Patient's question:
Because the child has never liked taking naps, he only sleeps 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, so he can't sleep well. He vomits three times after each feeding. Sometimes he sleeps well, but then he cries and wakes up again because he's 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 27th, when the baby was 40 days old, he received an injection of 300,000 units of D3 and was given gluconate calcium oral solution, one bottle per day.
What kind of assistance is needed: Is this poisoning? Does he need treatment?
Doctor's answer:
According to textbook views, for children with severe rickets, a single intramuscular injection of 300,000 units of D3 can be administered, but generally, dedicated oral calcium supplements are not required. The likelihood of vitamin D toxicity recurring in children varies greatly, as it depends on individual differences in constitution. Some children may experience toxicity with very small doses, while others may not even develop toxicity with much larger doses.Advice: The symptoms of vitamin D toxicity are not specific and often overlap with the symptoms of rickets, making it impossible to diagnose based solely on symptoms. Blood calcium and urine calcium tests must be conducted for confirmation.
Currently, your child only has nausea, which is not sufficient to confirm toxicity. It is recommended that you take your child to the hospital for a medical examination and then make a decision. It is advisable to temporarily stop taking oral calcium gluconate.