If you're worried about your child's height (lambai), know that most short children are perfectly healthy and do NOT need growth hormone therapy! Growth hormone (GH) therapy is only for children with confirmed GH deficiency or specific medical conditions. Only about 1 in 4,000-10,000 children actually has true GH deficiency. Before worrying, get a proper growth assessment from your pediatrician.
Why Height Varies Among Children
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Normal Reasons for Shorter Stature:
Familial short stature - Parents are shorter, child follows
Constitutional delay - "Late bloomer" who catches up later
Normal variation - Not everyone can be tall!
Earlier puberty in girls - Shorter final height but normal
These are NOT causes for concern when:
Child is growing at normal rate (4-6 cm/year after age 3)
Following their own percentile curve
Otherwise healthy and active
Meeting developmental milestones
When Growth Hormone Therapy May Be Needed
Conditions Where GH Therapy is Used:
Condition
Description
GH Deficiency
Pituitary doesn't produce enough GH
Turner Syndrome
Genetic condition in girls
Chronic Kidney Disease
Affects growth
Prader-Willi Syndrome
Genetic disorder
SGA without catch-up
Born small, didn't catch up by age 2-4
Idiopathic Short Stature
Extremely short with no cause found
Note: Simply being shorter than classmates is NOT an indication for therapy!
Signs That May Need Evaluation
Consider pediatrician visit if:
Height below 3rd percentile consistently
Growth rate less than 4 cm/year after age 3
Crossing percentile lines downward on growth chart
Much shorter than genetic potential (based on parents)
Signs of hormonal problems (fatigue, cold intolerance)
Delayed puberty (no signs by 13 in girls, 14 in boys)
What You Can Do at Home
Optimize Natural Growth:
Ensure Adequate Sleep
GH released mainly during deep sleep
Age-appropriate sleep:
Age
Sleep Needed
1-2 years
11-14 hours
3-5 years
10-13 hours
6-12 years
9-12 hours
Teens
8-10 hours
Consistent bedtime routine
No screens before bed
Balanced Nutrition
Adequate protein (dal, eggs, milk, paneer, fish)
Calcium for bones (ragi, milk, dahi, green leafy vegetables)
Vitamin D (sunlight exposure, fortified foods)
Iron (dates, jaggery, palak)
Avoid junk food and excess sugar
Regular Physical Activity
Weight-bearing exercises
Swimming, cycling, skipping
Sports and outdoor play
Stretching exercises
Track Growth Properly
Measure height every 3-6 months
Same time of day (morning best)
Use growth chart
Note growth rate, not just current height
Address Chronic Conditions
Treat allergies/asthma properly
Manage any chronic illness
Address sleep disorders
Treat iron deficiency
When to Worry (Red Flags)
Contact your pediatrician if you notice:
Significant drop in growth rate
Vision problems with headaches
Extreme fatigue
Cold intolerance
No growth over 6+ months
Signs of early or late puberty
Child increasingly shorter than peers year over year
Frequently Asked Questions
Q: Mera bachcha bahut chota hai compared to class - is GH therapy needed?
A: Not necessarily! Being shorter than classmates is common and usually normal. What matters is: 1) Is the child growing at a normal rate? 2) What's the genetic potential (parents' heights)? 3) Is the child otherwise healthy? Most short children do NOT have GH deficiency. Get a proper growth assessment before assuming therapy is needed.
Q: How can I increase my child's height naturally?
A: Focus on: adequate sleep (GH is released during sleep), balanced nutrition with protein and calcium, regular physical activity, treating any underlying conditions, and reducing stress. These optimize natural growth potential. However, they cannot make a child taller than their genetic potential - accept that height varies naturally!
Q: Is growth hormone therapy safe for children?
A: When used appropriately for confirmed deficiency under specialist supervision, GH therapy is generally safe. It has been used for decades. Side effects are uncommon but can include injection site reactions, headaches, and rarely joint pain. It should NEVER be used without proper diagnosis and specialist guidance.
Q: At what age should I worry about my child's height?
A: Rather than a specific age, focus on growth pattern. Concern is warranted if: growth rate drops significantly, child crosses percentile lines downward, or height is extremely below expected for genetics. Annual health checkups with height/weight measurements help track this. If concerned, consult your pediatrician anytime.
Q: My child is thin AND short - double problem?
A: Weight and height often correlate. A child who is thin (patla) may also be shorter. Focus on overall health and growth rate rather than comparing to peers. Ensure balanced nutrition, adequate calories, and address any feeding issues. If both weight and height are concerning, your pediatrician can evaluate for underlying causes.
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This article was reviewed by a pediatrician. Last updated: January 2025
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