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Q: Concerns about infants and their growth
asked by: DoctorQuestion on July 8th, 2009
My grandson, 10 lbs. at birth, natural vaginal birth, still completely breastfed...healthy, now 3 months old, good weight & height gain.
Has always had a very round belly...not commented on by pediatrician...and does thrust tongue.
A few days ago sclera turned very slight yellow, tests being done, spleen slightly enlarged, urine & bowel movements remain normal....mono, Epstein-Barr, and thyroid problems are being considered. Do you have any comments and suggestions? They would be greatly appreciated...


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Dr. Leonard J. Grossman , MD
replied on July 13th, 2009
Newborn Babies Answer A6926
All grandparents are naturally concerned about their grandchildren. A large child growing well may normally seem to have a round belly.


You mentioned a slightly enlarged spleen but did not mention an enlarged liver. Because of the slight yellow I am sure that basic labs were drawn to assess liver function. You mentioned tongue thrusting but that does not necessarily equate to an abnormally large tongue.


There a significant congenital and metabolic problems that can cause yellow color (jaundice) in a 3 month old. The problems you describe, however, may still be caused by only minor variations and over anxiety in interpreting the signs and symptoms.


Let’s hope this is the case and trust your pediatrician to complete his workup and make any appropriate referrals if he thinks it indicated.
LJGMD





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