3% of all children are short. Short stature can be due to both hormonal and non-hormonal causes. Evaluation of short stature begins with a detailed medical history followed by clinical examinations to rule out the pathological causes of short stature. Growth measurements and screening tests (blood, urine, stool and X-ray for bone age) are done followed by special hormonal tests and scans if required. A dietician also assesses the child along with a psychologist. After monitoring the growth rate, growth hormone treatment is started only where needed.
15-29% of our children are obese. The epidemic of childhood obesity is on the rise and it predisposes to long-term complications like insulin resistance, type 2 diabetes, hypertension, hyper-cholesterolaemia, non-alcoholic fatty liver disease etc. These complications are screened for and treated. A detailed history is taken and clinical examination done. A dietician review is followed by a psychological assessment. A physiotherapist also assesses the child with regular inputs. Life style change, diet and exercise are the cornerstone of treatment with medication in the morbidly obese child.
A full clinical examination is done to rule out causes for the growth & obesity problems, this is followed by blood tests, urine and tool tests along with X-rays done for bone age.