Rickets

Rickets

I am sure all mothers out here would be making sure that their kids grow normally and are keen on observing every little change that occurs in their child. I being a mother, completely understand this. Thus thought to write a blog on the issue commonly faced by children and give some information about Rickets
It is a deficiency of Vit D, calcium or phosphorus. Also known as Osteomalacia. It involves softening and weakening of bones in children due to deficiency of Vit D. This softening occurs from a loss of Calcium from skeleton as a result of which bones become flexible and gradually are molded by forces such as bearing weight, that are exerted on them thus leading to deformities of the body structure.
There are various types of rickets:
1. Nutritional Rickets- Due to dietary deficiency of calcium, Vit D. You can correct it with including good sources of Calcium, Vit D, phosphorus
Sources of Vit D include sunlight, fatty fish, milk, mushrooms
Sources of Calcium include Milk and products, ragi, tofu,, soy milk, figs, rajgeera, Almonds, figs etc
Sources of phosphorus include
2. Hypophosphatemic Rickets- As name suggests caused due to low levels of phosphate. Bones become painfully soft and pliable. Caused by a genetic dominant X-linked defect in the ability for the kidneys to control amount of phosphate excreted in urine. It is not caused by Vit D Deficiency.
Children suffering from this type of ricket show obvious symptoms by 1 year of age. Treatment is generally through nutritional supplementation of phosphate and active form of Vit D.
3. Renal Rickets- Caused by a number of kidney disorders. Person suffering through kidney disorder has decreased ability to regulate amounts of electrolytes lost in urine which includes electrolytes like calcium and phosphate. Thus the individuals develop symptoms similar to those of rickets
Treatment includes correcting the leading cause of renal disorder

Symptoms include 1
1. Bone pain/tenderness
2. Dental deformity
3. Delayed formation of teeth
4. Decreased muscle strength
5. Impaired growth
6. Short stature
7. Skeletal deformities- bow legs

rachitic rosary(rib cage abnormalities)

2

breastbone,pelvic and spinal deformities

3

8. Tetany i.e. involuntary muscle contraction) or seizures in severe cases

4 Treatment/ Prevention:
For Nutritional Deficiency Rickets
1. Correcting nutritional deficiencies by incorporating more of Calcium, phosphorus and Vit D 3 sources
2. New mothers have to be advised Vit D supplementation to their new borns as breast milk is low in Vit D especially with regards to low birth weight infants
3. Gradual administration of oral doses of Vit D after consulting a doctor

For hypophosphatemic rickets and kidney/renal Rickets
Need to consult doctors and get the underlying cause corrected

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