I went home for lunch today..and whenever I picked up Afiq..I felt that he was slightly lighter than before...I couldn't find what was wrong at that moment. After my lunch I asked hubby to bring us to the clinic so that I could weigh Afiq.
At 1.45pm we were already at the clinic, I weighed him myself...and I was shocked to see his weight! He was 5.7kg the last 3 weeks and today again it was 5.7kg! OMG.. what had happened to my Afiq...he was not gaining any weight since the past 3 weeks!
My instinct said that it might be due to his inadequate feeding given by my helper...(arghhh you are going to get it..).
I just want to share something about this condition called "Failure to thrive"(FTT) in this post.
Growth failure, or failure to thrive (FTT), is actually a descriptive term and not a specific diagnosis. In other words, it is not a disease but a condition that you may see in a child with certain disease.
On average, infants gain 1 kg/mth for the first 3 months, 0.5 kg/mth from age 3-6 months, 0.33 kg/mth from age 6-9 months, and 0.25 kg/mth from age 9-12 months. Term infants double their birth weight by age 4 months and triple their weight by age 12 months. (In my case, Afiq should gain at least 0.5kg/mth..which he failed.).
However to confirm a child is having FTT a growth chart must be plotted and serial measurement should be done. At this point I don't consider Afiq as having FTT...but if there's no action taken, then later he might go into that condition.
Causes of FTT is divided into 3 categories
1.Nonorganic FTT
2.Organic FTT
3. Combination of both nonorganic and organic
To make it clearer I shall list down some of the causes in each categories which I got it from
emedicineNonorganic causes
Poor feeding or feeding-skills disorder
Dysfunctional family interactions
Difficult parent-child interactions
Lack of support (eg, no friends, no extended family)
Lack of preparation for parenting
Family dysfunction (eg, divorce, spouse abuse, chaotic family style)
Difficult child
Child neglect
Emotional deprivation syndrome
Feeding disorders (eg, anorexia, bulimia)Organic cusesPrenatal causes
Prematurity with complicationsMaternal malnutritionToxic exposure in uteroAlcohol, smoking, medications, infectionsIUGR Chromosomal abnormalitiesPostnatal causes
Inadequate intake
Lack of appetite (eg, iron deficiency anemia, CNS pathology, chronic infection)
Inability to suck or swallow: CNS or muscular
Vomiting (eg, CNS, metabolic, obstruction, renal)
Gastroesophageal reflux and esophagitisPoor absorption and/or use of nutrients
GI disorder (eg, CF, celiac disease, Schwachman-Diamond syndrome, chronic diarrhea)
Renal: renal failure, renal tubular acidosis
Endocrine: hypothyroidism, diabetes mellitus, growth hormone deficiency
Inborn error of metabolism
Chronic infection (eg, HIV, tuberculosis, parasites)Increased metabolic demand
Hyperthyroidism
Chronic disease (eg, heart failure, BPD)
Chronic inflammatory conditions (eg, inflammatory bowel disease, lupus erythematosus)
Renal failure
Malignancy (bare with all the medical terms guys..copy paste je the causes ni..anything you don't understand just ask me..hehhehhe if I knows the answer lah!)
Finally I came to a conclusion that Afiq is actually had not been given enough feeding by my helper...(nonorganic cause)
I am very frustrated because I've told her many times on how to prepare the milk, how many mililitre of milk for each feeding, how many times per day should he be given the milk..and bla bla bla....At this point of time I still have no resolution for the problem...but I will monitor her closely on how she feeds my baby tomorrow...Afiq please gain some weight....or he just want to be like her mother...heehheheh