What should I do if my 4-year-old child has a hunchback?

Everyone is familiar with the phenomenon of hunchback. Generally, most of the hunchbacks we see are elderly people. The latest news shows that more and more young children have hunchbacks in recent years. After examination, it was found that the hunchback phenomenon in young children is caused by the lack of vitamin D and calcium. So what should we do if a 4-year-old child has a little hunchback?

1. Vitamin D application

(1) Oral method: In the early stages of activity, infants and young children are given 62.5 to 125 μg (2,500 to 5,000 U) of vitamin D per day, and adults are given 125 to 250 μg (5,000 to 10,000 U) per day. During the peak activity period, infants and young children should be given 125-250 μg (5,000-10,000 U) of vitamin D per day, and adults should take 250-500 μg (10,000-20,000 U) of vitamin D per day. The therapeutic dose should be used for one month and then changed to a preventive dose. During the recovery period, preventive doses can be used to maintain the condition: 10 to 20 μg (400 to 800 U) per day for infants and young children, and 25 μg (1000 U) per day for adults. To prevent the simultaneous intake of large amounts of vitamin A, it is advisable to use a simple vitamin D preparation (vitamin D2 tablets or cholinesterol emulsion).

(2) Intramuscular injection: For patients with malabsorption or infants and young children who cannot adhere to oral administration, intramuscular injection of vitamin D3 7500 μg (300,000 U/vial) can be considered as an emergency treatment. Children in the early stages of activity or with mild disease can receive a single intramuscular injection of vitamin D3 7500 μg (300,000 U). For moderate to severe cases, vitamin D3 7500 μg (300,000 U) can be injected intramuscularly 2 to 3 times, with an interval of 1 to 2 months between each injection. One month after completing the above dosage, continue to take the preventive dose orally until the age of 2 years. Adults can also be given an intramuscular injection of 15,000 μg (600,000 U) of vitamin D3 during peak activity; use 1 to 2 times depending on the condition, with an interval of 1 month between each injection. Follow up with preventive doses. If the therapeutic effect is not significant after 3 months of treatment, the cause should be identified to exclude vitamin D-resistant rickets.

2. Calcium supplements The Chinese Nutrition Society recommends the reference daily dietary calcium intake as: 300 mg for 0-6 months, 400 mg for 7 months to 1 year old, 600 mg for 1-3 years old, 800 mg for 4-10 years old, and 1000 mg for adolescents. Pregnant women, nursing mothers, menopausal women and the elderly need 1000-1200 mg. Dairy products are the best source of calcium. Pay attention to supplementing small fish, shrimp, soy products, seaweed and green leafy vegetables in the diet. Calcium should be given in appropriate amounts when supplementing vitamin D. Calcium supplements with high elemental calcium content and low gastrointestinal irritation should be selected.

The question of what to do if a 4-year-old child has a bit of hunchback has been introduced in detail. After understanding the situation, young parents must give their children timely supplements. If the hunchback symptoms are mild, they can be improved through dietary adjustments. If the symptoms are more serious, not only should oral doses of vitamin D and calcium be supplemented in time, but a series of rehabilitation exercises should also be carried out.