Diagnosis of rickets at babies is performed on the basis of complaints of parents, external inspection of the child and the analysis to detection of the contents in vitamin D urine. Test of urine across Sulkovich helps also with treatment of a disease.
Today diagnosis of rickets does not cause in babies of difficulties: it is rather simple to doctor to examine the child and to talk to his parents to make the diagnosis.
Disease symptoms
The first symptoms of rickets can be shown at the kid at 3-4-hmesyachnom age. Premature children, whose mothers badly get into risk group and ate during pregnancy insufficiently. Insufficient feeding of the kid, feeding by not adapted mix poor in vitamin D, can also provoke a disease. Rickets can be descended, and can be a consequence of gastrointestinal diseases which complicate absorption of calcium and phosphorus.
This disease causes a sleep disorder in the child, irritability and tearfulness. Mothers notice that the kid often shudders at a glaring light and a sound. The increased perspiration, especially around the person and a hairy part of the head is observed. As a result sweat irritates the skin, causes a potnitsa and the naggers, the kid rubs the head about a pillow so that on a nape the site of baldness appears. Level rn urine changes, it irritates the crotch skin, causing formation of an intertrigo. Rickets of easy degree is diagnosed also on the beginning softening of bones of a skull on edge of fontanels.
Diagnosis of a disease
Further rickets of average weight is diagnosed on softening of bones of a skull and deformation of the head of the kid. It is often possible to observe the flattened nape and asymmetry of the head. The skeleton continues to be deformed further, there are parietal and frontal hillocks, edges become covered by the consolidations called rachitic beads, and wrists rachitic bracelets. At the one-year-old kid mastering the first steps the lower extremities begin to be bent, there is a characteristic frog stomach, work of internals is broken. Diagnosis of heavy rickets at babies is performed on the basis of considerable deformations of bones, severe damages of nervous system and internals, significant lag in psychomotor development. Test of urine across Sulkovich helps to detect rickets. Thanks to this analysis it is possible to obtain data on concentration of calcium in urine. The result 2+ is considered normal. At a lack of calcium the test will be negative. The same research is used for control of treatment of a disease. If the result exceeds 2+, the child means receives vitamin D and much and it is required or to reduce a dosage, or to absolutely cancel the applied medicine.