Welcome, Guest. Please login or register.
Did you miss your activation email?
October 24, 2014, 10:23:43 AM
1347679 Posts in 90601 Topics by 10390 Members
Latest Member: FibiAsh
Home Blog Help Login Register
chinaadopttalk.com  |  Public Areas  |  Home with Baby (and big kids, too)  |  Failure To Thrive « previous next »

Pages: [1] 2 3 Go Down Print
Author Topic: Failure To Thrive  (Read 3693 times)
BrendaandCory
Jester
*
Gender: Female
Posts: 25



Failure To Thrive
« on: May 18, 2011, 07:38:44 AM »

Hi.  We arrived home with our DD in early March.  She is very small for her age; weighing 16 lbs at 18 months and standing 27 inches high.  She is wearing 9-12 month clothing.  She eats very well and the food choice we provide are high fat and dense with nutrition. She is not walking but standing and walking around furniture.

The Pediatrician recommended we keep her on formula until the age of 2 which we are happy to do and is referring her to an Endocrinologist.  As a new parent, this is alarming! I searched the internet and came across the term "Failure to Thrive" which brought immediate tears to my eyes.  It may take months for us to see the Specialist....Does anyone have experience with this or advice on how to cope?












Logged
elemomma
Count / Countess
**
Gender: Female
Posts: 2,011



WWW
Re: Failure To Thrive
« Reply #1 on: May 18, 2011, 07:50:32 AM »

While I think it is great that your pediatrician is being so proactive, don't let this freak you out.  This is actually very common for our children.  You haven't had her home long enough to make up the ground that she needs to.  I just adopted a 7 year old that weighed 31 pounds.  She was given this "failure to thrive" diagnosis.  Now that she has been home 7 months, she has enough nutrition now to finally start growing.  She has grown 3 inches, and is packing on the weight finally.   It takes a while for the body to begin to use the now nutritious substance to growing.  Before what most of the kids got was not a balanced diet, so their little bodies have to learn how to now process all this good stuff.

Logged

DD 10
DS 8
DD 6 Fogang (Home March 4, 2006)
DD 7 Baotou (Home Oct 1, 2010)
www.auburnkids.blogspot. com
bbmomof2boys
Troubadour
**
Posts: 148



WWW
Re: Failure To Thrive
« Reply #2 on: May 18, 2011, 07:57:40 AM »

I completely agree with elemomma!  We brought Little T home at 26 months and she weighed 20 lbs.  Give her some time, let her body adjust.  She'll start growing like a weed!  T now weighs 32 lbs at 5 yrs.  No, its not a lot but she is just petite.

Hugs,
Carla
Logged

Carla
LID 5/06
LOI 4/15/08
PA 4/28/08
LOA 5/1/08
TA 5/23/08
CA 6/25/08
travel 6/10 - 6/27

http://journeytoourlittleone.blogspot.com/
dannjo
Steward
***
Posts: 494


Re: Failure To Thrive
« Reply #3 on: May 18, 2011, 07:58:04 AM »

Congratulations on your new daughter  Happy  We brought our daughter home last Spring and she was 15 lbs. at 23 months of age -- very tiny, but perfect in every way.  In the past year our daughter has gained 5 lbs. and 3 inches, but still isn't on the growth chart.  Since she IS growing and is doing well developmentally now, our dr. isn't too concerned -- she may just be from smaller birthparents and this may be her "norm".  If your dr. feels it's a good idea to get your dr. checked out, go for it, but don't get too stressed out as it's really not that uncommon for our little sweeties to come home a bit on the small side, IMHO.    
Logged
guangximom
Dragon Slayer
****
Gender: Female
Posts: 3,583



Re: Failure To Thrive
« Reply #4 on: May 18, 2011, 07:59:57 AM »

I also have a little, little one.  She just turned 19 months old and we finally got her weight up to 19 lbs (up 2.1 since we returned home 6 weeks ago) and she is 28 1/2 inches tall and also wearing 12 month clothes.  She has a size 3 foot and just finally got into the size 3 diapers.  She is eating like a horse now and is strong as can be.  She is below the 5% for American kids, but comes in at the 20% for weight in the Southern Chinese Girl charts, although she is only 3% for height. on the China charts also.  Our pediatrician isn't overly concerned right now, but does want us back in 2 months for a growth check.  She said we don't know how small her birth parents are, Southern China girls are usually smaller than other parts of China, and that the weight is the first indicator that they are on the right track nutrition wise.  Our DD refuses formula now, so she gets milk.  We are giving her Polyvisol vitamins with iron at the Pediatrician's suggestion.  When we adopted her in March her diet was 3 bottles a day, some congee, and a few other foods.  I can really see the changes in her daily now - she is THRIVING and I am not really concerned at this point. I think she will catch up some, but will probably be a tiny one.  It does take some time for them to catch up, so as long as she is eating well and getting stronger you are on the right track.  
Logged

DD#1 - 2004 Guangxi
DD#2 -2011 Guangxi
LID 5/30/06 - Finally Home!
You can't direct the wind, but you can adjust your sails . .  .
3xwaiter
Forum Moderator
Dragon Tamer
*****
Gender: Female
Posts: 11,748


Sweet times three...


Re: Failure To Thrive
« Reply #5 on: May 18, 2011, 08:29:33 AM »

I agree...don't panic.  And actually, I think your ped is jumping the gun on getting specialists involved.  Does your ped have any experience with internationally adopted children?  Are there other symptoms that he is concerned about that factor into his decision to refer you to the endocrinologist?  Your child may have been a preemie.  She may not have gotten enough to eat in China.  The lack of walking doesn't concern me since she is walking around furniture...she may not have gotten to exercise those leg muscles in China.  She sounds perfectly normal (for an adopted child from China) to me.  My youngest was 17 months old at adoption and exactly the same size as your child.  She is from Taiwan, so I have enough of her background info to  know she was a preemie.  I fed her lots of good food, but she has always been teeny tiny.  She is now 4, and I still have size 9 mo. shorts that she wears on a regular basis!  We just had her 4 year old checkup, and for the first time she is on the charts in weight.  She is 28 pounds and is in the 4th percentile.  The ped was amazed at how much of a jump her weight has made...it jumped right out of the curve she had been following.

Just use common sense...add calories to her food where possible (butter on veggies, whole milk, add yogurt to fruit smoothies, you get the idea).  I think the formula is fine, but if you don't give her formula til age 2 it's no big deal.  My dd didn't like it, so she was able to get plenty of nutrition elsewhere.  Give it some time...you'll be amazed at how healthy she will start to look with good nutrition.  Even though she'll probably always be small.  All of my girls are the smallest of their peers...I keep telling them they'll appreciate that someday.  Smiley

3xw
Logged

3xw

dd1, 11.5, a. '03
dd2, 10, a. '05
dd3, 7, a. '08

Forum rules:
http://chinaadopttalk.com/forum/index.php?topic=3.0
jlouis
Steward
***
Gender: Female
Posts: 289



Re: Failure To Thrive
« Reply #6 on: May 18, 2011, 09:07:42 AM »

I agree, don't panic. Our son was so very, very tiny when we first met him. He was so malnourished. He came home at 23 months and was 20 pounds. Since coming home (he's been home about 1.5 years), he's put on 16 pounds, but most of that was probably put on in less than a year. These little guys (and girls!) are just sometimes not used to getting a steady supply of good food. As someone else said, just add good calories where you can and you will be surprised how fast your little one will start growing!
Logged

DS, Aktobe, Kazakhstan;Forever  Family Day 9/7/2009
DD, surprise bio baby, 7/2010
kms
Dragon Tamer
*****
Posts: 26,155


Re: Failure To Thrive
« Reply #7 on: May 18, 2011, 09:22:54 AM »

She's holding herself up and cruising around the furniture. A good thing!

Please don't read the internet late at night. She'll have 7 conditions by 1am.   BTDT..

Has she gained since China? That can reassure a bunch of mommy's. Losing weight? How's peeping and pooping? No sign of parasites?

I would also if you haven't done so have her evaluated for early intervention. It can be quite the process and the sooner the evaluation the sooner services.  She may not have the muscle tone to support without holding on so she's doing as much exploring as she can as she can. More food, practice... it will come, she's cruising.. but it could just be an advantage to have a PT helping it along. She may be doing fine enough not to need it. Evaluation is free. Services monthly based on income. May bill insurance too. Typically come to the house to provide. Varies by state the details.

My guess as a mommy is the doctor is covering himself with the endo... They get nervous with the bottom of the charts, but this isn't an American baby remember. On a Chinese chart she would be above 5% at 18 months. You really need to see weight and height a few more months to tell if she's following the curve or losing % points.

Can't tell you nothing is wrong. Not a doctor. Worry is normal but try not to focus on it. The doctor is being proactive and you are doing all the things to fatten her up you can. Worry won't make the doctor's more wise or her gain another ounce.

Kristine
Logged
Sunnyside
Knight
****
Posts: 500


Re: Failure To Thrive
« Reply #8 on: May 18, 2011, 09:36:48 AM »

Hi!

It is common for our kids to be on the small side of the curves: when we traveled, our DS was 19 pounds and was the biggest of our group, in spite being the youngest. The other kids (aged 14-22 months) were all between 14 and 17 pounds. We had a reunion 6 months later, and all the kids had caught up to the curve...

I think your doctor is being proactive and prudent. If it may indeed take months to see the endocrinologist, he may be refering you now, thinking that by then, he will know if you really need tos ee him, and if not, you can cancel the apponitment.

I agree with kms' advice not to surf the net late at night!!!

Keep us posted.














[/quote]
Logged

Met DS1 on Aug.2, 2010
Met DS1 on Jul. 23, 2012
neg58
Dragon Slayer
****
Posts: 4,660


Re: Failure To Thrive
« Reply #9 on: May 18, 2011, 10:46:36 AM »

You only need to be concerned with her growth curve, not the pounds she weighs or her height.  She eats, she moves, she's growing.

Her statistics are close to my daughter's, and mine is bio and was a preemie.  We were only concerned about the curve of the growth chart, and as long as that stayed steady, we just ignored that M's was 3" below the other kids on the chart! Staying on formula is good as it gives more calories.  I think you'll notice a big change in the next 6 months.

Your daughter might also be naturally tiny.  I used to nanny for twins, and the boy was much smaller and, according to the charts, should have been labeled "Failure to Thrive" because he was under the 5% mark on the charts.  The doctor looked at his highly educated parents and said, "Hey, he's a twin, he's a little on the small side, and look at you two - not exactly NBA material.  Chill out."  We just fed Dan extra and he was just a small guy.  His sister wasn't all that big either, but she just seemed big because he was so small (just what a girl needs, right?)

Nancy
Logged
stitchwitch
Troubadour
**
Posts: 152


Re: Failure To Thrive
« Reply #10 on: May 18, 2011, 11:22:57 AM »

I brought home DS at 15 months old, and he was about 15 lbs and wearing 6-9 month size clothing.  He had a heart defect, so I made an appointment with the cardiologist for a couple of days after we got home, and an appointment with our international adoption pediatrician for a few days after that.  Well, you would not believe the difference in the reactions of the medical personnel at those two different appointments.  The cardiologists (and DS saw about 4 different doctors and 2 different nurses at that appointment) totally freaked out when they saw him.  They told me SEVERAL times that he was a "failure to thrive" child and quizzed me over and over again about what DS was eating.  I honestly think that if I hadn't been able to prove that I had just adopted him 2 weeks prior that they would have called social services. 
The international adoption pediatrician took one look at him and told me he was totally typical for a child who had been institutionalized, and that she had no doubt that he would pack on the pounds.  She recommended high fat foods and to pretty much let him eat as much as he wanted.  A few months later DS was on the chart (he had been below it when he came home), and now 3 years later he is way up at the 10% curve (I know that is still tiny, but based on where he started 10% is huge to us).
Logged
lojeslj
Count / Countess
**
Posts: 2,376


Re: Failure To Thrive
« Reply #11 on: May 18, 2011, 11:42:09 AM »

I agree with everyone - institutionalization and small genese are common.

If it makes you feel any better, my bio twins were the same way.  Mildly preemie, but mostly just TINY.  They fell off the growth chart (after bobbiing along at the 5th percentile,) for 2 years, had the mega work up which found nothing.  I just fed them high calorie foods and let them grow.

They are now almost 12, healthy, normal size, and smart as whips. 

Don't stress.
Logged

email me with questions about clubfoot.  I rarely check pms.
HeatherM
Steward
***
Posts: 363


Re: Failure To Thrive
« Reply #12 on: May 18, 2011, 12:31:09 PM »

I'll just give you another hug and say yes, I agree with everyone.  Common for our kids....they are expected to be tiny.  Sounds like the ped is just making sure to be proactive and rule out any other issues that would you might miss.

but honestly, don't worry too much.  This is so, SO common with kids adopted from Asia.  (or otherwise, actually.)
Logged

Mom to:
DD, 9
DS, 7
DD, 4 (adopted from DaNang VN)
DS, 5 (home from Siping, China in 3/11)
adptmama
Dragon Slayer
****
Posts: 4,139



Re: Failure To Thrive
« Reply #13 on: May 18, 2011, 12:36:48 PM »

I found out after about a year home, DD had the exact same diagnosis. She was 15 lbs when we came home. Below any percentile on the height and weight chart. I soon learned to take anything said by a doctor with my daughters unique situation in mind. Many of the most experienced doctors have not trained in environments outside of a Western hospital. You will be shocked how much opinions vary. Her cardiologist was born in Asia and he didn't think anything was out of the norm. Many times even the most experienced doctor jumps the gun. I am not speaking for anyone else, but this has been our experience. I talked with a geneticist last summer as we were doing some additional work to identify a syndrom if one existed. I am happy to report she has none. Our geneticist talked about her height and weight after a year and talked about moving forward with an endocornologist if things don't turn around in 2 years. And even with his degree of professional experience, I found errors in his thinking. He compared DD's growth to a study of a 2nd generation population immigrating to the U.S. It wasn't relevant as she is not 2nd generation of her bio family. Yet, he tried to argue his point. And he is from a place in the world with similar issues regarding custodial care.

Advocate for her using your gut instincts.
Logged

Bunnygirl
Count / Countess
**
Posts: 2,065


Re: Failure To Thrive
« Reply #14 on: May 18, 2011, 01:39:24 PM »

Try not to freak out about it -- it's not at all uncommon for children in these circumstances to be "undersized."  Part of it is due to the fact that Asians (in Asia) tend to be smaller in general, part of it is due to the fact that she did not get a high protein/high calorie diet in China.  The not walking is most likely due to her not having had the opportunity to cruise and build up the necessary muscle and motor skills in the orphanage. You might want to contact EI in your state to see about PT for her to help her learn to walk but if she can stand she'll probably start to walk on her own fairly soon.  Wait and see how she progresses before worrying about potential problems -- it doesn't sound like she's been home long enough for anybody -- including the pediatrician -- to really see how she's doing.
Logged
Jacqueline
Duke / Duchess
***
Posts: 2,883



WWW
Re: Failure To Thrive
« Reply #15 on: May 18, 2011, 02:35:39 PM »

you mentioned her measurements but didn't say how much weight she's gained since she's been home in the psat 2 months. Has she gained any at all? That's good and I wouldn't worry much about upward growth yet but would be a little concerned if there was no weight gain at all.
Logged

Jacqueline ~~~Mom to son Jamie (Chengdu, Sichuan, Half the Sky) Home since Nov '09
BrendaandCory
Jester
*
Gender: Female
Posts: 25



Re: Failure To Thrive
« Reply #16 on: May 18, 2011, 05:05:58 PM »

Our tiny tot was just under 13 lbs. on Gotcha Day and is 16 lbs today.  She has grown half and inch, we think which to me is progress.  She eats very well, sleeps like a dream - 12 hours/nights + a 2 hour nap - and moves around like crazy, and has good colour.  She looks like a small 9 month old however and babbles a lot but few words.  The eye contact is limited and I would not say she is affectionate.  When she smiles, her entire face lights up and melts all hearts.  It has been a huge and welcoming comfort to hear from everyone today.  We will go forth with testing, no harm, and will remain positive.  Funny thing about our DD, she may be tiny but she has a full mouth of teeth. 
Logged
BrendaandCory
Jester
*
Gender: Female
Posts: 25



Re: Failure To Thrive
« Reply #17 on: May 18, 2011, 05:18:05 PM »

Important to mention also, her head circumference is in the 50th percentile.   
Logged
sniksa
Knight
****
Posts: 611


Re: Failure To Thrive
« Reply #18 on: May 18, 2011, 05:28:46 PM »

Sounds exactly like our DD she was a little younger but the measurments were about the same.  She did a lot of catching up in the first 6 months and ate non stop.  Just keep at it.  I would also consider pedisure or formula even after she is two if she is still small.  Our DD is 6 now and just hanging on to the bottom of the american charts.

Our son was also small but since dec has gained 10lbs.  a Int. Adopt. DR actually diagnosed mild FTT from his original medical.  Yes he was small but he certainly was thriving. 

Just take it one day at a time, given means and opportunity she will catch up.
Logged
sophiemarie
Steward
***
Posts: 462


Re: Failure To Thrive
« Reply #19 on: May 18, 2011, 06:33:08 PM »

Sometimes the babies are very low weight and a little behind on the milestones.  I'm pretty sure this is not failure to thrive.  My DD was not very low in weight but was not even crawling at 16 months.  She really didn't know what to do but she caught up quickly.  Just keep feeding her the food that you are and keep her on the formula.  I'm sure she'll fine.  One of my friends little one only weighed 12lbs at almost a year old and has been fine.  She's five now and you'd never know she was so small.
Logged

Pages: [1] 2 3 Go Up Print 
« previous next »
Jump to: