In the clinic, on the Internet and on the phone, many parents of children treated with growth hormone often ask me many questions about growth and development, and naturally, parents who have answered the questions will have no more questions, but parents who cannot talk to me directly may still have many questions, so this time I have sorted out and answered some of the questions that are frequently asked by the parents, and I hope that it will be helpful to all of you. 1. Is it normal for my child to feel pain in his legs after taking medication for a while? First of all, we need to confirm the child’s pain, usually the child after the use of medication is possible, it is likely to be growing pains, the specific circumstances need to be combined with the clinical manifestations of the doctor to determine. 2. Is it normal for my child to feel that he or she is not growing at all after taking the medicine? Whether the child’s height grows or not needs to be evaluated objectively, and there are many interfering factors, for example, there is a big difference between the height of some children measured in the clinic and their own height; measuring height in the morning and in the afternoon will have an effect on the measurement results, and the specific growth rate of the child’s height needs to be measured in the clinic, so that the doctor can judge whether it has grown or not, and whether it is good or not. 3. My child has been on medication for a month, he doesn’t eat much, and he jumps rope 500 times a day, but he has grown a kilogram. What should I pay attention to in the future? Human growth hormone has the function of promoting protein synthesis and metabolism, and at the same time has the function of promoting fat decomposition. If the child’s current exercise level is maintained appropriately, you can analyze whether the child’s current diet structure is reasonable. It should be emphasized that the child must have a moderate amount of exercise and control the intake of staple food during the period of medication, so as not to allow the child’s weight to grow too fast. 4, what kind of children after the application of growth hormone effect is not obvious? For children with large bone age and genetically unsatisfactory height, the effect may be relatively poor. For each child’s diagnosis is different, the doctor’s treatment plan is also different, the response to the medication is different, the specific use of the drug whether the efficacy of the effect, the effect is good, need to use the drug 1-3 months to evaluate. 5.Can I take zinc supplements during the medication? Zinc supplementation should be taken into consideration of the child’s clinical manifestations. In fact, as long as the child’s diet is reasonable and nutritionally balanced, the probability of zinc deficiency is not high. 6.Does it matter if I don’t take the injection once or twice in the middle of the medication? The frequency of growth hormone injections should follow the doctor’s instructions for better results, in the middle of the special circumstances, if you stop 1-2 days, it is not a big problem, but try not to interrupt, in order to avoid this situation, we suggest that parents teach their children how to inject the growth hormone, so that the child in the psychological acceptance of the child is also beneficial. 7.What is the difference between water and powder? Is it possible to change the powder and water dosage casually? The advantage of the water dose is that it is easy to use and more convenient for parents and children to operate. Used with injection pen, the pain is lower, and the child is easier to accept; from the safety point of view, at present, there is no antibody detected in the aqueous agent; from the activity point of view, the activity of the aqueous agent is higher than that of the powder, and theoretically, the therapeutic efficacy is better than that of the powder. However, due to the individual differences in children, height is affected by a variety of factors, such as: diet, sleep, exercise, genetics, etc., so clinically it can not be very intuitive to see a big difference, in order to grow well, it must be under the guidance of the doctor in a variety of aspects of cooperation. Water and powder conversion depends on the patient’s situation, need to communicate with the doctor, should not be privately converted at will. 8. My child is now using Daphne, and now I feel that my child’s breasts have stopped developing and the leukorrhea has disappeared, is this normal? Is it normal? This is normal and shows that it has inhibited the development. 9. My child’s grandparents are both diabetic, do I need to go to the hospital regularly to measure my blood sugar? Blood glucose must be monitored regularly, generally every 3 months, must be on time, at the same time need to assess the safety of other aspects of the drug objectively. 10.Can my child take Icosin AD capsules (2000 units of vitamin A, 700 units of vitamin D3) and calcium and magnesium tablets if he has high alkaline phosphatase after taking the medicine? High alkaline phosphatase in children is a normal phenomenon, which indicates that children’s bone metabolism is high at this stage and growth is vigorous, and the level of alkaline phosphatase can be up to about two times of the normal value. When growth is more vigorous, some vitamin AD and calcium can be taken in moderation. 11.If the medicine is used, how long can the injection site be rotated at the longest? Can the injection be given in the abdomen all the time if it is well absorbed in the abdomen? If the site is not rotated, does it affect the absorption effect and is there any harm? For children who have been using the drug for a long time, the injection site should be rotated appropriately. There is not much difference in the absorption effect, but the pain in the abdomen will be less. 12, the child with the drug after picky eating, sleep can not guarantee is the biggest problem, these two problems are bound to affect the therapeutic effect, right? Clichéd problem, whether or not the drug treatment, the child’s bad habits need to be corrected, to develop good habits for the child’s growth and development are beneficial.