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My son whose current age is 14 years 2 months born at 32 weeks premature and lbw (1220gms)(mother had pre eclampsia) so c-sec was done he was in Nicu for 22 days later under after almost 2 months undergone ROP (EYE SURGERY) once he reached 3yrs everything was normal he reached all milestone during Toddler's were on or before time ( like walking talking...etc) at age of almost 5 yrs got specs with -2.3 something but gud in all aspects... so everything was normal till covid his height was also normal later I mean after 2020 his height didn't grow much he have less heights in his class he has undergone GH TEST (in June 2024) according to endocrinologisthis GT is Gud but delay in bone development(1.5 yrs) but now he is not concentrating in studies I am observing he is unable to remember things but he know widout knowing parents how play PC games tv... Much worried abt his height n
his studies.
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Your son's growth and development concerns need comprehensive evaluation:
**Growth Assessment:**
- GH test shows good level but 1.5yr bone age delay - this is significant
- Height velocity monitoring needed - growth may catch up with delayed bone age
- Consider repeat GH stimulation test, IGF-1, thyroid function
- Referral to pediatric endocrinologist recommended
**Cognitive/Memory Issues:**
- Inattention, poor memory, difficulty concentrating suggest possible ADHD or learning difficulties
- Not necessarily related to growth hormone
- Needs formal psychoeducational assessment
- Rule out vision/hearing problems, sleep disorders
**Recommendations:**
1. Endocrinology follow-up for growth monitoring
2. Pediatric neuropsychology evaluation
3. Limit screen time (PC games)
4. Structured study environment
5. Consider educational support
The memory/attention issues need separate assessment from growth concerns.
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Your son’s history of premature birth, low birth weight, NICU stay, and ROP surgery is important, but it’s encouraging that he achieved all early developmental milestones on time, and it shows good resilience so far.
Height & Bone Age you mentioned that the growth hormone test is normal but the bone age is delayed by about 1.5 years. This happens quite often in kids with a similar profile; when bone age is delayed, it means there’s still potential for further height gain, as growth can continue for a longer period.
Monitoring growth every 6 months using height velocity charts is essential. If growth velocity slows or remains persistently low, your endocrinologist may discuss alternative strategies going forward.
Difficulty concentrating and remembering recently learned information could be linked to several factors: Excessive screen time (PC games, TV, mobile phones) can impact focus and short-term memory. Sleep disturbance: Poor sleep directly affects memory and concentration.Nutritional deficiencies, especially Vitamin D, B12, and iron, are common
Keep supporting him, and discuss any new worries with your health care team to catch issues early on.Feel free to follow up with details from test reports or further concerns. You’re doing the right thing by staying proactive.
Next Steps
May connect online for furthur opinion and investigations.
Your son has had a premature birth with low birth weight and a background of ROP surgery, but it is very good that all developmental milestones were achieved normally in early childhood. The recent concerns you mentioned can have multiple explanations:
1. Height & Bone Age
You mentioned his growth hormone test is normal, but his bone age is delayed by around 1.5 years.
This is actually reassuring — when bone age is delayed, children often continue growing for longer and may still achieve a good final height.
However, growth should be monitored every 6 months with height velocity charts. If height velocity is low, the endocrinologist may reconsider treatment options.
2. Academic concentration & memory issues
Decreased concentration and difficulty remembering recently learned information can happen due to:
Excessive screen time (PC games, TV, phone)
Sleep disturbance
Nutritional deficiencies (Vit D, B12, iron)
Stress or behavioural issues
Since he remembers game-related things but not studies, this suggests attention diversion, not memory loss.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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