FTT

Question 1

What could cause failure to thrive?

Answer 1

Deficient intake
Increased demand
Increased nutrient loss
Non-organic causes

Question 2

What might cause deficient intake in a baby?

Answer 2

Maybe mum’s got a problem e.g. poor lactation or incorrectly preparing feeds

Maybe baby can’t feed e.g. cleft palate or cerebral palsy

Question 3

What could cause increased demand in a baby?

Answer 3

Heart disease
Infection
IBD
Malignancy
Lung Disease

Question 4

What could cause increased loss of nutrients?

Answer 4

GORD
Gastroenteritis
Coeliac
Pyloric stenosis

Question 5

What non organic things could cause FTT?

Answer 5

Low socioeconomic status
Neglect
Emotional Deprivation
Lack of parental support or education

Question 6

How would you approach FTT?

Answer 6

After history and exam trial feeding the baby in hospital where you can observe the feeding, mums handling etc

Question 7

How would we follow up FTT if hospital trial showed good intake?

Answer 7

If the baby starts to gain weight then the problem was something non-organic happening at home that doesn’t happen in hospital

If baby still isn’t gaining weight despite feeding well then theres an organic pathology e.g. GORD, IBD, Heart disease, inf, coeliac etc

Question 8

How would we follow up FTT if hospital trial showed poor intake?

Answer 8

Organic cause
Feeding Disorder
Non-organic that should be able to spot while observing feeding etc