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What is Rickets?

Rickets is a disease caused by vitamin D and calcium deficiency. It has a major impact on bone health, as well as growth and development of children and adolescents, proving to be lethal even in adulthood as it causes soft, weak and painful bone growth and deformities. This condition is termed as rickets in children and osteomalacia in adults.

What are its main signs and symptoms?

Early clinical signs and symptoms include bone pain, skeletal deformities, dental problems, poor growth manifested in the forearm, knee and costochondral junctions (where the ribs attach to the breastbone), which are sites of rapid bone growth and development, and fragile bones. A delay in the closure of the fontanelles (soft spots on top of a baby’s head) and the bossing of skull bones are seen in infants. There may be kyphosis or scoliosis (spine bent forwards or sideways) in older children. Non-skeletal symptoms include pain, irritability, delay in motor functions and poor growth. Rickets can be mistaken for skeletal dysplasias, as they have similar clinical features.

What are the main causes?

Lack of vitamin D and calcium is the most common cause of rickets. The following are the commonest reasons for these deficiencies

  • Malnutrition.
  • Malabsorption of vitamin D.
  • Inadequate exposure of the skin to sunlight.
  • Pregnancy.
  • Prematurity.
  • Obesity.
  • Kidney and liver diseases.
  • Certain anticonvulsants (for convulsions) or antiretroviral (for HIV) drugs.

The mineralisation defects caused by calcium and phosphate deficiency are classified as calcipenic and phosphopenic rickets, respectively. Mineralisation defect, either isolated or secondary to vitamin D deficiency, leads to the accumulation of osteoid (unmineralised component) in the bone tissue below the growth plate. This causes bones to weaken and bend over a period of time.

How is it diagnosed and treated?

The diagnosis of vitamin D deficiency is made by laboratory tests including blood tests for calcium, vitamin D levels, alkaline phosphatase, phosphorous and parathyroid hormone levels. X-ray tests are advised, where changes in bones can be seen. A bone biopsy might be needed and is the most accurate method to diagnose osteomalacia or rickets.

The nature and severity of the deficiency determine the appropriate dosage of vitamin D. Vitamin D and calcium supplementation are initiated and maintained until the X-ray results are normal.

Preventive measures:

Several simple measures can help prevent rickets. You must:

  • have a healthy diet that includes dairy products and eggs.
  • spend time outside, especially in the morning sun.
  • take vitamin D supplements after consulting a doctor.
  1. Medicines for Rickets
  2. Doctors for Rickets
Dr. B.P Yadav

Dr. B.P Yadav

एंडोक्राइन ग्रंथियों और होर्मोनेस सम्बन्धी विज्ञान

Dr. Vineet Saboo

Dr. Vineet Saboo

एंडोक्राइन ग्रंथियों और होर्मोनेस सम्बन्धी विज्ञान



एंडोक्राइन ग्रंथियों और होर्मोनेस सम्बन्धी विज्ञान

Medicines for Rickets

Medicines listed below are available for Rickets. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
Shelcal 500 TabletShelcal 500 Tablet74.0
ArachitolArachitol 3 L Injection181.2
DvitalDvital 2 K Tablet38.0
Mac D3Mac D3 Injection33.3
Nu D3Nu D3 1 K Tablet49.0
Uprise D3Uprise D3 1 K Capsule71.5
Vitaneo D3Vitaneo D3 Granules16.25
VitanovaVitanova D3 60 K Iu Injection30.1
CalcirolCalcirol 600000 Iu Injection210.0
FosavanceFosavance 70 Mg/5600 Iu Tablet499.0
OstonatOstonat Kit175.0
Alenost DAlenost D Tablet171.0
Atorsave DAtorsave D 10 Tablet90.75
Avas DAvas D 10 Mg/1000 Iu Tablet108.0
DaztorDaztor 10 Mg/1000 Iu Tablet110.0
Lipigraf D3Lipigraf D3 Tablet70.0
Storvas DStorvas D 10 Mg Tablet75.0
Astin DAstin D 10 Mg/1000 Iu Tablet108.0
Lipicure DLipicure D 10 Mg/1000 Iu Tablet113.0
Modlip DModlip D 10 Mg/1000 Iu Tablet86.8
CalintaCalinta Kit412.0
Calvit 12Calvit 12 137.5 Mg/5000 Iu/50 Mcg Injection39.0
D RozavelD Rozavel 10 Mg/1000 Iu Tablet150.0
Mahastat D3Mahastat D3 Tablet135.0
Rosufit DRosufit D 10 Mg/1000 Iu Tablet158.0
Rosuflo DRosuflo D 10 Mg/1000 Iu Tablet90.0
Rosuvas DRosuvas D 10 Mg/1000 Iu Tablet210.0
Rosycap D3Rosycap D3 10 Mg/1000 Iu Tablet99.0
Rozucor DRozucor D 10 Mg/1000 Iu Tablet150.0
Rozustat DRozustat D 10 Mg/1000 Iu Tablet122.1
Rosukem GoldRosukem Gold Tablet120.0
Zyrova D3Zyrova D3 5 Mg/1000 Iu Tablet120.0
Zyrova D3 ForteZyrova D3 Forte 10 Mg/1000 Iu Tablet180.8
Gluconorm G 1 DGluconorm G 1 D Tablet64.0
Gluconorm G2 DGluconorm G2 D Tablet98.5
Insulate NpInsulate Np Tablet200.0
T ScoreT Score Tablet166.67
Calcium SandozCalcium Sandoz 9 Mg/50 Mg Injection60.9
ADEL Acid Phosphoric DilutionAcid Phosphoric Dilution 1 M155.0
ADEL 26Adel 26 Oss Regen Drop215.0
ADEL 36Adel 36 Pollon Drop215.0
ADEL 51Adel 51 Psy Stabil Drop215.0
ADEL Alfalfa Tonic with GinsengAdel Alfalfa Tonic230.0
AvicalAvical 500 Mg Tablet20.93
SBL Dibonil DropsDibonil Drop85.0
Mama Natura EnukindEnukind Globules180.0
Omeo Diabetes DropsOmeo Diabetes Drop109.0
Omeo Strength SyrupOmeo Strength Drop269.0
Dr. Reckeweg R95Reckeweg Alfalfa Tonic490.0
Dr. Reckeweg R26Reckeweg R26 Draining And Stimulating Drop200.0
Dr. Reckeweg R40Reckeweg R40 Diabetes Drop200.0
Dr. Reckeweg R41Reckeweg R41 Sexual Weakness Drop200.0
Dr. Reckeweg R4Reckeweg R4 Diarrhoea Drop200.0
Dr. Reckeweg Vita-C 15Reckeweg Vita C 15 Nerve Tonic525.0
Dr. Reckeweg Vita-C 15 ForteReckeweg Vita C 15 Forte Tonic890.0
ADEL Sanicula aqua DilutionSanicula Aqua Dilution 1 M155.0
Dr. Reckeweg Sanicula Aqua DilutionSanicula Aqua Dilution 1 M155.0

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