The weight
The child should not be too well-nourished or very thin. With the appearance of folds on the sides, abdomen, round cheeks and weight gain (especially in a few weeks, months), you need to revise the baby's diet and allow him to move more. If the situation does not change, contact a specialist. Losing weight for no apparent reason (the baby eats well, did not get sick, there were no surgeries), especially fast, will require a compulsory doctor's consultation.
Growth
The final values of the growth of the baby are made up of the indicators of the parents, although the child can overtake them. Ask the doctor if the baby's height is normal, if he lags behind his peers or outstrips them. Differences in the growth of children of the same age can be significant. So, the norm for a child of 3 years is the indicator of 88-102 cm. And the older the child, the more corrections are made on the floor: for example, girls begin to stretch before boys. If it turns out that the problem is caused by a violation of the release of growth hormone, the child will be prescribed treatment, and the sooner it happens, the higher it will be in the future. In addition, growth hormone is important for the normal formation of most organs. But the lag in growth is not always associated with some kind of illness, most often it is about the family line and does not require treatment.
Leather
Basically, it has the same color. A darker color acquires the skin of the genitals, the paranasal region, but not earlier than the time of onset of sexual development. Anticipating these terms is a must for a visit to a doctor. The endocrinologist will also be interested in the appearance of pigmentation in the armpits, neck folds, groin, and even where the clothes fit tightly to the body and on the elbows and knees. Most often, the skin in these areas becomes darker with violations of fat and carbohydrate metabolism. The appearance of striae on the skin (strips of white, red or bluish color) can be associated with various diseases, including endocrine, and also - rapid growth, gain or weight reduction. To show the child to the endocrinologist it is necessary, if it is a lot of striae or their number grows.
Genital organs
The first signs of the onset of sexual development are observed in girls older than 8 years, and in boys over 9. The appearance of hair on the genitals, the white line of the abdomen, axillary cavities, on the face of boys, and bloody discharge in girls, breast enlargement and discharge from nipples in children of both sexes before this age will require consultation of the endocrinologist. As soon as possible, the doctor should be shown the child if the boy in the scrotum lacks one or both testicles, the opening of the urethra is not located on the top of the head of the penis, for example, at the level of the bridle. And the girls will become an alarming sign of a large or increasing clitoris.
And now - the survey
At the reception the endocrinologist examines the child, measures the exact height, weight, circumference of the chest, head and other indicators. The doctor needs to know the height and weight of the baby at birth and later, so grab his card from the clinic and an extract from the kindergarten for consultation. Tell the doctor in detail about the diseases of the endocrine organs of all relatives. And if the child was earlier surveyed at the endocrinologist, also results of analyzes. Then, depending on the expected diagnosis, the doctor will prescribe a test: blood and urine tests, ultrasound, x-ray brushes (to determine the bone age indicating the degree of maturation of the skeleton, because it may differ from the passport and is needed for the final growth and selection of treatment), X-ray skull, if the doctor suspects problems in the work and / or structure of the pituitary and hypothalamus, tomography.