Is it a symptom of rickets that the baby easily wakes up during sleep?

Patient's question:

Hello Director, I hope this doesn't bother you. My baby is 67 days old now. I've noticed that when she sleeps lightly, her hands and feet move and make a clicking sound. When she's awake, she's also very active with her hands and feet. Additionally, she's easily startled. Everything else seems normal. Could you please tell me what might be causing this? Thank you.

Doctor's answer:

Based on the symptoms you described, it is considered that the child may be experiencing symptoms caused by vitamin D deficiency. Generally, it is recommended to supplement vitamin D (commonly known as cod liver oil) half a month after birth. The daily supplement should meet the physiological need of 400-800 units to prevent the child from developing symptoms of rickets. Early symptoms include baldness at the back of the head, excessive sweating, irritability, and difficulty sleeping. It is important to supplement promptly. If conditions permit, it is best to take the baby out for more than 2 hours of sunlight in the morning and evening every day. During sun exposure, the skin should be fully exposed to allow as much sunlight as possible to reach the skin to promote the synthesis of vitamin D!

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