Patient's question:
Feeling love sweating like being washed with water, not liking to eat dinner, always complaining of stomach pain during dinner, always having bad stomach and irregular bowel movements for 15 months, lacking vitamin B1 and iron for 4 months, poor sleep quality. Detailed examination for rickets. Previous treatment and effectiveness: At 4 months, received 2 injections of D3,...Doctor's answer:
D deficiency rickets, also known as rickets, is more common in infancy. It is a disease that causes abnormal fibrosis of bones due to vitamin D deficiency, leading to disturbances in calcium and phosphorus metabolism in the body. Rickets develop slowly and are not easily noticed. It is particularly common in infants under one year old.The main treatment involves appropriate administration of calcium and vitamin D. The preventive dosage is 400 IU/day, while the therapeutic dosage is 5,000 to 10,000 IU/day, which should be maintained for one month before switching back to the preventive dosage. Intramuscular injection is suitable for severe rickets, children with complications, or those unable to take oral medication (e.g., refusal to take medication, nausea, vomiting, pneumonia, acute infections, etc.). Calcium should generally be administered orally concurrently. Vitamin D31 can be injected every 1–2 months, with a dosage of 150,000 to 300,000 IU per time, depending on the condition. Oral vitamin D should be resumed 10 days after the injection. Calcium should be taken alongside vitamin D, especially for infants with low dairy intake, to ensure timely supplementation.
The above advice addresses the question "If D and calcium are not supplemented, can you keep eating?" I hope it is helpful to you. Wishing you good health!