Body shape and size

1. Short stature (height).
   • A child often grows slowly and is shorter than average as an adult.
2. Weak muscles (hypotonia) throughout the body.
   • Weak belly muscles also make the stomach stick out.
3. A short, wide neck.
   • The neck may have excess fat and skin.
4. Short, stocky arms and legs.
   • Some children also have a wide space between the big toe and second toe.

Face shape and features

1. Slanted eyes.
   • Tissue may also build up on the colored part of the eye (iris). But the child’s vision is not affected by this buildup.
2. A nasal bridge that looks pushed in.
   • The nasal bridge is the flat area between the nose and eyes.
3. Small ears.
   • And they may be set low on the head.
4. Irregularly shaped mouth and tongue.
   • The child’s tongue may partly stick out. The roof of the mouth (palate) may be narrow and high with a downward.
5. Irregular and crooked teeth.
   • Teeth often come in late and not in the same order that other child’s teeth come in.

Health problems

Health problems related to Down syndrome, such as:

1. Intellectual disability. Most children with Down syndrome have mild to moderate cognitive disability.
2. Heart defects. About half of the children who have Down syndrome are born with a heart defect.
3. Hypothyroidism, celiac disease and eye conditions.
4. Respiratory infections, hearing problems or dental problems.
5. Depression or behavior problems associated with ADHD or autism.

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