Childhood Diseases

Posted by: Peta | 2011/01/14


28 month old - speech therapy &  growth charts

Hi Dr
I have written to you in the past, my child was tube fed but was weaned from it in Nov last year. Otherwise normal in every other way - brain function etc.

He is 28 months old, 83cm tall and weighs 11.3kg.

I am worried as he has not put on any weight since he has become tube weaned, rather lost 700gm, 300gm of which is in the last week.

I dont know how he is in the percentile ranges and was wondering if he is average / below average etc?

Can it harm a child to only drink between 200-300ml on a daily basis? He seems happy and healthy otherwise and is sleeping fine.

Also, at what age would you recommend taking a child to a speech therapist? My son is not talking well at all (obviously due to being tube fed for +-18 months) and is getting very frustrated at this, he is quite bright and will show you exactly what he wants but cannot verbalise things.

Thanks alot

Expert's Reply



The average weight for a boy of 28 months is 13kg and height 89cm. You can easily see that your son's wihght and height are far below the average;9th and 2nd percentile respectively.With him actually losing weight this is of great concern.He needs to be followed up regularly by a paediatric gastroenterologist and a dietician with experience in this field.If he is still not talking by 30 months it would be a good idea to take him to see a speech therapist.

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