Common signs

What parents may notice

  • Height falling across growth-chart lines
  • Slow growth rate over time
  • Younger-looking face or body proportions
  • Delayed bone age
  • Delayed puberty
  • Low blood sugar in some infants
  • History of brain or pituitary condition
  • Growth slowing despite adequate nutrition
Possible reasons

What can cause it?

The pituitary gland may produce insufficient growth hormone because of a congenital difference, brain injury, tumour treatment or no identifiable cause. Other common causes of poor growth must be excluded first.

When to book

When should your child be assessed?

  • Height growth is clearly slowing
  • The child is much shorter than family expectation
  • Growth chart percentiles are falling
  • There is delayed puberty
  • The child has a pituitary, brain or cancer-treatment history
Urgent warning signs

When to seek immediate care

  • Severe low blood sugar symptoms in an infant
  • New severe headache or visual change
  • Vomiting with altered awareness
  • Rapid neurological deterioration
  • Any acute collapse
At the specialist visit

How the concern may be evaluated

  • Accurate serial height and weight measurements
  • Family and pubertal assessment
  • Bone-age X-ray when indicated
  • Screening blood tests for other causes
  • Growth-hormone stimulation and pituitary imaging selectively
Prepare

What to do before the visit

  • Bring previous height records
  • Bring parents' heights if known
  • List medicines and chronic conditions
  • Bring prior bone-age or hormone reports
Questions parents ask

The real questions, answered.

Not what we wish you'd ask. What you're actually thinking when you find this page.

Book a consultation
Does every short child need growth hormone?

No. Treatment is used only for specific diagnoses after careful evaluation.

Can one blood test diagnose deficiency?

No. Random growth-hormone levels are not reliable; diagnosis uses growth pattern and specialised testing.

What is bone age?

A hand and wrist X-ray estimates skeletal maturity and helps interpret growth potential.

Is growth-hormone treatment safe?

It is monitored by a specialist. Benefits and risks depend on the diagnosis and individual child.

How often is growth monitored?

Children under evaluation or treatment usually need regular measured follow-up to assess growth rate and safety.

Persistent symptoms deserve a clear next step.

Speak with Paediatric Endocrinology or contact our team to organise the right starting point.