Patient's question:
NoDoctor's answer:
Early in the onset of pediatric rickets, common symptoms include night sweats, sleep disturbances, excessive sweating, and irritability. In more severe cases, muscle tone decreases, joints become loose, the abdomen swells, and growth and development are also affected. Skeletal changes are the main manifestations of rickets. In the early stages, the head only shows softened cranial bones, with square skulls appearing after 7-8 months and delayed fontanel closure. The chest may exhibit costal beads, pigeon chest, or funnel chest. The wrists and ankles become thickened, forming bracelet-like changes. Additionally, due to bone softening, genu valgum (O-shaped legs) or genu varum (X-shaped legs) may occur, commonly known as "bow legs."The key to preventing rickets is early and timely intervention. Breastfeeding is recommended, along with the appropriate introduction of complementary foods. It is important to note that the tolerance and toxicity levels of vitamin D vary greatly among individuals. Therefore, do not routinely or excessively give children cod liver oil and calcium supplements to avoid toxicity.
It is recommended to check blood trace element levels to determine the appropriate supplementation of calcium and vitamin AD preparations based on the deficiency.
Treatment: Gluconate calcium lozenges (dissolved in water and taken orally) can be used. While supplementing calcium, vitamin D (such as Icicle or vitamin D drops) should also be provided to promote calcium absorption.