What should be done if a child is short?

Patient's question:

At the age of 10, my daughter is only 114 cm tall and weighs 45 jin. She is quite proportional, but very small. She doesn't concentrate well in her studies and has poor self-control. She loves playing and is quite lively. The teacher says she is very slow at doing homework and calculations, and her grades are average.
Dear pediatrician, is my daughter's condition serious? What should I do?
First follow-up question: When she was 6 years old, I took her to the hospital for a growth hormone check-up. The results were normal, but her bone age was lower than her actual age. Now she is 10 years old in terms of, and she is still so small. I am really worried. What should I do?

Doctor's answer:

Hello, growth hormone deficiency, hypothyroidism, idiopathic short stature, constitutional growth and pubertal delay, skeletal developmental disorders, and some genetic metabolic diseases can all lead to short stature. How to treat short stature in children: first, it is necessary to identify the cause. You can visit the endocrinology department, complete bone age X-rays, pituitary MRI, growth hormone, thyroid function, and other relevant examinations to treat the disease based on the cause. If there is growth hormone deficiency, growth hormone injections can be used to promote height growth.

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