Patient's question:
My daughter is 10 years old, her height is 1.26 meters, and her weight is 20KG. Her father's height is 1.65 meters, and her mother's height is 1.63 meters. There are no any physiological changes.Doctor's answer:
Hello! Thank you for your trust! If only the checks you mentioned are done, growth hormone is far from sufficient. Growth hormone is a prescription medication and cannot be used without strict examinations. At least a clear diagnosis of the cause is necessary before medication can be administered. The dosage of medication will certainly vary depending on the different causes, and in some cases, growth hormone may not be used at all.First, a growth hormone stimulation test is required, and it would be ideal to check IGF-1 as well. Additionally, liver and kidney function tests, blood glucose, complete blood count, and pituitary CT or MRI should be performed. For girls with delayed development, chromosomal testing is essential, as nearly 10% of short-stature girls have Turner syndrome. A detailed assessment of bone age is also necessary. Bone age can be used to predict adult height, determine how tall a girl can grow without treatment, and thus develop a more reasonable treatment plan. This can also provide an initial answer to how long medication will be needed.
Please seek medical attention at a regular hospital with a pediatric endocrinology specialty or a department specializing in short stature and precocious puberty as soon as possible. For more information, please refer to the relevant classic consultations and articles on my website.