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Child is 15 months old and has not started physical activities. Reason? - Online Doctor Chats

Date : 16-Jul-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1565 Questions
User:Hello Doctor
User:this is with reference to my daughter who is 15 m old
Doctor:How can I help you today?
User:she seems to be a happy child as per me...but she hasn't started with her physical activities yet
User:we got her tested for vitamin d deficiency and tsh
User:the vitamin d came as 5.49
User:while tsh is 2.79
User:i was informed that lack of vitamin d can lead to weak muscles/improper bone development...which could the reason behind my daughter lack of physical inactivity
User:i am not sure what caused the vitamin d level go down to such a low coz she has been eating pretty well
User:and we are giving her all the vegetables/pulses and milk
Doctor:There can be many reasons. In cold countries it is usually due to low sun-exposure
User:since we are veg so non-veg diet is exculded
Doctor:It can also be due to low formation in the body
User:so what could be the way out?
User:is this something very serious which i should be worried about?
Doctor:Well we do need to correct it and also keep a watch on vit d levels in her blood
Doctor:Firstly she should get adequate sun-exposure
Doctor:Secondly to restore values she needs to be given supplements
User:sun-exposure any particular time of day?
Doctor:If this fails to increase the values then inappropriate function of kidneys may be considered
Doctor:Any time of day
Doctor:Like taking her out to play in a park
User:oh k
Doctor:It will stimulate her development and give her sun-exposure
User:is there any time frame that we are looking for to get back her vit-d levels
Doctor:Arrange for playing with other kids
Doctor:Usually it starts getting back to normal right away
Doctor:In her case it may take 3 or months to get levels back to normal
User:thats kind of difficult coz i don't have neither the kids nor the park in my locality
User:but i will try to take her to some park nearby
Doctor:Oral supplements are also must
Doctor:If oral supplements do not work then injections may be needed
Doctor:Since she may be malabsorbing vitamins from her gut
User:so any indications to watch for to know that her vit-d levels are increasing
Doctor:Her legs may start to straighten
Doctor:She may feel the energy to walk and be physically active
Doctor:Her wrists will feel to be more strong
Doctor:All her joints will be stronger
Doctor:Bones will become stronger
User:i may be repetitive but do i need to be concerned at this stage or is this normal with some childs to get vit-d deficient
Doctor:Also repeat blood tests will be needed
Doctor:Some kids do get low in vitamin D
Doctor:Concern is raised if supplements do not cure it it
User:so the next step is to get her supplements from a paeditrician
User:and watch her vit-d levels
Doctor:And give those diligently
User:sure i will take care of that...
Doctor:For atleast 3 months
User:thank you dr. vaishalee
Doctor:Thanks for consulting me
User:is there any thing that i should be asking my paeditrician
Doctor:You may ask if something else is responsible for the symptoms
Doctor:Is she deficient in other vitamins, etc
Doctor:She may get her checked for other deficiencies
User:ok...thank you doctor...appreciate your help
User:i will log-out of the chat now
Doctor:Take care
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