With the advent of summer vacation, various advertisements for treatment of short stature and height increase come and go, and anxious parents are seeking medical advice for their children’s height. Is height prediction accurate? Is a child who is below the height level of children of the same age considered to be short? What are the diseases that cause short stature that can be treated? In the face of parents’ questions, many doctors have different opinions, and parents do not know how to choose! Where should a child go for medical consultation if he or she is not growing tall? Zhang Liqin, Department of Children’s Health Care, Qingdao Women’s and Children’s Hospital (a) The choice of hospitals and departments for children with dwarfism should generally be made in a tertiary care hospital (referred to as tertiary care), preferably with a separate pediatric endocrinology department or endocrinology clinic, so that a professional endocrinologist can be consulted for systematic endocrine examination of the child, especially for the determination of bone age and the differentiation of height prediction diseases, which requires a doctor with rich clinical experience. Not everyone can judge correctly. (2) What tests are needed for children with short stature? There are many causes of short stature, and in order to treat it, we must find out the cause and make a correct diagnosis, and then consider how to treat it. In order to find out the cause of the disease, we must firstly, through medical history, physical examination and laboratory tests, analyze and judge the cause of children’s dwarfism based on the detailed information and laboratory results, and finally determine the treatment plan. Parents of children with short stature should provide the following information when they visit the hospital: 1. the condition of the baby at birth, whether the birth was difficult, asphyxiation, and what kind of delivery method was used, height and weight at birth, etc. 2. the annual growth rate of height, and the shoes should be removed for measurement. 3. the height and developmental age of family members, and whether there are genetic diseases. 4. the intellectual development, the presence of chronic hepatitis, kidney disease and asthma, etc. 5. the use of drugs that affect growth and development, such as Pepto-Bismol. The child’s growth is affected by drugs, such as prednisone (prednisone), dexamethasone and other glucocorticoids, etc. When the child arrives at the hospital, the first step is to take an X-ray of the left wrist and metacarpal fingers to understand the age of the bones and to determine the growth of the bones, the degree of epiphyseal closure and the growth potential of the child. Secondly, blood and urine tests, liver and kidney functions, calcium, phosphorus and alkaline phosphatase will be done, and thirdly, growth hormone stimulation test and thyroxine measurement will be done. For girls, blood chromosomes will be checked to determine if the child has congenital ovarian hypoplasia, and other special tests for short stature will be recommended by the treating doctor. Through these tests, the doctor can make a clear diagnosis of the cause of your child’s short stature and develop a reasonable treatment plan. For the sake of your child’s health, we remind parents not to seek medical advice from a professional doctor ——- Qingdao Women’s and Children’s Hospital Pediatric Endocrine Clinic Zhang Liqin