How to deal with a 4-month-old baby's fontanel not closing

Patient's question:

Stool is always green while weight is normal, 17 months old, fontanel still hasn't closed. What should I do? Previous treatment history and effectiveness: The child is taking Meibang Calcium Treasure and EKXIN. What kind of assistance is desired: Help the fontanel close.

Doctor's answer:

The fontanelles of a baby close before 18 months. If it is found that the fontanelles have not closed by the time the child is 18 months old, it is necessary to consider the possibility of delayed fontanelle closure. When fontanelle delayed closure occurs again, it is important to pay attention to potential vitamin D deficiency rickets, cretinism, hydrocephalus, and other diseases. Abnormal calcium and phosphorus metabolism can lead to changes in the skull, while impaired bone growth and development can also interfere with fontanelle closure. Congenital hypothyroidism can also cause developmental delays, manifesting as short stature, a large head, large and late-closing anterior fontanelles, delayed teething, small and sparse teeth, a low nasal bridge, wide-set eyes, and a large, thick tongue, among other symptoms.

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