FAILURE TO THRIVE

Failure to thrive (FTT) is a descriptive term given to infants and young children with malnourishment resulting in inadequate growth. FTT that is symmetric (proportional weight, height/length, and head circumference) suggests long-standing malnutrition, chromosomal abnormalities, congenital infection, or teratogenic exposures.

CAUSES

Inadequate nutritional intake

Poverty

Emotional deprivation

Rumination

Child maltreatment

Maternal depression

Lack of care giver knowledge

Improper mealtime environment

Unusual parental nutritional beliefs

Over feeding of juices ,snacks

Lack of breast feeding

Milk protein allergy

Food insecurity

Cardiac disease

Chronic infection

Gastro esophageal reflux disease

Renal failure

Cystic fibrosis

Celiac disease

Hypothyroidism

Inflammatory bowel syndrome

Diabetes mellitus

Congenital heart disease

Cleft lip ,cleft palate

Dental caries

Human immunodeficiency virus

Tuberculosis Hepatitis

Urinary tract infection

Chronic sinusitis

Parasitic infection

Chronic renal failure

Iron deficiency anemia

TREATMENT

Food security

Regular meal timing

Breast feeding up to 6 months

Balanced diet must be given(carbohydrate, fat, or protein ,vitamins,minerals)

High-calorie oral supplements are often well tolerated by toddlers.

Poverty must be eradicated in the society

Emotional deprivation of parents must be treated

Regular meal timing

Medical diseases should be treated

Homeopathy medicine