors of metabolism

Regards - Dr. Sumanth

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Above answer was peer-reviewed by : Dr. Yogesh D