Baby, 7 months old, has twitching limbs after falling asleep. What tests should be done?

Patient's question:

The baby is 17 months old. Recently, after falling asleep, the baby's limbs have been twitching. Since childhood, the baby has disliked sleeping on their stomach. There has been some stomach discomfort, and apart from always having green stools since childhood, which has not been cured by many medications, the baby's chewing ability is poor. However, eating dinner is still okay. But the baby is more active and irritable than before, constantly climbing up and down. The baby has been taking fish oil and calcium supplements, but in the past week, there has been frequent light coughing that antibiotics have not helped. It has been diagnosed as a spleen deficiency cough. Should I take the baby to the hospital for some tests?

Doctor's answer:

I'm glad to serve you. In your description of the baby's condition, the baby is now 1 year and 7 months old. After falling asleep, there are tremors in the limbs, which is a manifestation of increased neuromuscular excitability. It is recommended to have a thorough examination of trace elements at the hospital. Recently, there has been mild coughing, and antibiotics have been ineffective. The doctor can perform percussion to check for bronchitis or pneumonia. A blood test can be done to determine if it is a viral or bacterial infection. If the cough is due to spleen deficiency, it can be regulated with traditional Chinese medicine.

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