Patient's question:
Because the child has never liked taking naps, he sleeps only about 3 hours during the day, and nighttime sleep is okay, but he doesn't sleep soundly and keeps moving his mouth, making noises. The doctor diagnosed it as severe calcium deficiency and gave the child an injection of 300,000 units of D3, which put him under anesthesia. However, 10 days after the anesthesia, the child wants to sleep but keeps vomiting milk, making it hard to sleep. Each feeding results in vomiting three times, and sometimes he sleeps well but wakes up crying again due to vomiting. This situation keeps recurring, and his appetite has decreased, and he doesn’t eat as well as before.Hello, is this poisoning? What should I do?
Previous treatment and outcomes: On March 27, when the baby was 40 days old, he received an injection of 300,000 units of D3 and was given gluconate calcium oral liquid, one bottle per day.
The kind of assistance needed: Is this poisoning? Does he need treatment?
Doctor's answer:
According to textbook views, for children with severe rickets, it is possible to administer 300,000 units of D3 in a single intramuscular injection, but oral calcium supplements are generally not required. How children may experience vitamin D toxicity again varies greatly among individuals, as it depends on their physical constitution. Some children may become toxic with very small doses, while others may not experience toxicity even with large doses.Advice: The symptoms of vitamin D toxicity are not specific and overlap with the symptoms of rickets, making it impossible to diagnose based solely on symptoms. Blood calcium and urine calcium tests should be conducted for confirmation.
Your child currently only has nausea, so it cannot be confirmed whether toxicity has occurred. It is recommended that you take your child to the hospital for a doctor's examination and then make a decision. It is advisable to temporarily stop taking oral calcium gluconate.