God they're like a tag team tonight. No sooner than I'd settled Jake finally than Daisy decided to cry for me (daddy wouldn't do), and then Tom started
Anyway!
Laura someone on the Bliss forum pointed me in the direction of The Child Growth Foundation (I'd never heard of it!) and they have a booklet all about IUGR/RSS. As soon as I started reading it I thought bloody hell it sounds just like Tom.
At the risk of boring everyone to death these are the symptoms... I've starred the ones that Tom has...
Characteristics Considered to Distinguish Russell-Silver syndrome Children From Other Small for Gestational Age Children:
body asymmetry -LARGE side is "normal" side
inadequate catch-up growth in first 2 years
* not catching up in the slightestpersistently low weight-for-height
* lack of interest in eating
* lack of muscle mass and/or poor muscle tone
* broad forehead
* large head size for body size
* hypoplastic (underdeveloped) chin & midface
* downturned corners of mouth & thin upper lip
* high-arched palate
* small, crowded teeth ....Don't know, only 4 so far!
low-set, posteriorly rotated &/or prominent ears
*well...more prominent than Jake's anyway
unusually, high-pitched voice in early years
* clinodactly (inward curving) of the 5th finger
syndactyly (webbing) of the 2nd and 3rd toes
hypospadius - abnormal opening of the penis
* cryptorchidism - undescended testicles
café-au-lait (coffee-with-milk) birth marks
dimples in the posterior shoulders and hips
* narrow, flat feet
* scoliosis - curved spine, associated with spinal asymmetry and accentuated by a short leg
Characteristics of Small for Gestational Age Patients in General That Are Seen More Often in Russell-Silver syndrome Patients:
fasting hypoglycemia & mild metabolic acidosi
* generalized intestinal movement abnormalities:
esophageal reflux resulting in movement of food up from stomach into food tube
delayed stomach emptying resulting in vomiting or frequent spitting up
slow movement of the small intestine &/or large intestine (constipation)
blue sclera (bluish tinge in white of eye)
late closure of the anterior fontanel (soft spot)
* frequent ear infections or chronic fluid in ears
* suspected glue ear congenital absence of the second premolars
delay of gross and fine motor development
* delay of speech and oral motor development
kidney abnormalities
delayed bone age early, later fast advancement
early pubic hair and underarm odor (adrenarche)
early puberty or rarely true precocious puberty
classical or neurosecretory growth hormone deficiency
ADD and specific learning disabilities
Anyway... we shall see what the geneticist has to say. Blood tests can't always say yay or nay and mostly it is diagnosed on the symptoms above.
I have realised though that Tom is probably going to need the same kind of treatment as an RSS child even if we don't have a diagnosis and are just left with IUGR. If his weight gain doesn't improve he'll be teeny tiny forever so growth hormone will prob have to be the route we go down. Feel a bit daft for merrily thinking over this last year that he'll catch up on his own.
Have got an appt in April (

) with the dietician but am going to try and bring it forward as he could be on high cal supplements now making a difference already. Also got an appt with the audiology dept in a couple of weeks. Really hoping his ears are ok. Thinking he may have glue ear at the mo.
Loocy, can't believe how far along you are. Did I say my brother is expecting their 2nd now? Probably did... start of Sept. Its taken the edge off my broodiness for now
Sorry.. have rambled about me me me stuff AGAIN.
Must get to bed while all is quiet.
Lots of love to everyone xxxxxxxxx