How to treat rickets in babies

Patient's question:

Sometimes napping becomes restless, and it took 4 months to get treatment now.
Past treatment and effectiveness:
On February 18, I went to People's Hospital for a thorough check-up. The doctor made a mistake on the test order and didn't check calcium carefully. The doctor suspected calcium deficiency and prescribed Compound Iron-Zinc-Calcium Granules. However, the doctor made a mistake on the order and didn't prescribe vitamin supplements to take together, which made me skeptical. A few days later, I went to the Red Cross Hospital. The doctor said there was some rickets and that Compound Iron-Zinc-Calcium Granules wouldn't help. They prescribed Chaudi Pediatric Calcium Carbonate D3 Granules for 20 days, first to replenish calcium and then gradually to replenish iron and zinc.
What kind of help I need:
1. Does my baby need vitamin injections?
2. Chaudi Pediatric Calcium Carbonate D3 Granules says the specifications are 0.75 grams of calcium carbonate (equivalent to 0.3 grams of calcium) and 100 IU of vitamin D3. Is the dosage too low? Some people online say to supplement 5,000 units.
3. If rickets are treated in the early stages, will there be any residual sequelae, such as a square skull, pigeon chest, or curved hands and feet? Will they recover completely?

Doctor's answer:

When the duration of sunlight exposure is short or intake of vitamin D or calcium supplements is insufficient, conditions such as pigeon chest and rib flaring may reappear. In severe cases, it may even lead to deformation of the skull and limb bones. Pay attention to calcium supplementation, and in the future, encourage the child to engage in more outdoor activities under the sun. Based on the results of trace element tests, ensure adequate digestion of calcium supplements or consume more calcium-rich foods such as milk and shrimp skins. More importantly, it is essential to implement moderate physical training for the child. Teach the child daily arm-raising and chest-expanding exercises, practice deep breathing in fresh outdoor air, and provide chest massages before bedtime. Through a period of correction, the child's pigeon chest will gradually improve.

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