Failure to Thrive
Failure to Thrive & Poor Weight Gain
A patient, layered evaluation when a child is not growing the way you, or their pediatrician, expect.
When a child is not gaining weight or height as expected, families need more than reassurance. They need a real plan: enough calories, the right kind, and a careful look for medical reasons the body is not using them.
Dr. Mendez partners with pediatricians, feeding therapists, and dietitians to evaluate growth concerns from every angle, with concierge access and unhurried visits.
Symptoms
Signs and symptoms
- Weight or height falling off the growth curve
- Low energy or unusual fatigue
- Poor appetite or food refusal
- Frequent spit-up, vomiting, or reflux
- Loose or fatty stools
- Bloating after meals
- Delays in feeding milestones
Our Approach
How we treat it
- Review of growth history, intake records, and prior labs.
- Calorie and nutrition assessment with practical feeding strategies for home.
- Targeted GI workup for malabsorption, reflux, celiac, food protein issues, and inflammation.
- Coordination with feeding therapy, lactation, and dietitian support when helpful.
- Close follow-up so we know growth is back on track, not just hoping it is.
When to Reach Out
When to call a pediatric GI
- Your pediatrician has flagged growth or weight concerns.
- Your child is dropping percentiles or has plateaued.
- Feeding is stressful, slow, or limited to very few foods.
- Reflux, vomiting, or diarrhea is interfering with intake.
- Past evaluations did not lead to a concrete plan.
Ready to talk it through?
Concierge access means we have the time to listen, evaluate carefully, and stay with your family through every step.