Posted by: Anon | 2008/01/14


Very small child

Dear Doc

Could you please tell me if I need to be concerned. My son is now 4years and 6 months old. He is 98cm tall and weighs 15kgs. People often comment on how small he is. He was born at 36weeks due to IUGR and weighed 1.8kgs. Apart from endless problems with his ears (repeated infections, 5 sets of grommets and still ongoing) he is very healthy. He often complains of 1 leg that is very sore - mostly in the morning or after playing, but it is not consistant and I assume it is grwing pains. He is not unusually small is he?


Expert's Reply



Your son's height and weight are well below the average for his age being below the 10th percentile [ the lowest 10% of boys of his age] This could be the result of his difficult start in life but it is unusual for this to still affect a boy of 4 and a half. His recurrent ear problems have also been a factor here, so please get a second opinion about his ears as they should have cleared up by now. Also ask your paediatrician to see him and to give him a thorough check-up just to be sure that all is well and that he is simply following a familial growth pattern.

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