![]() ![]() National Institutes of Health Office of Dietary Supplements. Vitamin D fact sheet for health professionals.Department of Health and Human Services and U.S. 2015-2020 Dietary Guidelines for Americans.Dietary Reference Intakes for calcium and vitamin D.If you're concerned about whether you're getting enough vitamin D, talk to your doctor about your diet and whether a vitamin supplement might benefit you. In fact, too much vitamin D has been linked to other health problems. Very high levels of vitamin D have not been shown to provide greater benefits. For example, choose fatty fish, such as salmon, trout, tuna and halibut, which offer higher amounts of vitamin D, or fortified foods, such as milk and yogurt.ĭon't overdo it, though. To meet this level, choose foods that are rich in vitamin D. ![]() That goes up to 800 IU a day for those older than age 70. The Recommended Dietary Allowance (RDA) for adults is 600 international units (IU) of vitamin D a day. However, some groups - particularly people who are obese, who have dark skin and who are older than age 65 - may have lower levels of vitamin D due to their diets, little sun exposure or other factors. For most adults, vitamin D deficiency is not a concern. Consultations with a mental health counselor and nutritionist were recommended.Although the amount of vitamin D adults get from their diets is often less than what's recommended, exposure to sunlight can make up for the difference. The iron deficiency was thought to be the cause of his pica. His GI symptoms gradually resolved, as did his pica. This child was treated with parenteral iron, because he refused oral iron. Accumulation of ingested pebbles in the colon can lead to intestinal obstruction. There can be many adverse medical consequences of pica depending on the type of substance ingested. ![]() 3 In addition, pica is common in infants and children who require prolonged (more than 1 month) total parenteral nutrition and receive no enteral nutrition. Specific nutritional deficiencies of particular trace elements may trigger the behavior.1 Iron deficiency is frequently associated with pica. 3 The basis of this unusual craving for nonfood items remains obscure. 1,2 Its name comes from Pica hudsonia, the Latin term for magpie-a bird that is believed to eat almost anything. Pica involves repeated or chronic ingestion of nonnutritive substances (such as plaster, charcoal, clay, wool, ashes, paint, and dirt) for at least 1 month. Mean corpuscular volume was 74 fL, mean corpuscular hemoglobin concentration, 32.2 g/dL red blood cell count, 47,200/μL and platelet count, 484,000/μL. Laboratory studies revealed a hemoglobin level of 11.3 g/dL, an iron level of 28 μg/dL, and a ferritin level of 5 ng/mL. Air was present throughout the bowel there was no sign of obstruction. An abdominal radiograph showed multiple round densities, suggestive of pebbles. Physical examination findings were unremarkable. ![]() His family was of low socioeconomic status his mother, a single parent, received social assistance. Small pebbles had been noted in the child’s stool. He recently had had abdominal pain and some discomfort with defecation. The child had a tendency toward constipation. The mother of a 4-year-old boy was concerned about his habit of eating stones and wall plaster the habit had persisted for the past year. ![]()
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