Failure to ThriveCharlie has not been gaining weight since this summer. At his 12 month well check, he was just over 21 lbs. In July, he was about 22. Then he started walking (running) and his weight dropped. At his 15 month check up in August, he was back to his 12 month weight. At 18 months, he was 21 lb 14 oz. Looking back at his baby book, he was 20 lb 2 oz last January. So we decided to do a weight re-check in a month, which brings us to today. Side note--on Christmas Eve, he wore the same pants he wore last year on Christmas Eve. They were too long then, but fit him around the waist. Fit him perfectly this year.
21 lb 14 oz. No weight gain at all. He is off the charts for weight, meaning below the 0 percentile (if there is even such a thing.)
His main doctor kind of blew it off last month, saying he thought maybe he had a high metabolism. The doctor we saw today took things much more seriously, which concerned me, but I'm grateful too--that she wants to get to the bottom of this.
Her first suggestion was to take him to the hospital for some blood work. She wrote out all of the tests she wanted done and in the space for "reason" she wrote "failure to thrive." I don't think any mother ever wants to hear those words said about her child. If the blood work comes back normal, we'll see a pediatric nutritionist.
I decided to take him right over to the lab, since we were already out and about. It was awful. I had to hold him so tight and still he struggled and screamed the whole time. The nurse who was drawing the blood was calling him "Hercules" because his writhing caused the needle to slip out of his arm...she said "he blew the vein." I don't know exactly what that means, but it didn't sound good. She had to then start over in his left arm. She took 6 vials of blood total.
As soon as she was done, I put his coat on and got him in the stroller. He took his bottle (yes, he still uses a bottle, at this point that is the least of my worries) and calmed down immediately. He almost fell asleep in the car--about a 10 minute drive--but held off until we got home. So much trauma.
He's also had an issue with fluid in his ears since April. Every time we go in, his ears have fluid in them. His main doctor wasn't all that concerned (I like him, but wtf?) but today the new doc. gave me a list of pediatric ENTs--so we'll tackle that issue next. Just fluid--no infection.
The good news (thank God there was good news) is that he's been battling a cold since last week, with a pretty chesty cough. This time last year we were having tons of breathing issues, and he was diagnosed with asthma last summer. He's been on Singulair and Flovent (two puffs, twice per day) since July and his lungs sounded fine today. No wheezing. So we're controlling one thing.
I'm worried about my little man. I don't know why he isn't gaining weight. He eats like a horse, and he eats ALL THE TIME. He has 3 meals a day, and snacks whenever he wants them. He'll eat 2 whole eggs mixed with whole milk, dry cereal and a piece of fruit for breakfast, or oatmeal made with whole milk and fruit, or full fat yogurt. Lunch is typically an all beef hot dog (no preservatives), turkey or ham, a slice or 2 of cheese, another piece of fruit and a cookie. Dinner--chicken and mashed potatoes, or mac and cheese made with butter and whole milk, with 2 veggies and dessert. During the day he snacks on fruit with peanut butter, dry cereal, pirates booty, fruit snacks, nutragrain bars--really, whatever he wants (within reason!)
So now I wait for the results, and hope that everything comes back normal.
My issues (teeth and stomach, still) pale in comparison. I just want him to be okay.