![]() , either as part of an organic problem or simply because of an energy The most common cause of failure to thrive is Children in abusive or neglectful familiesĪre at higher risk of FTT, but these cases make up only a small proportion Studies show that only between 5 percent and 26 percent of FTT cases areĭue to a purely organic cause. Poor feeding skills on the part of the parentįamily dysfunction, such as abuse or divorce Some examples of non-organic causes of failure to thrive are: Nutrients, or increased loss of nutrients Poor absorption of food, inability of the body to use absorbed In addition, gastroesophageal reflux causing regurgitation Result from metabolic abnormalities, excessiveĬaused by obstruction of the gastrointestinal tract, or kidneyĭysfunction. Result from congestive heart failure (Any difficulty in breathing makesĮating more difficult and can result in FTT. Structural abnormalities, for example, breathing difficulties that can Unexplained poor appetites that are unrelated to mechanical problems or Mechanical problems present, resulting from a poor ability to suck or , alcohol use, or illicit drugs during pregnancy Premature birth, especially if the fetus had intrauterine growth Organic causes of failure to thrive may include: However, these definitions are simplified, as both medical and ![]() Inorganic causes are those caused by a caregiver'sĪctions. Organic causes are those caused by an underlying medicalĭisorder. The causes ofįailure to thrive are typically differentiated into organic and Reach typical developmental markers such as sitting up, walking, andįailure to thrive may have several underlying causes. Undernourished child may become irritable and/or apathetic and may not Not gain weight as expected, he or she is probably not thriving.Ĭhildren who fail to thrive are either not receiving or have an inability If a baby continues to lose weight or does Children with failure to thrive are often The average full-term baby doubles its birth weight by six monthsĪnd has tripled it by one year. However, this weight should be regained within two Infants normally lose up to 10 percent of their weight in theįirst few days of life. Recognizing abnormal growth requires an understanding of normal infant Many factors, including race and genetics, may influence growth. Knowing what rate of growth is expected for any individual child, since The expected growth rate for a child their age. Children areĬonsidered as failing to thrive when their rate of growth does not meet Itĭescribes a condition rather than a specific disease. It has been recognized as a medical condition since the early 1900s. Illness (respiratory infections, gastroenteritis, fevers, fussiness or irritability), recurrent illness, ‡ travelĮmergency department and office visits, hospitalizations, parasite exposure, exposure to endemic illnesses (e.g.There is no universally accepted definition of failure to thrive, though Poor parenting skills, lack of attachmentįinancial and emotional support for child and family Safety and comfort, ability of parents to provide appropriate nutrition Genetic short stature, constitutional growth delay Use of Women, Infants, and Children program, social workers, and home health visits access to food suppliesĪtopy, * food allergies, † gastroesophageal reflux, urinary tract infections, renal tubular acidosisĬeliac disease, inflammatory bowel disease, cystic fibrosis Regular feeding routine at home and day careĬultural or religious food restrictions immigrant families may be unfamiliar with the nutritional quality of local foodsįormula mixing technique, frequency of feedings, use of baby foods and table foods Primary care physicians can effectively treat most children with FTT, and subspecialist consultation or hospitalization is rarely indicated. In most cases, an appropriate growth velocity can be established with outpatient management based on proper nutrition and family support. Early identification and management of the issues causing undernutrition are critical. Difficulty attaining or maintaining appropriate weight is the first indication of FTT, and sustained undernutrition can impede appropriate height, head circumference, and the development of cognitive skills or immune function in extreme cases. ![]() Inadequate caloric intake is the most common cause of FTT, but inadequate nutrient absorption or increased metabolism is also possible. If confirmed by repeated valid measurements, FTT should prompt a search for causes of undernutrition, including neglect, family food insecurity, and underlying medical conditions. Children with very low weight for age or height and those who do not maintain an appropriate growth pattern may have failure to thrive (FTT), also known as weight faltering.
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