Pediatrics

Have Pediatric Questions? Ask a Pediatrician.

Ask a Doctor,
Get an Answer ASAP!

Pediatrics
This answer was rated:

I have a question. My daughter has not gained much weight in

8 months...like 2 pounds, but...
I have a question. My daughter has not gained much weight in 8 months...like 2 pounds, but her height has grown 2.25 inches. When she was a baby she was always all weight no height at one visit, then all height no weight at next visit! She's coming up on 5, so I assume this is just her pattern. As long as she growing more in one or the other, she's pretty healthy right? I could see if she's owing in neither area...but she's grown a lot in height. She was like 14% at her well baby last July and now height she's like 22%. So that's a good thing right? I feel like I worry too much on those percentiles! :-)
Show More
Show Less
Ask Your Own Pediatrics Question
Answered in 5 minutes by:
3/27/2013
Dr. A. Clark
Dr. A. Clark, Pediatrician
Category: Pediatrics
Satisfied Customers: 4,437
Experience: 33 years of experience as a general pediatrician in private practice and in pediatric urgent care.
Verified
Dr. A. Clark :

I'm happy that you have asked me to assist you with your child and hope that you can benefit from my many years of helping parents like you.

Dr. A. Clark :

The percentiles can be confusing if you look only one point in time vs the trend, AND you have to remember, these charts were created by measuring thousands of children from birth through 18 years of age and then statistically analyzing them to create a chart. As long as your child is growing along some percentile over time then you need not worry, especially in the first year when lots of babies have not really hit the percentile they will grow on later.

Customer:

Her ped was my ped, and he says he doesn't rely on the percentiles....he says it growth on a whole! So I'm assuming that's good that her height has excelledore this year than weight!

Dr. A. Clark :

The linear (length) growth is more important, as well as head circumference, than the weight and is more reliable.

Dr. A. Clark :

Good, that means he, like me, is practical and has seen thousands of babies over the years and recognizes problems even without the charts!

Customer:

Her head was always above 90 %...it was just height and weight that fluctuate! Wh end she was young like 2ish she was in like the 38th for height, then he explained they settle into their own pattern and she stayed around 14th for height....so she's stayed at that same pattern her lately, now her heightens like 22 and weight went from 43 to like 31-37...so I guess that's the norm?

Dr. A. Clark :

If you look at weight, for instance, and watch what happens to their weight gain in the first year, you can see that there is a rapid growth for the first 2-4 months, with most kids doubling their birth weight by 4-6 months, but not tripling until a year. And, if babies continued to grow for three years the same way they do the first year, then your 3 year old would weigh 180 pounds (20 at 1, 60 at 2 and thus 180 by 3)!!

Dr. A. Clark :

Linear growth is more predictive than weight for predicting, looking also at parental size and siblings, but you really don't get much of a trend until 3-5 years.

Customer:

sO as long as she doesn't go from 43 to 0...we are ok? I know u said my ped must be like yours and recognize problems...u didn't mean her fluctuation was a problem right?

Dr. A. Clark :

Yep

Dr. A. Clark :

Fluctuation is not significant in the first year especially and even later.

Dr. A. Clark :

Height percentiles are less subject to fluctuate.

Customer:

Like I said the last two years her height has been about the same trend (between 14-22) and her weight to between (31-43). So we are good there?

Dr. A. Clark :

For girls, the age they enter puberty is also important for growth compared to peers and that is very dependent on when you (if you are the mom) started puberty.

Dr. A. Clark :

She is fine, as her pediatrician has assured you.

Dr. A. Clark :

If you don't have a chart handy you can find it at our website at:

Dr. A. Clark :

www.acutekidscare.com/health and then select the one for girls up to 18 years. You have to be very careful to plot her points exactly for her age and measurements.

Customer:

I'm 5'7 (taller for a girl) her dad is 5'8 (shorter for a guy) so he's like 20th or so percentile and she's about the same so the Dr said when she was 3 and she dropped to the 18th from 35th that she was just falling into her genetically programmed height! He said they usually find their own pattern around that age bc they get on their own eating/growth pattern?

Dr. A. Clark :

Right. Being a bit taller is in her favor since I suspect you started your periods after 12 (average Caucasian girls start at 11 or so) and girls continue to accelerate in height until their first period and then stop growing within a year or so.

Dr. A. Clark :

The later girls hit puberty the taller they will be and likewise the earlier the shorter they will be.

Customer:

So fluctuation is normal for her age...(she's almost 5). as ling as she doesn't drop like off the charts?

Dr. A. Clark :

Right

Customer:

I was in 8th grade when I hit puberty...my mom is 5'3 maybe and my dad is 6'0. I was a late bloomer!

Dr. A. Clark :

She has a good chance that your late puberty will compensate for Dad's less than average (5-10) height.

Dr. A. Clark :

I'm seeing a sick kid but will be right back.

Customer:

Like I said her head has always been about the same give or take a few points...it's just her height n weight that fluctuate...

Dr. A. Clark :

As long as her brain is growing that is the most important thing anyway!

Dr. A. Clark :

At her age kids just don't gain that much weight or in height until around 7-9.

Customer:

The only thing that scared me was a "newer" ped saw her at 3 year (maybe a little older) and she went to the 18 from 35th height and he wanted to measure her at every visit, but her ped that was my ped saw her at her 4 year old check up and told me he was going by her 2 yr. Height which was obvious to change bc she was "settling in" to her own growth pattern and quit the measuring at every visit bc he said that's what happens...

Dr. A. Clark :

My grandkids' doctors get crazy like that sometimes and then I have to calm down their mothers and reassure them that all is well. The younger and less experienced the doctor the more they have to rely on charts, graphs, books, etc to guide them.

Dr. A. Clark :

As I tell our younger docs who come on board with us in our pediatric urgent care clinics: knowing that a tomato is a fruit is "knowledge" while realizing that it doesn't go in a fruit salad is "wisdom" - big difference experience brings!

Dr. A. Clark :

Sadly, with the limits placed on the hours residents can work now they get way less experience at outpatient pediatrics. Our new docs come out of training with few practical skills for dealing with common childhood diseases and accidents or much experience counseling parents. I have to teach them how to suture, read xrays, remove a foreign object from the eye, ear, nose, etc. Frustrating for me and for parents like you so I'm glad you have a seasoned pediatric***** *****ke me to see!

Dr. A. Clark :

Please let me know if you have further questions and if not have a good evening.

Dr. A. Clark :
Please remember as you exit chat to rate my service as that is the only way experts are compensated for their time! If you feel unsatisfied with my answer at all please don't exit but just hit the REPLY tab and let me know of the issue or question that you have. I will be happy to continue working with you and will do everything I can to provide you with the service you seek and I hope that I can earn an excellent rating from you.

Dr. A. Clark :

I hope you found my comments to be helpful and if so I trust you will return to chat to rate my work favorably. Thanks.

Dr. A. Clark
Dr. A. Clark, Pediatrician
Category: Pediatrics
Satisfied Customers: 4,437
Experience: 33 years of experience as a general pediatrician in private practice and in pediatric urgent care.
Verified
Dr. A. Clark and 87 other Pediatrics Specialists are ready to help you
Ask your own question now
Customer reply replied 4 years ago

So basically you are saying at her age (almost 5) she can go from 43 to 31-37 on weight and she might just be finding her own pattern and it's normal...as long as she doesn't just hit 0? I think the highest percent in weight she has been was 47 since she started walking....but now we are at a point where she is a picky eater too. The last year I know she wants pizza, spaghetti, or chicken, or a hot dog. She will eat potatoes...but she is very very picky!

Absolutely as she is growing in spurts right now so her pounds and inches may or may not increase but her age does so the percentiles change accordingly.
That is the typical toddler diet and amazingly kids can survive on the same 3-4 food for months!
Ask Your Own Pediatrics Question
Customer reply replied 4 years ago

Thanks again!

Ask Dr. A. Clark Your Own Question
Dr. A. Clark
Dr. A. Clark
Dr. A. Clark, Pediatrician
Category: Pediatrics
Satisfied Customers: 4,437
4,437 Satisfied Customers
Experience: 33 years of experience as a general pediatrician in private practice and in pediatric urgent care.

Dr. A. Clark is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. Yogindra Vasavada

Dr. Yogindra Vasavada

Pediatrician

3,130 satisfied customers

M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp

Dr. Gupta

Dr. Gupta

Pediatrician

1,502 satisfied customers

MD, practicing Pediatrician with 19 years of experience. Member American Academy of Pediatrics.

Dr. K.

Dr. K.

Board Certified Pediatrician

819 satisfied customers

Board Certified, Ivy League educated Pediatrician.

Raymond B., M.D.

Raymond B., M.D.

Doctor

422 satisfied customers

I provide medical care for newborns, children, adolescents and young adults up to age 21 years.

Dr. Davidson

Dr. Davidson

Board Certified Pediatrician

415 satisfied customers

Board Certified Specialist in Pediatrics, Allergy, Asthma & Immunology

David L. Hill, MD, FAAP

David L. Hill, MD, FAAP

Doctor

415 satisfied customers

Adjunct Assistant Professor of Pediatrics, UNC Medical School. Vice President, Cape Fear Pediatrics.

Dr. Lieberman

Dr. Lieberman

Doctor

111 satisfied customers

Hi: I'm a board certified pediatrician, caring for teens and younger children for the past 12 years.

< Previous | Next >

Related Pediatrics Questions
What causes the "witching hours" for infants? How will this
What causes the "witching hours" for infants? How long will this go on? Have 1 1/2 month old (corrected) triplets… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My son has a stomach bug since 7am this morning. He hasn't
My son has a stomach bug since 7am this morning. He hasn't been able to keep any liquids down yet. He's been sipping water and pedialyte and eating ice chips. No fever, very tired, and I noticed his h… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
525 satisfied customers
Can you giverify Nyquil in combination with 250mgkeppra,
Can you giverify Nyquil in combination with 250mgkeppra, 500mg depakote,2mg ativan, 20mg pepcid and 15mg remeron? My 30 year old niece weighs 82lbs and has cerebral palsy and epilepsy. She had the pre… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My 8 year old fell off a climbing frame and, according to
Hi, my 8 year old fell off a climbing frame and, according to his younger brother fell directly on his back. He is now in (what appears to be) severe pain which he motions is in his back--it doesn't s… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,245 satisfied customers
My 3 1/2 year old starteed to have a yellow-whitish mucous
my 3 1/2 year old starteed to have a yellow-whitish mucous come from his nose..I have never seen this before. … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My five-year-old daughter was complaining of headaches when
My five-year-old daughter was complaining of headaches when lying down. I took her to pediatric NP and she saw green snot and postnatal drip. Prescribed antibiotics for sinus infection. She had not co… read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
30 satisfied customers
Would you consider this a seizure? Just started today. Woke
Would you consider this a seizure? Just started today. Woke up at 7:15am and this started around 7:45. Seem to show he was tired. Did it several times in different positions. He did it when on back, h… read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
30 satisfied customers
How can I get my toddler to eat
How can I get my toddler to eat JA: Have you seen a doctor about this yet? What medications are you taking? Customer: No JA: Anything else in your child's medical history you think the doctor should k… read more
Dr. K.
Dr. K.
Staff physician
537 satisfied customers
My 10 year old son starting itching earlier today on the
Hi my 10 year old son starting itching earlier today on the back of his neck. He doesn't have a fever or any other signs of a cold. He was complaining about itches throughout the day and when we got h… read more
skindoctor2000
skindoctor2000
Master's Degree
1,163 satisfied customers
My husband and I are keeping grandsons 21/2 year old and 20
My husband and I are keeping grandsons 21/2 year old and 20 month old.. The 21/2 year old is vomiting with fever, 20 month old has diarrhea and I'm vomiting and diarrhea. While I was in the bathroom m… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
I have a 15 month old, she has been sick for over a month,
I have a 15 month old, she has been sick for over a month, finally got into her pediatrician (had gone 2 times to an insta-care with no help) her doctor put her on an antibiotic for a sinus infection … read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
30 satisfied customers
My son has had a dry cough for a while now. It's been on and
My son has had a dry cough for a while now. It's been on and off, most days he's perfectly fine with just one dose of cough medicine. And I'll even assume he's gotten better. However, today, his cough… read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
30 satisfied customers
My 3 yr old has a fever of 104.3 - we've given him Advil at
My 3 yr old has a fever of 104.3 - we've given him Advil at 5:45 - he had Tylenol at 2:30 this afternoon - he has a headache and cough - we brought him to er last night - should we bring him back? … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My daughter has been dealing with an illness for over a week
Second opinion] Hello,My daughter has been dealing with an illness for over a week now. She is 7 years old. She has a "stuffy" nose but at the same time it is running like a faucet with a discharge th… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My daughter (5) says she gets headaches whenever she lies
My daughter (5) says she gets headaches whenever she lies down. Does this sound like a brain tumor? I am terrified.… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My daughter has oozy bruises on her belly. Small. 4 in a
My foster daughter has oozy bruises on her belly. Small. 4 in a line across her belly. I texted her sister to ask what it might be. FD said that sister and mom has them, too. Sister said it was HS. No… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
My granddaughter gave 1/2 tsp Nyquil Cold & Flu to her
My granddaughter gave 1/2 tsp Nyquil Cold & Flu to her 3-year old daughter who has a cold. She's not showing any adverse reactions. The inner label on the bottle said do not use under 4 years old. Thi… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
I have a son who is 6 years old, turning 7 next month. He
Hi, I have a son who is 6 years old, turning 7 next month. He had a swollen lymph node last Sunday with high fever and was prescribed clindamycin on Monday without a proper throat culture test / neith… read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
30 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x