Is a 4-month-old baby's sudden shoulder tremor a spasm?

Patient's question:

Neonatal sepsis with meningitis was hospitalized for two weeks of treatment and recovered. Currently, the child's growth and development are normal. They can lift their eyes, sit independently, laugh, and recognize their name. Recently, for the past 4.5 days, they have suddenly lifted their shoulders a few times, each time for no more than a second. This has occurred about 5-6 times a day at times. This afternoon, it happened several times again, accompanied by squinting and frowning. It is unclear if this is due to severe pain, and it is very distressing.
Previous treatment and outcomes:
No specific treatment details provided.
Desired assistance:
Please help determine if this is due to severe pain.

Doctor's answer:

From the child's age perspective, if there are no other bad symptoms, the most likely possibility is calcium deficiency. The child is now 6 months old and can take gluconate calcium. Follow the instructions to take it for half a month, then stop for a week, and use it for a period of time to see if the effect is significant. It should be stable. On the other hand, the child can digest complementary foods now, such as small rice and millet soup, and even well-cooked noodles can be added for the child. Good diet, increase resistance oh.

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