Abraham Jelin MD Pediatric Gastroenterology discusses failure to thrive in children.
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Interviewer: Dr. Jones sometimes kids don’t see the beginning property in the beginning and they referred sometime to gastroenterologist. Why we have they? Interviewee: Well the gastroenterologist seem to have taken honor ship of food and hence and it’s clear that without ingesting in a food the kids aren’t going to grow. Frequently we see kids who eat poorly and don’t gains wait because they are not getting enough calories. Very often this children are pressured by there family to eat and it’s become a battle. The kids always win the battle and they don’t eat well. The other reason that the gastroenterologist sees kids who don’t gain weight is if they are ingesting enough calories but they’re malabsorpbing this calories in other words the body can’t incorporate those calories appropriately then there maybe a cause of or there maybe a gastrointestinal disease which is preventing that absorption from occurring. Interviewer: So some to kids don’t digest food? Interviewee: Some kids do not digest food. Interviewer: And you— as discuss many times some kids are trimly using a lot lactose deficiency. They don’t milk, sugar enzyme they just don’t digest it. This that a common condition or uncommon? Interviewee: That is an uncommon condition in infants; it is much more common as kids get older. It is usually associated with gas and pain but not really with failure to thrive. Interviewer: How about milk allergy, see that a lot of time. How common is milk allergy? Interviewee: Milk allergy outside the newborn period where is great unusual also. We do see infants who are— the one we mention with strips of blood in the stool, the ones we mention to get better then with colic are spreading out when they take it off milk but often most often this kids are able to tolerate milk without any problem by the time they are in year of age. Interviewer: But the good pediatrician will flat the growth, and just going sudden like the same growth is in tile and then it’s a drop off, there was concern but this the same grown is in tile it make the small kid but you can leave with that but they drop up just a little bit of concern. Interviewee: Right, you will always have to look at the height of the parents often parents are short and often very slim and kids will track the same way there parents are for genetic reasons so it’s important to tract those kids and I think is its important to make sure that they continue of whatever pathway they have previously belong even if it’s a pathway that below where we normally see kids. Interviewer: So if the growth of child is a very important planning a kid if you worried about the problem. Interviewee: That’s correct. Interviewer: And you have to look at the parents. Interviewee: That is correct. Interviewer: The parent the crashing out if you know who are real father or mother at, sometimes a little bit of problem in this families. Interviewee: I’m not going to go there. Interviewer: Okay.