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Quick reference medical handouts used by Pediatric offices


My daughter's fontaniel has not closed - she is 2 years and 4 months old. Should we be concerned? What is the reason that is has not closed yet? Would calcium help? Any information will be greatly appreciated.
    
In order to properly respond your question, we could use a little more information. We will use two assumptions in answering your question: (1) You are speaking about the anterior fontanelle (“soft spot”) and (2) Your baby’s head size is otherwise normal.

Normally, the anterior fontanelle closes by 12 to 18 months of age, but we have seen some that are still slightly open at your daughter’s age. Failure to close or closing at too slow a rate is seen in some medical conditions, such as low thyroid function. In an otherwise healthy toddler, an isolated finding of a still open fontanelle is not that worrisome. However, it is important to examine the entire child to see if the open fontanelle is a clue to another problem. We would therefore recommend you discuss this with your daughter’s pediatrician. If everything else is normal, then the open fontanelle probably does not represent a problem for your daughter.

We are fairly sure that lack of calcium is not the problem

 

As a reminder, this information should not be relied on as medical advice and is not intended to replace the advice of your child’s pediatrician. Please read our full disclaimer.

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