ลูกไม่โต โตช้าแบบไหน ที่เข้าข่าย “ภาวะตัวเตี้ย” ที่ควรพบแพทย์

Short stature in children is an important growth issue that parents may initially notice by comparing their child with peers of the same gender and age. If a child is shorter than their peers, parents should not be discouraged or assume it is natural. Instead, they should promptly consult a pediatric endocrinologist to identify the cause, assess the problem, and establish a timely treatment plan before the child reaches an age when growing taller becomes difficult.
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<h2>What is “Short Stature”? 
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Short stature refers to a child having a height or growth rate below the 3rd percentile compared to standard growth charts for children of the same age and gender. The cause of short stature may not be due to disease but rather a condition or abnormality in some part of the body. Consulting a pediatric endocrinologist will ensure proper treatment, increasing the chances of recovery and normal growth.
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During examination and treatment, the doctor will take the child’s health history, including the parents’ health history, along with a physical examination. Once the exact cause is identified, a treatment plan will be developed step-by-step. The child can recover normally, eliminating previous impacts and preventing future problems related to inadequate height. The causes of short stature are varied but are generally divided into 2 main groups:
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1. Normal Short Stature 
This refers to children who are short without any complex underlying cause, such as genetic factors or children with constitutional delay of growth and puberty. Although these children may grow slowly during certain periods, especially during adolescence, their growth rate eventually returns to normal, and by adulthood, their height catches up with peers. Both of these causes are not considered serious abnormalities but should still be evaluated and monitored by a doctor.
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2. Abnormal Short Stature 
This may be caused by hidden diseases such as bone abnormalities, thyroid hormone deficiency, or growth hormone deficiency (Growth Hormone) which is produced by the anterior pituitary gland responsible for controlling growth and the function of all body organs. This hormone is secreted in large amounts during growth periods and decreases with age. If a child lacks this hormone during the critical growth phase, their physical development may be noticeably slower compared to peers. Such abnormalities require timely treatment.
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Currently, many parents are unaware of the facts or misunderstand child growth, believing that delayed growth is simply because the child is young and that height will catch up in adulthood. This is not always true. Not knowing the real cause may result in delayed treatment, making it harder to correct as the child gets older.
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There are many factors affecting a child’s physical development. Regular health check-ups are very important because, besides health screening, doctors can monitor various aspects of the child’s physical development. If any developmental issues are detected, the doctor can identify the cause and provide timely treatment. Treatment approaches vary depending on symptoms and causes, including behavioral adjustments, parenting modifications, nutrition, medication, or hormone therapy. Treatment for short stature is provided by pediatric endocrinologists, ensuring safety and targeted problem-solving.

Stunting in children is an important growth problem that parents may notice by comparing with peers of the same sex and age. If a child is shorter than their peers, they should promptly consult an endocrinologist to investigate the cause and proceed with treatment.

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Child not growing, slow growth: What type qualifies as "short stature" that requires seeing a doctor?

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