Overview

Failure to thrive is a medical term. It describes a child who gains weight or height more slowly than other children.

A baby who has failed to thrive may be slow to develop physical skills. The baby may roll over, stand, or walk later than other children do. In some cases, slow physical development leads to mental and social delays.

Failure to thrive has different causes. It can be caused by medical problems. These include anemia or thyroid problems. It can also be caused by emotional problems. And in some cases it happens when a child does not get enough to eat. This can happen when food is not available.

If the cause is medical, your doctor may be able to treat that problem. This could help your child gain weight at a normal rate.

If your child has emotional problems or is affected by the conditions at home, treatment may include counselling and improving the home situation. Your doctor may recommend that your child get nutritional therapy in the hospital. Your child may be able to develop at a normal rate if the period of failure to thrive has been short and your doctor finds and treats the cause.

How can you care for your child at home?

• If your baby is nursing, talk to your doctor. Make sure that you have enough breast milk. And find out if your baby is nursing well.
• If your baby is bottle-fed, talk to your doctor about the correct way to prepare the formula. Also, talk with your doctor about ways to give your child more nutrition from the formula.
• If your child is school-age:
  • Have a regular snack and meal schedule. Most children do well with three meals and two or three snacks a day.
  • Eat as a family as often as you can. Try to enjoy meals together.
  • Be a good role model. Let your child see you eat the food that you want your child to eat.
• Do not let your child fill up on drinks instead of eating a meal. Try holding the drink back until your child eats some food.
• If your child is not interested in eating, try to increase your child's physical activity. Limit TV, video games, or computer time.
• Do not use food as a reward for success or good behaviour.
• If your doctor recommends meeting with a dietitian or counsellor, go to your appointments. You may need a series of visits.
• If you or your child is not getting enough food, ask your doctor about food programs in your area, food banks, and food pantries.