Failure to Thrive: How to Care for Your Child
Failure to thrive (FTT) means your child is not gaining weight as expected. In some cases, a child's growth or head size might also be affected. Children need to have enough calories to grow and develop in healthy ways.
Failure to thrive usually happens because a child isn't getting enough calories for healthy growth and development. This can happen for different reasons. A child might:
The health care provider has ordered tests based on your child's medical history, symptoms, and an exam.
Treatment depends on what is stopping your child from gaining weight.
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Follow your health care provider's instructions for:
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Giving too much or feeding your child too often can sometimes cause vomiting, diarrhea, and problems with organs like the heart, so follow feeding instructions carefully.
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If your health care provider recommends it, see a nutritionist or dietitian for help choosing foods for your child.
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If you're breastfeeding and having trouble, ask for a referral to a lactation specialist.
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For formula-fed infants, mix formula as directed.
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Don't let your child drink lots of juice or have lots of other foods with empty calories like candy.
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The health care provider will need to follow your child closely to keep track of growth and development. Schedule and go to all recommended visits.
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The health care professional may refer you to a social worker, psychologist, or other provider if social, emotional, or behavioral issues seem to play a role in your child's failure to thrive.
Your child:
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doesn't begin to gain weight as expected
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loses his or her appetite
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misses developmental milestones like sitting up, walking, or talking
Your child:
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is vomiting (throwing up) and can't keep down fluids
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has trouble breathing
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appears dehydrated; signs include dizziness, drowsiness, dry or sticky mouth, sunken eyes, crying with few or no tears, or peeing less often (or having fewer wet diapers)