hi sir/mam my baby very skinny not gaining weight recently we have done thyroid test to my baby result is TSH is 1.47,% is that ok now his age 2 years10 months weight 9.8kg

Question

Accepted Answer

For a 2-year and 10-month-old child, a weight of 9.8 kg is below the average weight range, which typically falls between 11.5 to 16.5 kg, depending on factors like genetics and overall health. It is important to consider the baby's overall growth pattern, nutritional intake, activity level, and any underlying medical conditions.

### Thyroid Test Result (TSH Level)

- **TSH (Thyroid-Stimulating Hormone) Level:** A TSH level of 1.47 mIU/L is generally within the normal range for children. Normal TSH levels can vary depending on the lab, but for young children, they typically range between 0.5 to 4.5 mIU/L. Your baby's TSH level does not indicate hypothyroidism (an underactive thyroid) or hyperthyroidism (an overactive thyroid), which are common concerns when a child is not gaining weight properly.

### Possible Reasons for Being Underweight

Since the thyroid test result is normal, here are other potential reasons your child might be underweight:

1. **Nutritional Intake:**
   - Your child might not be getting enough calories or nutrients from their diet. This can be due to picky eating, limited food variety, or inadequate portion sizes.
   
2. **High Activity Level:**
   - If your child is very active, they may burn more calories than they consume, leading to slower weight gain.

3. **Underlying Medical Conditions:**
   - Conditions like gastrointestinal issues (e.g., malabsorption disorders, celiac disease), food allergies, or chronic infections can affect weight gain.

4. **Growth Patterns:**
   - Some children naturally have slower growth patterns or tend to be lean due to their genetic makeup.

5. **Illness or Infections:**
   - Frequent illnesses or infections can impact a child's appetite and ability to gain weight.

### What You Can Do

1. **Consult with a Pediatrician:**
   - Discuss your concerns with your pediatrician to ensure your child is growing along their growth curve. The doctor may recommend additional tests or refer you to a pediatric nutritionist or endocrinologist if needed.

2. **Improve Nutritional Intake:**
   - Ensure your child’s diet is well-balanced, including plenty of fruits, vegetables, proteins, whole grains, and healthy fats. 
   - Consider incorporating high-calorie, nutrient-dense foods such as avocados, nut butters, full-fat dairy products, and healthy oils.

3. **Monitor Growth:**
   - Keep track of your child’s growth and weight regularly as per the pediatrician's advice.

4. **Encourage Healthy Eating Habits:**
   - Offer small, frequent meals and snacks throughout the day to ensure your child is consuming enough calories.

5. **Supplements:**
   - If advised by a healthcare professional, consider adding multivitamins or supplements to address any nutritional deficiencies.

6. **Manage Activity Levels:**
   - Encourage a balance between physical activity and rest. Overactivity can sometimes burn more calories than the child consumes.

If you have concerns about your child's growth or health, it's important to seek personalized medical advice from your pediatrician.