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Suggest Remedies For Soft Spot In An Infant

Posted on Tue, 28 Jun 2016

Question: Hello doctor, my baby girl is 10 month old ...my concern in her soft spot...still it is open...its about 2 inches open what i feel...is it normal by this age to have this much open soft spot? She is a preemie baby born in 35 weeks 3 days...should i be concerned or it will fill by the time...i have one more question she is sitting on w position what i read on net is cqlled as w sitting...so is this also a cause of concern...my father in law tells that both her father and twin uncle used to sit like this...is it some cause of concern.? If it is then please suggest some exercise so that i can fix it up as early as possible...i am worried about this
thanx

Answered by Dr. Pradeep Kumar Jain (37 minutes later)

Brief Answer:
I won't get overly worried if she sits in other positions too

Detailed Answer:
Hello

Thanks for asking on this platform
I have gone through the details and do understand your concern.

Sitting in W position is quite normal in children.Children usually sit in the position which they find comfortable for them.
It's quite easy to achieve balance in W posture and that is the reason during development child may prefer this position.The thing you should take care of is that this posture should not be consistent and she must sit in other postures too like crossing the midline,both the legs spread out etc.
I won't get overly worried if she is comfortable in other positions too and there is no restriction of movement (at knee or hip joint).
Now coming to the persistence of enlarged soft spot;as you have mentioned the size of 2 inches it is quite unusual.Although prematurity is an important cause of persistent wide fontanelle,2 inches (5 cm) is unusual.The soft spot or anterior fontanelle gets closed by 9-18 months.It varies from baby to baby and the average time for its closure is around 14 months.
As the size of fontanelle is large the other treatable causes like vitamin d deficiency and hypothyroidism should be ruled out.If the reports are normal I would suggest you to observe the baby and wait for the closure.

I hope this helps.
Please let me know if you have any more doubts.
Wishing for your baby's good health.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Pradeep Kumar Jain (23 minutes later)

Sorry doctor the fontenelle is 3 cm as my husband measured it...is it too.large..should i talk to her pead? I am giving her vitd mashyne drops right from her birth...she is all active and reaching her milestones almost on time as per her adjusted age...please advice

Answered by Dr. Pradeep Kumar Jain (29 minutes later)

Brief Answer:
Fontanelle of 3 cm size is normal for a premature baby at this age

Detailed Answer:
Thanks for follow up

Fontanelle of 3 cm size is normal at this age for a premature baby.Continue Mashyne drops and get her evaluated for thyroid hormone status if not done earlier.
Don't worry,monitor for her developmental status and also observe for closure of Fontanelle.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Pradeep Kumar Jain (13 minutes later)

Sir what should be the dose of mashyne per day at her age...i am giving 5 drops per day...it is mashyne 3000iu...also i am giving ger vitcofol drops...

Answered by Dr. Pradeep Kumar Jain (13 hours later)

Brief Answer:
The dose is appropriate

Detailed Answer:
Sorry for delayed reply

The daily requirement of vitamin d for a premature baby is around 800 unit.Each ml contains around 20 drops.So 5 drops of mashyne which contains 750 unit would be appropriate for her.
Iron should be supplemented along with other vitamins in premature baby till one year of age.Vitocofol is multivitamin and multi mineral drop.So continue the same.

Regards

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Yogesh D