Children with constitutional growth delay are usually shorter than other kids their age in early childhood but eventually reach a normal height. Because they go through puberty and have their growth spurt later, they are sometimes called "late bloomers." No treatment is needed because this is a normal growth pattern. 

• If your child is upset about being small, let them talk about their concerns. It can also help to:
  • Remind them that puberty and growth will happen — it just happens later for them than for their peers.
  • If mom or dad was a "late bloomer" too, share that experience with them.
  • Encourage them to develop hobbies they enjoy such as playing games, photography, or playing an instrument.
  • Help them find a sport or activity that works for them. They may enjoy dance, running, or wrestling, for example.
• Don't tease your child about being small, and don't let others do it either.
• Follow up as recommended so your child's health care provider can continue to watch your child's growth.

What causes constitutional growth delay? It's thought to be an inherited (genetic) tendency. Most kids with constitutional growth delay have at least one parent who also had it.