How do I know if adopted child has growth hormone deficiency, wrong birthdate, or growth restriction?

Have them evaluated. We approach them as an unknown, repeat the basic vaccines and evaluate their needs individually. A growth evaluation often starts with a proposed date of birth, charted height/weights when known & a wrist hand x-ray for bone age. Another study in 6m to a year can see if the bone maturity is progressing.If slow, a hormonal evaluation would be reasonable.If normal, its okay to just watch.
Need to chart growth. If your child is very small, a physician needs to chart and analyze growth over a period of time by using a growth chart. If a child is small but growing at a normal rate, that is very different than a child who stops growing. Also head circumference and weight gain over time also need to be factored in. If actual age is not known, an estimate can be made by an xray of the hand bones.

Related Questions

How does Cushing syndrome affect growth of a child? Is it due to the same mechanism like growth hormone deficiency?

Complex. so far researchers are trying to find the exact mechanism, however accepted hypothesis validated by several researchers is that excess glucocorticoids (cortisone) affects growth hormone function/production by different mechanisms at different levels of control, hope that helps. Read more...

Can someone with childhood onset growth hormone deficiency eventually have children?

Sure. Some things would have to be established first, however. Are there any other pituitary hormone deficiencies, persistent gh deficiency, or abnormalities around the brain and pituitary gland from childhood mri? Any other medical condition? Many kids grow up to be adults who no longer have gh deficiency, but an endocrinologist or reproductive endocrinologist should be consulted prior to pregnancy. Read more...

Can you tell me is growth hormone deficiency caused by not eating enough of these foods?

No. Growth hormone is made by the pituitary gland. Its major function is in promoting growth in children. It has a very small role in adult health. Disorders of the pituitary gland (such as tumors, surgical excision) can cause growth hormone deficiency, but you can't get it by not eating any particular foods. Read more...

It possible to test for growth hormone deficiency?

Stimulation test. Growth hormone deficiency can be suspected when an individual has a very low igf-1 (insulin like growth factor) which is mainly made by the liver under the control by secretion of growth hormone. To measure growth hormone directly you have to do a stimulation test using various agents, because growth hormone is not secreted constantly but in pulses and usually in your sleep. Read more...
Yes . Endocrinologists do stimulation testing to elicit gh release from the pituitary gland. This is all through blood tests. Read more...

What is the treatment for growth hormone deficiency?

Growth Hormone. If you truly have low growth as proxy measured by a baseline igf-1, and followed up with a growth hormone stulation with one of several agents and have gh measured at baseline and thereafter, and you secrete little, than depending in insurance and age, you might be able to get it. Soon, drugs will be avaialble to be orally taken (peptides) but they will be completing phase 2 studies. Read more...

Can growth hormone deficiency cause blood sugar problem?

Yes. Untreated gh deficiency in infants may cause low blood sugar. Likewise, gh is a diabetogenic hormone and can raise blood sugars, sometimes too much. Read more...

What causes growth hormone deficiency in a fraternal twin (female)?

Depends. When kids are diagnosed with gh deficiency, a brain MRI is done to look for anything which may be disturbing the pituitary gland. Most often, gh deficiency is idiopathic, meaning that we don't know. Being a fraternal twin does not influence the cause unless there might have been difficulties with either pregnancy or delivery. Read more...

Help docs, is growth hormone deficiency caused by not eating enough of a certain nutrient?

No. GH deficiency is either something people are born with or may develop as older kids or adults due to a tumor near the pituitary gland. A balanced diet with enough protein and different vitamins particularly D may help you feel better but is unlikely to affect how much GH your pituitary gland produces. Read more...