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Dr. Chip
Dr. Chip, Doctor (non-pediatrics specialty)
Category: Paediatrics
Satisfied Customers: 31179
Experience:  Many years of outpatient experience with all age groups
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Hi Doctor, my daughter is 10 years old, born 5 weeks premature.

Customer Question

Hi Doctor, my daughter is 10 years old, born 5 weeks premature. She has vitamin D deficiency and is currently taking something called oestocaps d3 capsules, 2 tablets once a month. Initially she was on Calcichew D3 Forte. She also has Asthma and is on inhaler. About 4 years ago she had iron deficiency anemia which was corrected by iron supplement from the doctors. My worry, she is now always complaining about leg aches on both her legs. The pain comes and goes on her legs in different places and sometimes all over from thigh to toe. I am concerned whether this is due to low vitamin D or has her iron gone back down again? Her behavior can also be challenging sometimes, I don't know whether this is just her age or is related to anything? Should I get her to have another full count blood test? what is your opinion on the leg aches and pains she is complaining about? Please advise
Submitted: 2 years ago.
Category: Paediatrics
Expert:  Dr. Chip replied 2 years ago.
Hi--first question--has her doctor evaluated this?
Customer: replied 2 years ago.

I spoken to doctor over the phone, he recommended another blood test

Expert:  Dr. Chip replied 2 years ago.
OK Turah. There are several possibilities here. One could be anemia from her iron levels being low. Another might be vitamin B12--not vitamin D--deficiency. Possibly this could be a disk problem in her lower back but only an MRI of her lumbar spine could detect that. One other possibility would be juvenile rheumatoid arthritis. So, yes she needs more blood work including a CBC, anemia panel, B12 levels, magnesium levels, antinuclear antibody titer, rheumatoid factor, sed rate, C reactive protein, and possibly an MRI of her lumbar spine.
Customer: replied 2 years ago.

is it common for her iron levels to be low even though she was previously treated? her doctor only recommended the full blood count blood test, will that be ok?

Expert:  Dr. Chip replied 2 years ago.
She needs more than the CBC since that might only detect if she's anemic. As for an iron deficiency anemia, Unless she's not getting enough iron in her regular diet it may be that she has an iron absorption problem.
Customer: replied 2 years ago.

last time when she was on iron supplement her levels came up after another blood test, meaning that her body was absorbing iron, she had another cbc test after 2 years and that was ok aswell, no symptoms. But now the symptoms are back so I am thinking it must be iron bein low again. She does not have meat, only chicken and fish. I am wondering as the doctor only recommended a cbc test

Expert:  Dr. Chip replied 2 years ago.
Well, as I said above, her iron levels being low again would be only one of the possible causes of her symptoms. I really think that that's not very likely here and that the CBC will show she isn't anemic. Talk to her doctor about the other tests I mentioned and let me know how it goes. And please remember to rate my service to you Turab
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Customer: replied 2 years ago.

i will contact yo again after her full blood count test

Expert:  Dr. Chip replied 2 years ago.
Great--let me know about that by using this link
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