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Down Syndrome

para>Possible problem

When your doctor or nurse should check

Growth

Your childs growth will be checked at each routine check-up, including:

  • At the first visit

  • At 2, 4, 6, 9, 12, 15, 18, and 24 months; and

  • Once a year after age 2 years (until he or she is an adult)

Sleep

Starting when your child turns 1 year, your doctor or nurse should ask about your child's sleep habits. Tell your doctor or nurse if your child snores, sleeps in an unusual position, or does not sleep well. Also, make sure your child has a sleep test by the time he or she turns four.

Thyroid hormones

Your child's thyroid hormones should be checked at birth, 6 months, 12 months, and then once a year after that.

Hearing

Your child's hearing should be checked at each routine check-up. But it is especially important that hearing be checked:

  • At birth

  • At 6 months and at least once a year after that

Vision

Your child's vision should be checked at each routine check-up. But it is especially important that vision be checked:

  • By an eye doctor at 6 months and then every year until age 5

  • By an eye doctor every 2 years from ages 5 to 13 years

  • By an eye doctor every 3 years from ages 13 to 21 years

Heart

Your child's heart should be checked for problems before and after he or she is born. To do this, your doctor will do an imaging test called an ultrasound that can create images of the heart.

Blood

Your child's blood should be checked for problems at birth. Every year from ages 1 to 21 years, his or her blood should also be checked for a blood disorder called "anemia. " � To do this, your doctor will order a blood test called a "Hemoglobin. " �

Muscle and nerve problems

At any visit, tell your child's doctor if your child:

  • Has any problems walking

  • Begins using his or her hands or arms differently

  • Has problems controlling his or her bowel or bladder

  • Has neck pain or tilts his or her head to one side

  • Has muscle weakness

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This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. � �2014 UpToDate, Inc. All rights reserved. � �

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