Reply to No growth spurt in 14-year-old: should we worry?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]This is OP. A couple of PPs requested I come back to the thread after seeing his doctor, so this is what transpired: she said he's just very short. His growth spurt hasn't happened yet but even when it does he'll probably be small.

I'm sad for him. I don't think anything is wrong with being short, but he does. He's already very shy and prone to depression, and I worry that always being smaller than everyone else will just make him feel worse.[/quote]
OP, I posted on here before...

My DS at 14 was 61.25 in.  He grew during the pandemic, and slimmed out -- he was chunky.  He is 16.5 now, and about 5'8" or so.  He grew 2" in six months in the past seven months.  Between his 14 and 16 yr appointment, he grew about 4.25".

I'm super short, but DH is tall.  All of us hit puberty late.  DH said he grew in college, until about 20 or 21, though between 16 and 20, he didn't grow that much.

I think DS will end at  about 5'9 to 5'10".  So not tall, but not small, either.

Did they check his growth plates and determine what his bone age is?  I had to get a scan on DS' foot, and doctor said he was about 1 to 1.5 years behind in growth at the time (preteen).[/quote]

No, they didn’t do anything except say he’s on his growth curve. Which I don’t understand; he’s dramatically shorter than all his friends and his parents are tall. [/quote]

I don't quite understand this either.  Did they show you his growth curve and what percentile he's in?  Is it the same (or close) to what he's always been?  Where he is on the Tanner scale?

And he's 5'3" now, but hasn't started his growth spurt yet.  Boys, on average, grow 11-12" in puberty.  Now that's generally not all in one spurt, and of course it's an average.  But I'm not sure if I'd be entirely satisfied with what the doctor said.  It could very well be the case that he's on his growth curve and he'll be shorter than average.  But you may want to consider asking for his growth chart and visiting an endocrinologist.

Other parents' anecdotes about their sons, husbands, brothers, etc. growing in college and ending up 6' tall are all well and good but not applicable to [i]your[/i] son.  If you feel something is off, I'd ask for a copy of your son's growth chart and see an endocrinologist.  He/she will do the wrist/hand x-ray and can better determine where things stand.[/quote]

I agree, wtf???  If he hasn't started his growth spurt, how can she say it won't be a big one??

My family has a bunch of late growers.  My oldest was about 5'1"-5'2" in middle school and went from one of the taller kids in elementary school to one of the average-small kids in MS.   He hit a crazy growth spurt from 14.5-15.5, about 8.5-9 inches.  He's 16 and 5'11
 now and not done growing.  They predict him about 6'2" which tracks with my brother, dad and uncles.  [b]My husband is 5'11" and I'm 5'5" so I knew he would be at least 5'9-5'10".[/b] He has a size 13 shoe and not full facial hair, and his legs are long compared to body.

His younger brother (14) in two months is tracking slightly smaller than older brother and is also very, very skinny.  Older one was never that skinny, more stocky.  But, at orthopedist appointment for a sports injury, the orthopedist noted it was growth-related and he has a lot of growing to do, about 2 years behind in growth.  This kid still has baby teeth so couldn't start Invisalign and he still has a little kid voice.  He was 5'1" at the start of 8th grade this year and probably around 5'3" now.  His feet are just starting to grow.  With my older one his feet grew 3-4 sizes in as many months before he started growing vertically.  This kid has really long arms :) and hasn't grown into them.

It is so hard to be patient with late-growing boys because they are at such a disadvantage in the crazy travel sports world.  A lot of sports, particularly soccer, it ends up being an advantage because they couldn't rely on their physicality and had to be quicker, more skilled and think faster to make up for the lack of stature/weight.  Then when they grow into it, they are that much better than kids that relied and were rewarded by size.  We see that this year with my older son.  [/quote]

I'm not following your logic on that.[/quote]

IT's the standard formula doctors use to predict kid's height.  My husband and I are slightly taller than average.

What's the best way to predict a child's adult height?
Add the mother's height and the father's height in either inches or centimeters.
Add 5 inches (13 centimeters) for boys or subtract 5 inches (13 centimeters) for girls.
Divide by two.

[/quote]

Yep.  Both pediatrician and endocrinologist used that formula when my kid was a toddler.  They look for a kid to stay on the growth curve as most important, falling off it is what raises red flags.

How accurate is the 2 year old Height Predictor?
Answer: A child's height at age 2 may be predictive of final adult height. ... For example, a child on the 50th percentile for height would be taller than half and shorter than half of other children his or her age. After age 2, most healthy children grow steadily at about 2 inches per year until they reach puberty.Se[/quote]

My firstborn was ginormous as a 2-year old which is why I think he will be taller than prediction based on both parents...and at 16 and still growing seems to be holding true.

Younger brother was dead average height at 2 and staying the same trajectory.

Preemies and nutrition can effect this.  Again- just another means to predict.  Nobody can ever say for certain.[/quote]

^meaning a preemie may still be smaller at 2--but will have catch-up growth to reach their potential.[/quote]

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