Dr. Pramita Vadavi

It is the characteristic result of vitamin D deficiency in children.


CAUSES:

• It is less common in breastfed infants.
• Less exposure to sunlight.
• Dark skinned infants.
• Dietary deficiency of vitamin D.
• Malabsorption.
• Chronic liver disease.
• Renal osteodystrophy.
• Calcium wasting.
• Hereditary.


SIGN AND SYMPTOMS:

• Head:
– Prominent forehead.
– Delayed closing of anterior fontanels (normally closes by 6 months of age).
– Frequent rocking movement of the head.
– Temporary teeth usually appear late.
– Excessive sweating over the forehead.
• Thorax:
– Beading of ribs (rachitic rosary), at the junction of the ribs and cartilages.
– Prominent sternum (Pigeon`s Breast).
• Spinal column:
– Patient has hump in the back (Kyphosis).
• Extremities:
– Bow legs.
– Knock knees.
– Outwards curving of bones of forearm.
– Dwarfism in severe cases.
– Green stick fractures can occur in severe cases.
• Ligaments and muscles:
– Weakness of legs.
– Delayed walking and standing.
– Over extension of knee joints.
– Pot belly due to weakness of abdominal muscles.
• Digestive system:
– Indigestion due to liver and spleen affection.
• Nervous system:
– Restless at night.
– Rocking of head on the pillow.
– A predisposition to titanic convulsion.
• Respiratory system:
– Adenoid and tonsillar hypertrophy.
– Rhinitis.
– Pharyngitis (inflammation of mucous lining of the pharynx).
– Bronchitis.
– Bronchopneumonia.
• Spasmophilia:
– Triad of tetany.
– Laryngismus strides.
– Convulsion may be expected in low calcium type of rickets.


DIETARY MANAGEMENT:

Avoid:
• Avoid bony injuries, to prevent factures.


CONSUME:

• You should have sun bath for at least 1 – 2 hrs every day.
• Consume foods rich in vitamin D:
– Animal food: egg yolk and fish liver oils are riches source.
– Liver, veal, beef, oyster, salt water fish – mackerel, kipper, herrings, salmon, sardines and tuna.
– Dairy products like – cream, butter, cheese, fortified milk and margarines.
– Plant foods are low in vitamin D – vegetable oils, fruits, nuts and green leafy vegetables.
• Reduce calcium intake (reduce but do not completely avoid calcium as it is needed for maintenance of our body):-
– milk and sea food, nuts, green leafy vegetables, whole grains, peas, lotus stem, pulses, legumes and oil seeds
– Should avoid custard apple and banana as they are high in calcium.
• Breast feeding should be continued.
• You can take vitamin D supplements – cod liver oil, fortified milk.


CONSULT PHYSICIAN:

• Consult physician if you have any of the above sigh and symptoms.
• Associated illness should be treated.
• Vitamin D injections can be injected under the guidance of your physician.

do cold sponging ..give him water to drink syp crocin 2 tsp for fever .. take him to doctor to find the cause of fever

Hello, * your baby is flabby, fare with large head? * a baby with such constitution sweats while sleeping, being fed specially on fore head, this so happens due to deficiency of calcium, so there is nothing to b worried about. Homoeo-care** @ calcarea carb 30- 1 drop, thrice a day. Report after a wk. Take care.

You need to continue medications as advised by your doctor and review on a monthly basis. Do not stop the medicines on your own else the symptoms would relapse. We generally titrate the medicines very slowly over a period of few months to keep the child asymptomatic.

If your child is alert active and playful most likely he is not suffering from any disease so no medication is required. His hb and stool examination should be done to rule out anemia and worm infestation. This is very normal also called physiological anoeexia. When his body requiremment for calories goes dow. Please do not forcefield the child else he shall vomit out.

Kids need to be channelized at this age so they learn to focus and use their energy for good purpose. Try and make your child understand patiently about good conduct and if your child agrees practically reward by giving gifts in any form and praise for good behaviour. This will help your child to know the importance of good behaviour and differentiate it from bad behaviour. Do not reprimand your child in front of others. Make him understand with great patience.

Feeding tips for baby between 6-12 months of age try variety of foods as by this age increasing the variety the appetite/palatability improves. Add ghee generously if tolerated to increase the calorie value of diet. In compare to protein and carbohydrate calorie value of fat is thrice. Give at least one katori serving at a time of- mashed roti/bread/biscuit mixed in sweetened undiluted milk or mashed roti/rice/bread/dosa mixed with thick dal with added ghee/oil or khichadi with added ghee. Add cooked vegetables in the servings. You can also give dalia/suji ka halwa/kheer prepared in milk or any cereal porridge cooked in milk. You can give mashed boiled potato also. Give banana, papaya, cheeko, mango to meet the vitamin's requirement. Give these servings 3 times per day. Feed the baby in your lap with your hands. Don't force. If needed give small amount and increase the frequency of feeds.

Treatment of asthma depends on frequency and severity of symptoms. If severe, then may need preventive medication for long period. Undertreatment is more harmful. Need to be managed appropriately. You shall show to a pediatrician. For good vision, take healthy diet. No particular vitamin supplement.

Either she is being force fed or fast fed for which no tt except to change habit. Measure fever which is right way to assess fever.

Hi, bronchitis/ asthma can be treated well with homoeopathic medicines completely, only need to be regular with the medication and avoid those foods/ things to which you are allergic to for sometime. Keep taking your already on going medication, reduce it gradually and slowly once homoeopathic starts acting. Take bakson's astha-aid drops/ 10-15 drops in 1/2 cup water/ thrice d day for 1 month.

Body growth depends on many factors, mainly genetic and hereditary, so need not worry as long as child is active and playful. Its too early to expect fast growth as different individuals have different growth patterns. Just see that he does not bear heavy weights on his shoulders. Regular exercises for height gain will be helpful and sports like gymnasts and basket ball would help in body growth.

Adenoids enlargement are normal in children till 5-7 yes of age if they are not associated with recurrent fever, mouth breathing, snoring sleep disturbance, ear problems they are not of any harm, they reduce in size as the child grows, try to give him a smoke, dust, allergen free environment, plenty of water and fruits

Could be a simple lymph node. Very common in this age group. Its normal. If its not painful then its not a cause of concern. Its normal physiology of childhood. Dont waste your time and money on it. Let it be.

segmented neutrophils are signs of vitamin b12 deficiency..take tablets becasules twice daily for that after meals Fever is not considered medically significant until body temperature is above 100.4 F (38 C). Fever serves as one of the body's natural defenses against bacteria and viruses which cannot live at a higher temperatures..Also, the body's defense mechanisms seem to work more efficiently at a higher temperature -Fevers of 104 F (40 C) or more may be dangerous and demand immediate treatment The following medications may be used at home for mild fever : -Acetaminophen (dolo-650 mg) twice or thrice can be used to lower a fever . Aspirin should not be used in children during a viral illness. -Wear comfortable loose fitting clothes and donot overdress. Overdressing can cause the temperature to rise further. -Tepid water (85 F [30 C]) baths may help bring down a fever -The body should be cooled with a wet sponge. -Fever can cause dehydration.Drink plenty of fluids.Have citrus fruits, particularly Vitamin C rich ones like mausami,Amla juice etc. -Take light and easily digestible home cooked meals .avoid outside food -Wash your hands frequently with soap and warm water especially before meals, or after returning from a public places or using public transport. -Further therapy depends on the cause of fever like urinary infection/typhoid or malaria/dengue infection and the accompanying symptoms that need to be investigated and treated accordingly

Rota virus vaccine can not be given after 6 months of age you just need to take care of his water and food it should always be hygienic.

It could be colic and related to feeding practice . You avoid bottle feed and feed from a cup or glass anything other than breast milk . Burp gas properly . Colic aid is natural intestinal tonic for colic

If it's really 7 month of pregnancy then your baby's weight is quite normal for the gestational age. It is only in the last 6 week of pregnancy there is a rapid gain in the baby's weight.

Sip Oolong Tea

Research suggests that people with mild eczema who drink oolong tea three times a day may show improvement in itching and other symptoms. Compounds in the tea called polyphenols appear to be responsible.