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Pediatric Non-Organic Failure to Thrive

Non-organic failure to thrive means a child, typically under 2 years old, has stunted growth for no known medical reason.

What is Pediatric Non-Organic Failure to Thrive?

Non-organic failure to thrive (NOFTT) means a child, typically under 2 years old, has stunted growth for no known medical reason. The child will measure below the fifth percentile for height and weight standards, or show a marked decrease in weight.

To receive the NOFTT diagnosis, physicians will rule out a number of possible medical causes, including severe food allergies, gastroesophageal reflux (GERD) and conditions like cystic fibrosis.

What are the signs and symptoms of Pediatric Non-Organic Failure to Thrive?

NOFTT is marked by low weight and small height, or significant weight loss. Additional symptoms are related to delays in development, including:

  • Avoids eye contact
  • Doesn’t make sounds
  • Delayed mental and age-appropriate social skills (smile or laugh)
  • Delayed motor development and physical skills, including rolling over, sitting, standing or walking
  • Easily tired and sleeps too much
  • Irritable

What are the causes of Pediatric Non-Organic Failure to Thrive?

After ruling out a medical possibility, the cause may be discovered to be an economic, psychological or social problem within the household.