height and weight

Keri - posted on 08/14/2015 ( 12 moms have responded )

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My son just turned five and he is 41" tall and weighs 31 pounds. The nutritionist says he eats great and healthy and wants to run tests for ciliacs disease. This is a genetic disease and no one in my family has been diagnosed with this. I'm tossed up on whether to get these tests done. Any ideas or opinions would help? The test is a colonoscopy

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♫ Shawnn ♪♫♫ - posted on 08/14/2015

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Have you had him to a physician? If he's not exhibiting any symptoms other than weight loss, which could easily be contributed to an oncoming growth spurt, or just a very high metabolism, I am in agreement with Jodi.

If he eats well, why does the nutritionist think that he's in need of testing for celiac's? He'd be having some severe reactions to foods containing gluten, for one, if there were any worry about celiac's.

Jodi - posted on 08/14/2015

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You should never undertake an invasive test (which this is) purely on the advice of a nutritionist. If there are concerns and he is exhibiting symptoms, you should consult a specialist doctor. Nutritionists are not doctors.

Also, the genetic test is pretty much useless if there are no symptoms. Did you know about 40% of people test as predisposed for the disease, but only about 1% actually develop it? A genetic test will not help. It is also NOT a diagnosis. Proper actual testing for diagnosis requires that he be eating a normal gluten diet and generally consists of a blood test, endoscopy and intestinal biopsy. If you have not yet exhausted all possibilities (including consulting a doctor) then this is a bit extreme.

♫ Shawnn ♪♫♫ - posted on 08/14/2015

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Well, is he having problems with his digestive health? Is he having adverse reactions to certain foods?

If so, then he needs a diagnosis, and if your physician is recommending tests, I'd recommend that you either get them done, or get a confirming opinion and then get them done.

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Keri - posted on 08/17/2015

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Wow, that makes me feel better! Collin eats great at home but he's not eating much at school at all!!! I wrote a note to the teacher so she can keep an eye out on his snack time.
No digestive issues here just a tiny little boy who other than his weight is very healthy!! Thank you!!

Dove - posted on 08/16/2015

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Not gaining any weight in 2 years is worth being a bit concerned about and keeping an eye on.... but just to let you know... my nephew as a toddler/preschooler did not gain any weight in 1.5 years and apparently the doctor wasn't too concerned. At 7 years old he weighed 35 pounds (he's 8 now... not sure if he still weighs the same or not)... the same as his 5 year old brother. ;) He doesn't have any digestive troubles or concerns... he's just a skinny guy.

My son is 7 and 44 pounds. He DOES have digestive troubles and there is some concern trying to figure them out, but I haven't yet agreed to any invasive tests. That may be happening sooner rather than later in our case though cuz in April he was 46 pounds... I'm just waiting to see if his weight loss is a result of a recent illness or if it is a new 'trend' in the digestive mystery of the last 2 years....

Keri - posted on 08/16/2015

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Thank you, he's not having the test done but I am concerned. He has weighed 31 pounds since he was 3 and has grown but not much. Looking at him next to the other kindergarteners he looks like he's 3!! 41" and 31 pnds.

Sarah - posted on 08/16/2015

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Unless your son had a dip or plateau in his growth chart, I don't get the big alarm. Maybe he did and I missed your post. My kids were all 70-100% in height and 10-20% weight. They were born that way and stayed that way. The only one that we ever were concerned about is our youngest who recently has shot up but not gained weight.
Your nutritionist is misinformed, the test for celiac disease is :
"Certain blood tests should be performed initially to look for antibodies specific to celiac disease. Immunoglobulin A (IgA) anti-tissue transglutaminase antibody is the single preferred test for detection of celiac disease."
This is a blood test.
I personally would not subject a young child to a colonoscopy unless a pediatric gastroenterologist advised me to proceed.
ETA:
One other thing, I personally feel like celiac and gluten allergies are the new diagnosis of choice. Used to be ADD, ADHD, not this. In adults it was fibromylagia or Chronic Fatigue Syndrome, now everyone is allergic to gluten.

Keri - posted on 08/15/2015

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Thank you, Shawn and Jodi!!! That's what I thought too!!! He's healthy but they made me worry because he is very short and skinny for his age. Then I told the doctor it's because kids are tall and the majority are overweight nowadays. The doc said that has nothing to do with his bmi and I said he is going by percentages so that compares him to other kids and the obesity is a growing issue in our country. I feed my kid healthy food and he eats every hour and a half but he is very active. He doesn't watch TV and plays soccer all year around. We have a huge yard and he plays outside. His dad is also short and so and I .

Keri - posted on 08/15/2015

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Cognitive development has to do with getting enough vitamin for your brain to grow and form synopsis. The doctor insisted on seeing a nutritionist when he had his wellness checkup. Here we can get dcfs called if doctors think kids are neglected so I make sure to see one every year when they keep insisting. Then they make me keep a log for a month of what my son eats which they always tell me he eats plenty and healthy. I don't know whether he needs tests done or not. He held his weight for two years and this year he lost two pounds.

Jodi - posted on 08/14/2015

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What has his cognitive development got to do with it? And if there are no symptoms, why is the nutritionist advising you to get invasive tests done? Are you saying your son has LOST weight for 2 years? Have you seen a doctor with your child? Your son may just be small, and this may be perfectly normal for him. My daughter was also the smallest by a mile in her class when she was 5, and was the skinniest little thing, but she is now 10 and has mostly caught up. If you are not worried about his weight, then why are you seeing a nutritionist?

Keri - posted on 08/14/2015

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I realize the procedure is invasive and am having a difficult time making the decision. He seems very healthy other than being extremely small. He has gone down in weight since he was 3. He is also 2 inches shorter than the boys in his class so I'm not sure what is going on. He weighed 7lb 10oz at birth. He's very active!!

Keri - posted on 08/14/2015

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No symptoms other than his weight. His cognitive development is high and is already on first grade reading level and just started kindergarten. His father is in the 50th percentile for height 5'9 and I'm in 30th. His dad weighed 45 pounds at age five so they have a difficult time chalking it up to genetics. I'm not worried about his weight because he is healthy and eats tons of food, good food like veggies and potatoes, rice, meats and so on. He is very small compared to the other kindergarteners though and he is the size of a normal 3 yr old. I don't want to put him through the procedure but then would feel bad if he does have something wrong and it hurts his development.

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