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What causes severe knee pain in a child?

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Posted on Wed, 4 May 2016
Question: My daughter sometimes complain of pain in her knees typically in the evenings. To relive her of pain we typically apply "Move" ointment .
Most of the time she complains of this pain when she had a very active day. But she has this complaint even on regular day. She is as such very active child.
We had brought this topic with her doctors, but most of the time they say that it's normal.
Is this due to any deficiency ?
Can you suggest what medication we should use when she complains of this pain?
doctor
Answered by Dr. Archana Verma (30 minutes later)
Brief Answer:
This is commonly due to vitamin D deficiency or anemia

Detailed Answer:
Hi

I understand your concerns but don't worry. Most likely reasons for these complaints in a normal appearing child are vitamin D deficiency and anemia which can be easily managed. I would recommend you to test her for Hemogram and25 hydroxy vitamin D levels.
You may upload the reports for my reference so that I may suggest you the most appropriate management plan.

Hopefully it will be of help.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Archana Verma (30 hours later)
Thank you !
I have given blood samples for the test that you mentioned. Hoping to receive reports tomorrow. I'll Upload as them as soon I receive them
doctor
Answered by Dr. Archana Verma (43 minutes later)
Brief Answer:
Upload the reports for my reference

Detailed Answer:
Hi , Welcome back to HCM.

Yes please upload the reports as planned so that I may help you in the best possible way.

Take care
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Archana Verma (4 days later)
Hi,
I have uploaded blood reports for my daughter
doctor
Answered by Dr. Archana Verma (1 hour later)
Brief Answer:
Start Vitamin D supplements

Detailed Answer:
Hi

The reports are suggestive of vitamin D deficiency and mild decrease in Hemoglobin along with MCV, MCH, and MCHC. She needs evaluation for thalassemia trait (HPLC test) which may lead to such blood picture. Do not worry. She is unlikely to be suffering from thalassemia disease and finding trait by HPLC will only help to take care for her future generation.

I would recommend you to start her on vitamin D supplements. We give 2 sachets of Cholecalciferol dissolved with half glass of milk in morning (empty stomach) for 5 days followed by Vitanova D drops 1 ml daily for next 3 months. Hopefully this will improve her deficiency and symptoms. Also enrich her diet with calcium and vitamin D rich foods along with some sunlight exposure.

Check her for thalassemia trait by HPLC test. You may upload the reports for my reference.

Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Archana Verma

Pediatrician

Practicing since :2006

Answered : 1129 Questions

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What causes severe knee pain in a child?

Brief Answer: This is commonly due to vitamin D deficiency or anemia Detailed Answer: Hi I understand your concerns but don't worry. Most likely reasons for these complaints in a normal appearing child are vitamin D deficiency and anemia which can be easily managed. I would recommend you to test her for Hemogram and25 hydroxy vitamin D levels. You may upload the reports for my reference so that I may suggest you the most appropriate management plan. Hopefully it will be of help. Take care