Faltering growth (previously called "failure to thrive") describes a pattern of inadequate weight gain or growth in infants and young children. It is not a diagnosis in itself but a sign that prompts investigation into the underlying cause.

How Is Faltering Growth Defined?

There is no single universally agreed definition, but it is generally recognised as:

It is important to note that a small but consistently growing child may be constitutionally small (i.e., genetically petite) rather than having a medical problem. The pattern of growth over time is more informative than a single measurement.

Causes of Faltering Growth

Causes are broadly grouped into three categories:

Inadequate intake:

Inadequate absorption:

Increased metabolic demands:

What to Expect at a Specialist Assessment

Dr Singh will take a detailed history of your child's feeding, growth, medical history, and family background. This will be followed by a thorough physical examination.

Tests may include:

Treatment

Treatment depends entirely on the cause. The goals are always to:

Most children with faltering growth can make excellent catch-up growth with the right support. Early assessment gives the best chance of a good outcome.

Ask your GP or paediatrician for a referral to Dr Harveen Singh FRACP at our Sydney clinics.

Last reviewed by Dr Harveen Singh FRACP, Paediatric Gastroenterologist & Hepatologist