Q: my son is now 9 months, began to eat vitamin d drops from 6 months, 1 week ago began to eat calcium. Later to the hospital, doctors said a bit of rib ectropion, but the anterior Fontanelle because he has touched is not clear, it is recommended that I not calcium supplementation, oral vitamin d drops is enough. But have recently increased the valgus, however his actions and development are very normal, now have to hold it, you can climb the steps. He has a good mental state during the day, is sweating. Do you know this situation need calcium?
Shandong Lei Li
A: children 9 months has been able to hold the walk, you can climb stairs, lively, active, describes normal child development. Baby\'s anterior fontanel touch clear, proof has been basically closed. Closed between Fontanelle 12-18 months before most of the children, but this is not absolute, for children\'s development under the influence of many different factors, such as genetic factors, life environment, nutrition, personal fitness, so development process there are individual differences, closure of fontanel earlier or later than average is normal. Required does not need supplement calcium or vitamin d, key is see children has no other symptoms, such as, vitamin d lack caused of rickets (commonly known as deficiency calcium) apart from Fontanelle late closed outside, also has chicken breast, and funnel chest, and rib Xia margin valgus, and spinal side bending or Hou bending, and party cranial, and hip shaped head, and \"x\" shaped leg or \"O\" shaped leg, bone marrow development exception phenomenon. Also with Hyperhidrosis, easily shocked, night without crying, pillow bald general symptoms. Your child is developing normally, you won\'t have to worry about. Principles of treatment of nutritional diseases are: \"what effect what deficiency, not lacking not supplement\". Vitamin d poisoning by eating much will. Day in the future to ensure that children in activity 1 hour under the direct rays of the Sun, children would not lack of vitamin d. Normal eating more calcium such as milk, soybean products, shrimp more food, children will not calcium deficiency.
(Chief Physician Zhang Ximu Deputy General practitioners)
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