Dr suggested growth hormones for my 4 year old..

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Ok, now you have demonstrated a possible problem in his development.

If he was holding steady at the 5%tile, or the 95%tile or anywhere in between, or very gradually moving from one to another, then there wouldn't be a cause for concern, but to lose that much growth in that short a time span is cause for concern.

Growth hormones only work when the body is actively growing. If you don;t start them until most growth is complete, they have little chance to work and make a difference.

Regardless of what you ultimately decide, I think you need to query the doctor about testing for WHY he is not growing. Did they check his natural levels of GH and determine him to be deficient? If so, have they considered and tested for things that could cause the deficiency? Have they collected detailed growth and genetic history of you, your husband and both your families?


My youngest was born full term at 3 lb 5 oz; yes, I had good prenatal care. No, they didn't detect his size--he measured fairly typically for a baby who has moved down into the birth canal. DS didn't make it onto the growth charts until he was about 7 or 8. Because of his continued small size and some other areas of concern with his appearance, his pediatrician sent us to a geneticist to rule out any underlying issues.

The geneticist asked me to bring in photos of family members going back as many generations as possible, and also information about adult heights of everyone. We also had a full skeletal scan (his entire body was x-rayed). At the appointment the doctor measured all sorts of things--length of lower arms compared with upper arms, length from neck to shoulder, length of neck, length of palm and fingers, ... everything you can think of, and then some. End result, DS simply inherited all the "small" genes, and also has delayed growth--meaning that he will continue growing for up to a year later than most young men. I *think* they probably test his GH level, but I don't specifically recall that. I do remember discussing with his doctor that researchers were not sure if GH therapy in a child with sufficient levels would cause a smaller child to grow taller than his genetic predisposition, of if it would simply cause the child to reach that heigt earlier in time. I don't know if they have answered that question yet or not--there were ongoing studies back then--DS is 16.

All that worry just to find out that its genetic?
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Well come to think of it his cousin (My BILs daughter) was really short for the longest time. Now, at age 12, shes grown like a weed and is as tall as everyone else. I think its just my SOs side of the family doesnt really grow that much till puberty.
 
mom'sfolly :

I think your doctor's concern is that the growth pattern has changed, more than that your child is small for his age. Your child going from 35th percentile to 5th percentile is the cause for concern, not that your child is simply small. With any kind of serious recomendation of this sort, I would get a second opinion. I would also expect the doctor to run hormone level before prescribing anything. You might want to consult a pediatric endocrinologist for this. I would not expect any doctor to put such a young child on this sort of therapy without a broader set of indications than one exam where the child is smaller than expected.

Ok, what Momsfolly said is right on, also add what horsejody said. He needs a complete workup that includes full xray assessment of long bone growth. My BFF's son is going through all this testing now, I so understand your concerns and fears. Whatever you choose, I wish you all the best outcome​
 
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A 17 lb 2 year old is not normal. There are many conditions that can be treated successfully if caught early, but if not caught and treated cannot be corrected. Some of these conditions are life or disability threatening. I did not expect to find a serious condition, but if I had not had the testing, and one had cropped up later I would never have been able to forgive myself. If faced with the same decision today, I would once again do the tests.

Anyways, the reason I told my story is to illustrate that you need real data to make an informed decision. Otherwise you are making decisions based upon emotions rather than knowledge.
 
I haven't read all the post so forgive me if I repeat. I know from 2nd hand experience (been there for a friend) her son was tested and he was missing the hormone that makes your body grow. They took x-rays of the hand and test that way. For years they debated and finally the Dr. said his chances for the injections were deminishing. The injections need to be taken BEFORE your growth plates stop growing (late teen years). Some insurances will not cover it. I know it is a lot of $$ He started the shots when he was 13 and he is growing. He is happy to be taller than his younger sister now. He is 15 now and looks good.
 
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Yes, we all do. But let's keep this in mind. My friend was explained this way about to "have the shots or not" It is no different from being diabetic. Your body does not produce the insulin needed there fore you give yourself shots to give your body what it is lacking. This growth hormone is the same. If your body isn't producing the hormone to grow (there are test for that now) then it is a personal decision to take the growth injections.
 
I think Vonnegut said something about this not going down in history as the nuclear age, but as the age of pharmaceutical buffoonery.

If your son was above average height last year, but below this year, that sounds like the usual growth spurts.

Kinda hard to practice medicine over the internet on a chicken forum when I'm not even a doctor, but I'd suggest getting a second opinion before I'd start something like your doctor has recommended, preferably from someone who's not feeling obligated to back your present doctor simply because they're colleagues.
 
My son's doctor was concerned when, from 6.5-8.5 months he only gained about 5 ounces. We simply waited it out and he hit a growth spurt. He's fine now. I think people are overly quick to medicate for everything. So your son slowed down his growth for a bit. Maybe his body was focusing on other areas of growth other than height. I'd give it some more time. He's still young. Wait 6 months and see if he gains some height. Let his body do it's own work first.

How tall is your son anyhow?
 
My mom is in her 50s and takes gh. GH affects more than growth so IF there is a GOOD reason to give him the shots I would do so. HOWEVER I would not on the say so of a growth chart and percentile drop. Go to a pediatric endocrinologist (sp?). They will be able to do the proper tests and give you more info to make an educated decision from. Definitely get a second opinion from a specialist before you do anything!!!!
 

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