Baby is 10 days past April and has poor sleep, easily startled.

Patient's question:

The baby is 10 days past four months old. Since the second month, he has had poor sleep, easily waking up, and gets startled by any sound. Sometimes, even without any noise, he sleeps for only half an hour. His milk intake has also significantly decreased. When using a pacifier, he stops eating if he slightly chokes. At three months, his weight is standard, but his height is about 1.5 cm shorter than the norm. There is a calcium deficiency. He has been taking Zinc Calcium Special for a while, but the symptoms have not improved. Is it possible that he has rickets? What Chinese patent medicines are effective for poor sleep?

Doctor's answer:

This is an early symptom of vitamin D deficiency, while rickets are late symptoms, and the late stage involves changes in bone structure. It is now necessary to immediately inject vitamin D to promote calcium absorption. Currently, intramuscular injection of 50–100 micrograms of vitamin D is recommended. After one month, blood calcium levels and bone X-rays should be rechecked. If normal, oral vitamin D preventive doses can be administered.

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