The word ‘thrive’ is defined by New Webster's Dictionary as to grow and function well to have good health. ![]() Long term physical, developmental and behavioural sequelae are known to occur in children with failure to thrive. Although nutritional rehabilitation is the cornerstone of therapy, treatment of underlying factors-medical, psychological, social and environmental-should receive equally important attention. Management requires a multidisciplinary approach and hospitalization has a specific role. Indiscriminate laboratory investigations are usually non-contributory and have no role in evaluation. The clinical features are those of malnutrition, signs of underlying organic cause and specific manifestations of environmental/psychosocial deprivation. There are numerous organic causes of failure to thrive, but non-organic failure to thrive is also an important entity and is caused by social, psychological and environmental factors. Several defining criteria have been proposed and help to differentiate true failure to thrive from other conditions causing apparent growth failure. ![]() This essentially generic term refers to children whose attained weight or rate of weight gain is significantly below that of other children of similar age and same sex. Failure to thrive is a commonly encountered problem in Paediatric practice.
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