- Early identification of faltering weight relies on consistent growth monitoring using standardized growth charts rather than single-point measurements.
- Routine extensive laboratory or imaging workups are not recommended; evaluation should be guided by clinical history and physical examination findings.
- Inadequate caloric intake is the most common cause, with contributions from feeding difficulties, behavioral factors, or underlying medical conditions.
- Management prioritizes nutritional rehabilitation and caregiver support, often requiring a multidisciplinary approach (e.g., pediatrics, gastroenterology, behavioral health).
- Referral to subspecialists is indicated when red flags suggest organic disease, developmental disorders, or failure to respond to initial interventions.
Source: Pediatrics
