Rickets in infants

Patient's question:

My child is now 8 months and 26 days old, born prematurely by 25 days. At the age of five months, it was discovered that he has rib flaring. After checking the trace elements, NBAP was found to be high at 220U/L, while the normal range is 200U/L. All other values were within the normal range, but they were all slightly low. Two days ago, another check on trace elements showed that NBAP remained high at 220U/L, and calcium, iron, and zinc were all deficient. However, the child's development is within the normal range.

Doctor's answer:

This can only indicate that the child is in a sub-health state. Premature babies are prone to deficiencies of zinc, iron, calcium, and other nutrients. Therefore, it is important to supplement appropriately, such as by taking vitamin D daily, starting with 800 units and gradually reducing to 600 units, then 400 units to maintain this level for at least 3 years. Appropriate supplementation with gluconate zinc and calcium is recommended. Generally, if there is no anemia, additional iron supplementation is not necessary, as iron may affect appetite. At the same time, it is important to consume foods rich in zinc, calcium, and iron, such as liver, egg yolks, meat, small shrimp shells, and various green vegetables.

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