Causes of short stature include illnesses covered by health insurance

• Hormonal abnormalities (growth hormone secretory short stature, hypothyroidism,precocious puberty etc.)
• Chromosomal abnormalities (Turner syndrome, etc.)
• Bone and cartilage abnormalities (cartilage dysplasia, etc.)）
• Abnormalities of major organs (heart, kidney clothes, liver, intestines, etc.
• Short stature due to being born small at birth (SGA short stature)

 

If any of these apply, you can be treated with health insurance.
In particular, if you have a specific pediatric chronic illness, the maximum amount of self-pay for public assistance is set as low as 0 yen to 15,000 yen (varies depending on your income).

However, health insurance covers those whose height is more than 2.0 standard deviations (SD) below the average height of the same sex and age (only applicable to the 98th to 100th out of 100 people) and hormones.
It is extremely limited, such as the need to meet the standards for secretion tests.

There, for many people who are suffering from short stature, such as the 80th to 97th, medical institutions are currently unable to provide any solution.

When 100 people are arranged in order of height

Even if it lower than the average, only the three lowest people are covered by health insurance

Only the 98th to 100th people are covered by health insurance

This hospital makes use of the characteristics of free medical care that is not restricted by the health insurance coverage conditions for those who are not eligible for treatment because they do not meet the disease diagnosis criteria of health insurance (=diagnosed as not covered by insurance). Presenting feasible medical solutions.

In addition, since the insurance medical institution can handle the examination / diagnosis of whether or not it corresponds to the above-mentioned causative disease and the treatment in that case, we do not perform the examination / diagnosis as an exclusion diagnosis (it is possible to introduce an insurance medical institution from our hospital upon request)

Short stature treatment process

When it comes to short stature treatment for children, many people immediately think of hormone therapy such as growth hormone.　
Hormone therapy is essential in some cases, but if you are involved in daily medical care,

(1)Nutritional aspects such as vitamins, minerals and proteins

(2)Living environment such as sleep, exercise and stress

By managing these two things well, you will often experience the start of height growth.

It seems that no one denies that nutrition is the source of the body, but it is a fact that it is often neglected in the medical field.

At our hospital, we start by firmly managing the nutritional approach and living environment with the understanding of parents.

Growth is an important period of several years in a long life.
We want to make sure we don’t miss a chance to grow steadily and soundly.

　

 

・Diagnose which stage of the growth period you have reached from height / wight, body changes peculiar to the growth period, blood hormone levels, etc.
　　(If imaging examination is required, examination at an external affiliated medical institution)
　
　・Inspect for items that should be improved in nutrition and living environment

　①　Nutrition management: vitamins, minerals, proteins, etc.　　　　　　　　
　②　Living environment management: sleep / exercise / stress
　③　Adjustment of hormone balance: Treatment of growth hormone, sex hormone, and bone metabolism reactivity using medicines and supplements
　④　Exercise Guidance: Personal trainers teach exercises that provide the proper stimulation of bones needed for bone growth

　Evaluate treatment results based on objective data by “1. Physical measurement” every time and “2. Examination” every 3-4 months

Nutrition management

Daily diet = nutrition is deeply related to mental and physical health. The demand for nutrition is very high during the growing season, so proper nutrition. Management is a important foctor.

Unbalanced diet, instant retort pouch diet, individual diet (lonely) disturbs nutritional status,
・Protein (Blood, muscle enzymes, hormones, antibodies, etc. are all made of protein)
・Vitamins (acts that normalize physiological functions and regulate metabolism so that they go smoothly)
・Minerals (closely related to most functions of the body)
Is often deficient.

In addition, children with a thin diet may have a disorder in the intestinal tract that absorbs nutrients, resulting in delayed food-induced allergies. I can see it.

At our hospital, in parallel with dietary guidance, we carefully select nutrients that tend to be deficient from diet alone from medicines with clear effects (various vitamins, iron, EPA preparations, etc.) and supplements that are distributed in a mixed state of tamaishi We will present nutritional therapy that makes use of what we have done.

Living environment management

As lifestyles change, children's outdoor play is often reduced, and sleep, exercise, and stress (mental and physical) are often affected, such as night-time living.

We will share the current situation and issues of the person himself and provide counseling on the specific process for improvement.

Hormonal balance adjustment

It may be effective to adjust the hormone balance with medicines in parallel with nutritional approach and management of living environment.

In addition to growth hormone, it may be effective by suppressing the secretion of sex hormones in children who tend to have early puberty.

It is important to determine when it is most effective to do these with growth data (height, weight, physical changes) and blood data.
The older the age at which treatment begins, the more likely it is that this treatment will be needed, and the amount of medication used will increase as it is set in proportion to body weight.

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Treatment fee (standard monthly consultation)

（Clinical treatment menufor free medicak treatment: You cannot receive medicaltreatment on the same day as insurance medical treatment)	Fee (excluding tax)
Examination fee (within 30 minutes)	7,500 yen
Blood test (conducted as needed after the first time)	27,000 yen
Nutritional approach (pharmaceuticals, supplements): Estimated monthly amount	13,000 yen～25,000 yen
Adjustment of hormone balance (pharmaceutical products, implemented as needed)	46,000 yen～99,000 yen

Prices are as of Feb 1, 2024. It may be revised without notice in the future.

Precautions for the first visit:

・At the first visit, there will be a blood test and a urine test.

・Please bring the following materials.

　ーData on general blood tests, hormone tests, etc. at other hospitals
　ーGrowth record from birth (height, weight): We will send you a questionnaire and a format to fill in the growth record by e-mail in advance.
　ーIf you have a medical condition: Medication notebook

Blood tests are performed to understand nutritional balance, liver function, kidney function, bone metabolism, and the status of various hormones.
It is usually done every 3 months after the start of treatment and once every 3-4 months thereafter.

The nutritional approach is based on blood tests and uses medicines and supplements for the necessary nutrients.Conducted by most of the examinees. It is a treatment that will be done.

Hormonal balance adjustments are based on blood tests to determine the need. If you do, prescribe medicines.

・It is difficult to accurately quantify the specific results (height growth) of treatment in short stature treatment in advance.
Even if the same treatment is given for the same sex and age, the results will vary from person to person.

・The medicines and supplements used for treatment are selected to have been used by many children, but as with general medicines and foods, allergies may occur depending on the constitution.
If you experience any allergic symptoms such as rash or itch, stop taking the medicine and consult a medical institution.

You should be aware of the risks associated with doping, especially competition-level athletes, as they contain growth-promoting ingredients.　
In addition, we cannot accept returns after prescription.