Child wakes up from nap with twitching mouth

Patient's question:

After taking a nap, my lips twitched while getting dressed. It was very brief and has only happened twice again. The first time, I didn't pay attention. About the treatment and effectiveness after the midday nap: none. About any assistance: tell me the reason...

Doctor's answer:

Magnesium is one of the essential minerals for maintaining normal life, and it is an indispensable element that has evolved in the human body for the decomposition and metabolism process. Recommendations: The total amount of magnesium in a normal full-term newborn's body is approximately 1 gram, of which 5% is in bones, 45% in muscles and soft tissues, 5% in gastric juice, blood, and cerebrospinal fluid. The normal magnesium level in healthy infants is 2-3 mg/dL. Although the amount of magnesium in children's blood is very small, its effect on the body is quite significant. It plays a crucial role in maintaining the structural and functional integrity of the central nervous system, inhibiting the excitability of nerves and muscles, ensuring the normal contraction of the heart muscle and the elasticity of coronary arteries, regulating enzyme activity, and ensuring the number of potassium ions inside cells. When blood magnesium drops below 1.5 mg/dL, infants may again experience hypomagnesemia similar to true hypocalcemia. Premature infants and newborns can develop this condition 3-5 days after birth. Mild cases may present with sudden twitching at the corners of the eyes, facial muscle spasms, upward rolling of the eyes with staring, and sleepiness after recurrence, returning to normal after waking. Severe cases may show pale complexion, loss of appetite, loss of pain sensation during convulsions, rhythmic muscle spasms in bones and joints, episodic apnea, and incontinence of urine and feces. Most infants present with generalized, severe, and episodic pain, with loss of consciousness and fixed upward rolling of the eyes during convulsions, recurring several times a day. Hypomagnesemia often occurs in children with prolonged nausea and vomiting and malnutrition. When tremors, hand and foot spasms, or convulsions occur and calcium treatment is ineffective, hypomagnesemia should be considered. A diagnosis of hypomagnesemia can be made when blood magnesium is higher than 0.6 mmol/L. To prevent the occurrence of hypomagnesemia in infants, it is highly recommended to promote breastfeeding and provide various magnesium-rich foods such as lean meat, fish, soy products, vegetables, and fruits in the complementary diet of infants at an early stage. Foods rich in magnesium include: milk, tomatoes, bananas, carrots, spinach, chicken, and lean meat. Foods relatively rich in magnesium include: soy milk, fish, pork liver, cucumbers, tofu, small cabbage, fruit juice, potatoes, and unleavened bread. Foods with moderate magnesium content include: boiled eggs, rice porridge, apples, pears, bread, and watermelon.

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