How to deal with rickets in a 1-year-5-month-old baby

Patient's question:

The baby is now 1 year and 5 months old. Currently, the symptoms include rib flaring. At 1 year and 2 months, the baby could walk independently without any issues. When the baby was around 4 and a half months old, you consulted a doctor then. It was discovered that the baby had rickets about a year ago, and during that time, the baby took calcium acetate and zinc supplements intermittently. Fish oil has been taken continuously. Currently, the baby has been taking calcium acetate, Lysine Gluconate Zinc, and fish oil for 8 days, with each medication taken twice a day, once per dose.

Doctor's answer:

Scoliosis is a chronic disease, but it can be cured. It usually occurs during the period of fastest growth in children. After the age of 2, growth slows down, and the variety and amount of food intake increase, reducing the occurrence of scoliosis. If bone deformity does not form, it is not considered severe. The standard for cure is normal bone calcification. The indicator is clear calcification bands seen on skeletal X-ray images. The child sleeps well and shows no symptoms such as excessive sweating or restlessness.
Diagnostic criteria for scoliosis:
The gold standard is imaging. Low vitamin D levels and elevated alkaline phosphatase are reference indicators, appearing earlier.
Key focus is prevention. Follow the advice of healthcare professionals to supplement vitamin D, get adequate sun exposure, and engage in outdoor activities.
The best time to take medication is after meals, preferably within 30 minutes. Some studies suggest that calcium supplements are better absorbed when taken before bed.
Ribs that flare outwards have little impact on children; they only look slightly unattractive, and the appearance becomes normal as the child grows.
Scoliosis does not recur. After the age of 3, there is no need to worry.
Vaccination is available. Pay attention to outdoor activities and a balanced diet.

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