Through the previous articles, you have understood how to find the cause and clear diagnosis of short statured children through history questioning, physical examination, laboratory tests, etc. Next is the problem of treatment: 1) the problem of medication: 1) the problem of growth hormone treatment: this is the most concerned issue for parents. In clinical work, we often see parents of children who come to the clinic for short stature, and they are eager to know whether their children need to apply growth hormone when they first visit the clinic and the cause of their children is not clear yet. This indicates that society and parents have some understanding of growth hormone, but it is not clear. At present, there are imported and domestic products of growth hormone injections in the domestic market, and there are two types of dosage forms: water and powder. In the instructions, the indications are for growth hormone deficiency, but the common indications for growth hormone therapy approved by the FDA have now been extended to chronic renal failure, Turner syndrome, Prader-Willi syndrome, small for gestational age children, idiopathic short stature, Shox gene deficiency and Noonan syndrome. The literature suggests that the use of growth hormone in these disorders can improve height to some extent. When growth hormone is administered, daily injections are required to ensure effective growth promotion, either with parental assistance or by the older child. If the child has an acute infection, it can be temporarily stopped for a few days. 2) Problems with thyroxine tablet treatment: For those who are clinically clear that their short stature is caused by hypothyroidism, or growth hormone deficiency combined with hypothyroidism, small doses of levothyroxine tablets need to be given as replacement therapy. (3) Other medications: If the child has growth hormone deficiency combined with hypoadrenocorticism, adrenal glucocorticoid supplementation is required. Prednisone is commonly used clinically. To avoid the effect of excessive doses of adrenal glucocorticoids on the child’s growth, the dose should be adjusted by a specialist in a timely manner. 2) Treatment issues other than drugs: 1) Etiological treatment of secondary dwarfism: Some children are short due to some chronic diseases, such as long-term malnutrition. Some children are short due to chronic hepatitis, nephritis, etc., we should actively treat the original disease, and the growth rate can be improved after the original disease is cured. 2) Pay attention to the acquired factors and explore the growth potential: In addition to the congenital factors, such as race and genetics, many factors will also affect the growth potential of the child’s growth. Including nutrition, sleep, physical exercise, mental and emotional, disease, etc. Nutrition: Emphasis should be placed on adequate and balanced nutrition, and attention should be paid to a reasonable and diversified diet, with sweet and salty, meat and vegetables, and appropriate coarse grains in the child’s daily meal structure. In addition, do not give your child too much high-fat and high-protein to avoid excessive height and weight development, which may lead to early puberty and eventually affect lifelong height. Sleep: Growth hormone is a peak secretion at night to promote height growth. Some parents like to stay up late, which affects children who also do not sleep until 12:00 at night, or even later. In the long run, this will also affect the child’s height growth. It is recommended that preschool and school-age children be able to go to sleep before 10 p.m. Physical exercise: Under the premise of ensuring adequate nutrition for children, regular and reasonable exercise can promote physical development and enhance physical fitness. Research shows that exercise can significantly stimulate the pituitary gland to secrete growth hormone and promote the growth of bones. Although exercise itself does not genetically determine the height increase, but through exercise can maximize the growth potential. Mental emotion: Some parents often put forward various strict requirements for their children due to their high expectations, so that the children are in a state of long-term mental tension, and even emotional depression, etc. Long-term stress can affect the height growth of children. In addition, parents should also pay attention to cultivate their children’s psychological tolerance and adaptability in their daily lives, develop a healthy and cheerful personality, and be good at regulating their emotions.