Failure to thrive (peds) - Revision history

Ostermayer at 17:41, 17 January 2026

2026-01-17T17:41:27Z

← Older revision		Revision as of 17:41, 17 January 2026
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	{{~~Peds top}} [[~~failure to thrive]]		{{PediatricPage\|failure to thrive}}
	==Background==		==Background==
	* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.		* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.

Rossdonaldson1 at 23:05, 28 November 2019

2019-11-28T23:05:17Z

← Older revision		Revision as of 23:05, 28 November 2019
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	~~''This page is for pediatric patients; see~~ [[failure to thrive]] ~~for adult patients.''~~		{{Peds top}} [[failure to thrive]]
	==Background==		==Background==
	* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.		* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.

ClaireLewis at 01:21, 27 January 2019

2019-01-27T01:21:10Z

← Older revision		Revision as of 01:21, 27 January 2019
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	==Clinical Features==		==Clinical Features==
			*Weight <5th percentile or weight deceleration crossing two major growth lines
			*+/- signs/symptoms of [[malnutrition]]
			*+/- signs/symptoms of underlying pathology

	==Differential Diagnosis==		==Differential Diagnosis==
	====Endogenous Causes====		====Endogenous Causes====
	* GERD		* [[GERD]]
	* IBS		* [[IBS]]
	* Food allergy		* Food allergy
	* Malabsorption		* Malabsorption
	* Pyloric stenosis		* [[Pyloric stenosis]]
	* Gastrointestinal atresia or malformation		* Gastrointestinal atresia or malformation
	* Inborn ~~error~~ of metabolism		* [[Inborn errors of metabolism]]
	* Thyroid ~~disorder~~		* [[Thyroid disease]]
	* Chronic infection or immunodeficiency		* Chronic infection or immunodeficiency
	* Chronic pulmonary disease		* Chronic pulmonary disease
	* Congenital heart disease or heart failure		* [[Congenital heart disease]] or heart failure
	* Malignancy		* Malignancy
	* Celiac disease		* Celiac disease
	* Inflammatory bowel disease		* [[Inflammatory bowel disease]]
	====Exogenous Causes====		====Exogenous Causes====
	* Breastfeeding problem (latching, suckling, or swallowing)		* Breastfeeding problem (latching, suckling, or swallowing)
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	* Mood disorder		* Mood disorder
	* Eating disorder		* Eating disorder
	* Child neglect or abuse		* Child neglect or [[child abuse]]

	==Evaluation==		==Evaluation==
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	==Management==		==Management==
			*Treat underlying cause
			*Treat [[malnutrition]]

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - " percent" to "%"

2017-11-10T07:21:15Z

Text replacement - " percent" to "%"

← Older revision		Revision as of 07:21, 10 November 2017
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	==Background==		==Background==
	* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.		* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.
	* Defined as weighing <5th ~~percentile~~ for age and sex, or weight deceleration crossing two major growth lines on a growth chart.		* Defined as weighing <5th%ile for age and sex, or weight deceleration crossing two major growth lines on a growth chart.
	* Does not imply a defect in social, intellectual, or emotional development, but if untreated may lead to any combination of those.		* Does not imply a defect in social, intellectual, or emotional development, but if untreated may lead to any combination of those.
	* Classically divided into endogenous (medical) and exogenous (psychosocial or environmental) causes		* Classically divided into endogenous (medical) and exogenous (psychosocial or environmental) causes
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	==Disposition==		==Disposition==
	* Most cases can be discharged with PCP follow up. PCPs can make appropriate referrals for nutritional counseling, lactation coaching, or formula supplementation.		* Most cases can be discharged with PCP follow up. PCPs can make appropriate referrals for nutritional counseling, lactation coaching, or formula supplementation.
	* Indications for hospitalization include failure of outpatient management, suspicion of endogenous cause requiring urgent management, suspicion of abuse or neglect, signs of traumatic injury, severe psychosocial impairment of the caregiver, or evidence of serious malnutrition (<70th ~~percent~~ of predicted weight for length).		* Indications for hospitalization include failure of outpatient management, suspicion of endogenous cause requiring urgent management, suspicion of abuse or neglect, signs of traumatic injury, severe psychosocial impairment of the caregiver, or evidence of serious malnutrition (<70th% of predicted weight for length).

	==See Also==		==See Also==

Rossdonaldson1 at 05:01, 30 October 2017

2017-10-30T05:01:53Z

← Older revision		Revision as of 05:01, 30 October 2017
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			''This page is for pediatric patients; see [[failure to thrive]] for adult patients.''
	==Background==		==Background==
	* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.		* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.

Mholtz: Created page with "==Background== * Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or ex..."

2017-10-21T21:59:34Z

Created page with "==Background== * Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or ex..."

New page

==Background==
* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.
* Defined as weighing <5th percentile for age and sex, or weight deceleration crossing two major growth lines on a growth chart.
* Does not imply a defect in social, intellectual, or emotional development, but if untreated may lead to any combination of those.
* Classically divided into endogenous (medical) and exogenous (psychosocial or environmental) causes

==Clinical Features==

==Differential Diagnosis==
====Endogenous Causes====
* GERD
* IBS
* Food allergy
* Malabsorption
* Pyloric stenosis
* Gastrointestinal atresia or malformation
* Inborn error of metabolism
* Thyroid disorder
* Chronic infection or immunodeficiency
* Chronic pulmonary disease
* Congenital heart disease or heart failure
* Malignancy
* Celiac disease
* Inflammatory bowel disease
====Exogenous Causes====
* Breastfeeding problem (latching, suckling, or swallowing)
* Improper formula preparation
* Caregiver depression
* Lack of food availability
* Cleft lip/palate
* Mood disorder
* Eating disorder
* Child neglect or abuse

==Evaluation==
* A detailed history and physical examination (including accurate height and weight) are usually sufficient to establish a cause. Over 80% of cases are due to insufficient caloric intake from exogenous causes.
** History should focus on breastfeeding technique, frequency, and duration, or amount of formula and method of preparation.
** Observed feeds can often be useful to identify problems.
* If an endogenous cause is suspected, specific lab tests or imaging studies may be helpful to evaluate for metabolic abnormalities, the presence of infections, malignancy, or anatomic malformations. Additional testing should be ordered on a case by case basis and is only recommended if a specific etiology is suspected.

==Management==

==Disposition==
* Most cases can be discharged with PCP follow up. PCPs can make appropriate referrals for nutritional counseling, lactation coaching, or formula supplementation.
* Indications for hospitalization include failure of outpatient management, suspicion of endogenous cause requiring urgent management, suspicion of abuse or neglect, signs of traumatic injury, severe psychosocial impairment of the caregiver, or evidence of serious malnutrition (<70th percent of predicted weight for length).

==See Also==
*[[Failure to thrive]]

==External Links==

==References==
<references/>

[[Category:Pediatrics]]