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 examination. At least the diagnosis of the cause must be clear before using it? The dosage of medication will definitely vary depending on the cause, and in some cases, growth hormone cannot 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 girls have Turner syndrome. A detailed assessment of bone age is also necessary. Through bone age, adult height can be predicted, and it can be determined how tall a girl can grow without treatment. This will help develop a more reasonable treatment plan and provide an initial answer to how long medication will be needed.
Please seek medical attention at a formal hospital with a pediatric endocrinology department or a specialty in short stature, precocious puberty, as soon as possible. For more information, please refer to the relevant classic consultations and articles on my website.