Patient's question:
The baby is 4 and a half years old, a girl. She should have started speaking clearly when she was over a year old. She says her feet hurt, her knee joints hurt, and her hands hurt. Usually, she cries and fuss at night, but is fine during the day. There is no redness or swelling, and she doesn't have a fever. The pain is very severe. It is usually relieved by heat therapy and massage. She cries and fusses badly at night if she gets tired during the day, catches a cold, or doesn't take a nap. She has been checked by the Women's and Children's Department of the Provincial Maternity and Child Health Care Hospital, and many tests, including bone density, sedimentation rate, and many blood tests, have all been normal. She has taken some fish oil, but it hasn't solved the problem. She still often cries at night, and the child is very suffering.Doctor's answer:
Intermittent nocturnal pain during the growth period is the main symptom, with alternating lower limb pain in both knee joints, lasting from several minutes to a dozen minutes, which can be relieved on its own and does not affect gait or overall health status. With a longer history and exclusion of organic lesions, and negative results from further examinations, it can be preliminarily diagnosed as growing pains. Based on your description, it should be growing pains. You can alleviate it through methods such as massage, heat application, and diverting the child's attention.