Vomiting in infants and children is usually due to gastro-esophageal reflux disease (GORD or GERD).
The mechanism behind is due to the relaxation of muscles (sphincter muscle) in the lower part of the food tube - that is the esophagus.
Symptoms are-
Regurgitation of foods, vomiting, frequent and sudden spells of crying without any cause, aversion to eat, hiccups, etc.
Treatment
Small quantities of food at frequent intervals should be the method of feeding. Milk feeds should be thickened with rice cereals.
Homeopathic treatment
Medicines like Nux vom, Calc carb, Phosphorus, Robnia, Carbo veg. Etc . are the best medicines in homeopathy. Homeopathic medicines though treat symptomatically; it helps to correct the underlying pathology also. So after trying homeopathic medicines the cure will be permanent and the general health to the child is markedly improved. Homeopathic medicines are not only safe but easy to administer also.
BED-WETTING
Bed wetting or enuresis is more common in
boys, especially first born children or children who have experienced stress in
early life or children of lower social classes.
Bed wetting is mostly at night and never had a single dry night. This is the true bed wetting.
In secondary or acquired bed wetting it starts around the age of 5 and who had been previously dry at night for at least 12 months.
Genetic factors play an important role in the causation – boy with nocturnal enuresis, has 75% chance of having the first-degree relative who wets the bed even after five years of age.
Due to some chronic illness or inadequate training or due to maturation delay or due to small bladder capacity bed, wetting may occur.
In certain diseases like diabetes mellitus or diabetes insipidus also causes enuresis.
It may also occur as a symptom of psychological ill health with the presence of an organic disease.
Investigations
Urine routine examination for glucose and blood.
USG to rule out anatomical abnormality of urinary tract.
Management
Counseling and training
The child should be trained to empty the bladder before going to bed. All kinds of punishment should be avoided.
Fluid restriction after evening.
Bladder capacity training. Here during the daytime ask the child to hold the urine as possible and gradually increase the time before voiding.
Homeopathic treatment.
If the cause is due to any illness, the aim is to treat the cause. This should be done by considering the present pathological symptoms, and a suitable remedy is selected. This is followed by a constitutional remedy. If it is purely psychological, then homeopathic medicines equally act very well. For these, as homeopathic philosophy says the mental aspect of the child should be studied correctly and the physical impact or mental impact if any should be given importance.
Homeopathic medicines are highly recommended in bed wetting of children, and the result is very good.
Medicines like Cina, Sepia, Natrum mur, Causticum are the important remedies.
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JAUNDICE IN NEW BORN
Bilirubin
is the breakdown part of old and used red blood corpuscles in the body. And
this bilirubin is responsible for the yellow color of jaundice. And when these
bilirubins become excess, jaundice develops. The condition of excess bilirubin
in blood is known as hyperbilirubinemia.
Etiology
– normal bilirubin metabolism requires the
following factors.
1
maturity in livers
2
normal load of bilirubin
3
adequate quality and quantity of glucuronic acid conjugate for conversion of
the fat-soluble bilirubin (it is called as indirect bilirubin) in order to
water soluble (direct) bilirubin for proper excretion.
4
normal biliary passages.
5
patency and motility for intestines.
The
indirect bilirubin that crosses the immature blood-brain barrier causing
kernicterus or brain damage, and if it occurs, it is a serious condition.
So
it is in the ‘matured liver’ who takes up the bilirubin and after a series of a
process, it is released into the intestine,
since the liver of the new born is not matured enough to remove the bilirubin
quickly, there is excess of bilirubin in blood, this condition is known as
physiological jaundice.
In
infants jaundice may be also due to-
Sepsis
Blood
incompatibility between mother’s blood and infant’s blood.
Internal bleeding
Bacterial
or viral infection
Malfunctioning
of liver
Deficiency
of certain enzymes.
In newborn, jaundice appear on about the 4th
day and last for 5 days in full-term babies. But it may extend up to 7 days in
preterm infants. And the increases in value began to decline by about 2 mg%
which last for up to 14 days in the second phase. This may last for more than
one month in preterm infants and with exclusive breast-feeding and usually
requires no intervention.
Symptoms
In new-born, jaundice first appears in the skin and white of the eyes. It should be examined under the day light
How to check jaundice in new born?
Examination in natural light is a must to
check the neonatal jaundice. Gently press on the tip of the nose or forehead of
the baby. If there is paleness while pressing there is no jaundice.
Features
of pathological jaundice
(i)
Jaundice in first 24 hours
(ii)
Increase in total
bilirubin > 0.5mg/dl/hr
(iii) Total
bilirubin >15mg/dl
(iv) Direct
bilirubin>2mg/dl
Treatment
Frequent breast-feeding is good to remove the
excess bilirubin. Feed the baby at least in every 2 to 3 hours in a day and
whenever the child wakens at night.
Sun bath-expose the infant to sunlight daily for
about 15 minutes for 3 times a day.
How to perform a sun bath?
Keep the baby exposed next to a closed window
and let the sunlight rays shine on the body for about 15 minutes. The baby
should be fully exposed.
Even after the above measures if the discoloration
spread to other parts of the body, and the infant refuses to take breast milk,
and if there are fever and excessive crying, then definitely it is time to
consult the doctor.
Homeopathic treatment
Homeopathy is definitely effective in the
treatment of neonatal jaundice.
Usual remedies are Chamomilla, Arnica, Nux vom,
Merc sol etc.;
PICA
Pica is the tendency to eat non-nutritive
things over a period of at least one month without an aversion to normal food.
The term is derived from Latin and named
after a bird.
Geophagia- it is the pica of eating of clay.
Pagophagia is eating of ice.
Amylophagia is eating of starch.
Predisposing factors
X Lack of parenteral nurturing
X Iron deficiency
X Low socio economic group
X Autistic children
X Mental retardation
Usually eating substances are
X Clay
X Wall plaster
X Paint
X Ash
X Pencil
X Lead
X Soap
X Earth
X Mud
Management
Check for nutritional anemia, worm
infestation and other predisposing factors.
Furthermore, check for the complication of pica
like lead poisoning.
Treatment
Homeopathic is highly effective to remove
this craving for undigested things,
Effective medicines are Cina, Sulphur,
Graphits, Calc carb, etc..... The selection of medicines depends up on the
craving things, and also depends upon the nature to the patient.
Since the homeopathic medicine route out the
cause the cure is permanent.