Patient's question:
The female baby is now 1 year and 4 months old, weighing 17 pounds, with a height of 74 cm and 6 teeth. She was born with normal height and weight, but has been growing slowly since birth. Currently, she consumes about 400 ml of milk and has three meals of (supplementary food) per day, along with two fruit servings. She eats a lot, but it seems like she's not gaining weight despite her appetite.Doctor's answer:
The key to preventing rickets is to start early and focus on young children. From the middle stage of pregnancy, women should begin taking vitamin D. After a baby is one month old, they should start outdoor activities, starting with 15 minutes daily and gradually increasing to over two hours. Breastfeeding is recommended, along with the appropriate addition of complementary foods. From the baby's birth until they are six months to two years old, they should take 400 to 800 International Units (IU) of vitamin D orally daily. Premature babies, twins, low birth weight infants, children who grow too quickly, those with chronic diarrhea, or those with liver and biliary diseases may receive 300,000 IU of vitamin D via intramuscular injection during winter and spring. It is important to note that the tolerance and toxic dose of vitamin D vary greatly among individuals. Therefore, do not routinely or excessively give children cod liver oil and calcium supplements to prevent poisoning. Get plenty of sunlight.