Hello,
Thank you for your query at DoctorSpring.com
I can understand your concerns. But you need to clarify a few issues before I can advise you on further course of action.
1. What was the case of his calcium PLUS magnesium deficiency?
2. Did he undergo testing for vitamin D levels, phosphate, alkaline phosphatase, etc?
3. Did he undergo urinary testing to identify the site of loss?
4. What other metabolic abnormalities were obtained?
5. What symptoms prompted you to take him to a pediatrician?
6. How is his growth? Height and weight @ 10 years of age?
7. How is his academic performance? How is his overall development?
8. Is there any other significant past history of illness or hospitalization?
Regards
Dr. Saptharishi L G
Dr. Saptharishi L G
DM (Pediatric Critical Care) Senior Resident
Patient replied :
1. HIS ERYTHROCYTE CALCIUM IS 32 PPM AND MAGNESIUM 38 PPM THEY ARE NEAR LOW REFERENCE RANGE
2.HIS VITAMIND PHOSPHATE AND LFT ARE N0RMAL
3. URINE TMS NORMAL
4. NO METOBOLIC ABNORMAL FOUND
5.HE HAS CHRONIC CALF PAIN WHILE IN SLEEP AND STIFFNESS DURING SLEEP
6.HIS WT AND HT ARE NORMAL
7.HIS ACADEMIC PERFORMACE WAS 40% ON AVERAGE AND HE IS STUDYING 4 TH GRADE WHILE HE HAS TO BE IN 5TH
8.NO HISTORY OF HOSPITALIZATION
Dear Parent,
The standard way to assess calcium and magnesium deficiency is through measurement of
1. Serum total calcium concentration
2. Inonized calcium concentration on blood gas
3. Serum magnesium levels
4. Serum phosphate levels
5. Serum alkaline phosphatase levels
Measuring erythrocyte concentration of calcium and magnesium are neither standard nor useful means of assessing deficiency states. So, kindly get the above tests before proceeding any further. It is likely that your child may get mislabelled based on the erythrocyte testing alone.
Regards.