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Sameer please help : blocked tear duct in 4 year old

Hi Sameer,

My 4 years old son is having nearly non stop watery flow from his left eye for past 3-4 days. It gets accumulated slowly and then overflows once in a while. there is also a little bit of mucus/pus kind of substance that gets accumulated on the corner of his eye.

We took him to paed today and he said he suspects blocked tear duct. He has prescribed a massive dose of antibiotics to him, which ofcourse we are not going to administer. He has also recommended us to see a ophthalmologist, but I am not sure if she can also help much except for doing a surgical procedure.

A little bit about him - he is asthmatic. actually he had frequently occurring asthma attacks when we were in bangalore. We moved to hyderabad some 4 months back and he has been doing better here. He was on homeopathic medicine - the usual morning evening night kind of doses, which we stopped when I read in your blogs that it is not right way of administering medicine. He had a couple of wheezing attacks, we gave him derihaler once or twice during the attack, but the rest he got better on his own. The last one happened some 2 months back. He is not on any kind of medicine for his asthma and seem to be doing okay now.

He is basically a happy child, he likes to play with his toys, with kids of his own age and with my laptop too. He is very sensitive to heat and loves drinking cold water/juices/milk etc. He does not like be left alone except for sometimes when his favt program is getting aired. He is scared of snakes - he actually saw some movie and cartoons and developed phobia of snakes. On a couple of occasions he refused to sleep in a room believing that there is a snake in the room. We are trying to help him get over the fear. He is a disciplined and co-operative child and understands what we want him to, normally doesnt create much fuss about anything. He copies/imitates character/person/child he gets impressed with. He also likes to hold hair of his mom at the time of sleeping. He doesn't like anyone else to touch his favorite things. He seldom shares his favorite food would do that quite miserly even if he does share.

Please let me know if you need further details.

Thanks,
Navdeep
 
  psoriasis1977 on 2009-07-14
This is just a forum. Assume posts are not from medical professionals.
And, the asthma gets worse at evening & night , especially when lying down ?

Better open air ?

Temperament is mild, soft and timid ?
 
sameervermani last decade
Hi Sameer,

Firstly, thank you so much for the prompt reply. I know you are taking care of many people on abc and must be busy with your own personal and professional life too. I really appreciate you taking out time for looking at my son's case.

Yes, his asthma attacks were usually worse in the evenings or at night, and also worse lying down than sitting up.

About being better in open air - not sure about this one. His wheezing definitely didn't get better in open air. But he used to be little less restless when in open.

Timid - He does have his own fears and anxieties, but not quite sure if it would be ok to call him timid. There are a few things situations or people that he is scared of, however, his general behavior is not too timid. he would usually approach kids of his age for playing or chat even if he is seeing them for the first time. with adults (strangers), he is a little shy, sometimes he would not answer them, sometimes he does, it all depends on his mood. with acquainted adults, he is quite ok...he would sometimes not let my friends sit and talk with me and want them to play with him. one of my friends brother visited our place and even before we realized, he was jumping on him.

Soft and Mild - yes he is. He would normally not create trouble and be well behaved. The more affectionate you are towards him, the more well behaved he would be.

Navdeep
 
psoriasis1977 last decade
Hi Sameer,

Forgot to add one thing - he is running high fever today. It started today early morning and it was 102 some half an hour back. We are giving him meftal and crocin to contain the fever.

Thanks,
Navdeep
 
psoriasis1977 last decade
Hmm.. Pulsatilla 30c , 3 doses are to be given equally spaced for 1 day only.

Dissolve 1 drop in 120 ml water, and give him a teaspoon from there. That's one dose.

Report in 1 week.
 
sameervermani last decade
Hi Sameer,

The little one has got completely cured. His eyes were better from the very next day of administering the dose and got completely cured in a couple of more days.

Thank you so much for your timely help. I just shudder to think how much antibiotics allopath would have unnecessarily forced down his throat!

Navdeep
 
psoriasis1977 last decade
Good to know, this is a lesson for those who throw a 10M or a 1M at every damn case from the very beginning and then complain about the potency being low in my prescriptions.

A 30c is an extremely powerful potency, when the remedy is correctly chosen.

Read this thread for an important debate :)

http://abchomeopathy.com/forum2.php/188972/
 
sameervermani last decade
Hi Sameer,

I need your opinion for my son's problem. Please go through the details below and please let me know if you can help in some way.

He has developed swelling in his lymph nodes right under his chin/jaw (left side - hard fixed), it is very tender to touch and has become so enlarged that it has distorted the shape of his face (because of swelling in adjacent area). This severe episode started some 4-5 days back. My wife noticed some swelling under his chin, but I thought of waiting it out. It become worse every rising day and yesterday we took him to paed.

He ordered various blood tests (complete blood count, CRP, PEP, TB, ESR), ultrasound and straight away put him on antibiotics. He also referred the case to a dentist, who added another antibiotic to the list today. Right now we are giving him 2 antibiotics, one anti allergic and crocin on need basis.

His CRP is high (15.6 mg/L), ESR is high (35 and 78 mm/H), WBC count is also high (14800). Radiologist reported 'Left submandibular matted non necrotic lymph nodes measuring size 2.3x1.2 with adjacent soft tissue edema. Lateral upper cervical nodes measuring about 1 cm each.'

Doctor is saying that it could be bacterial infection. He has asked us to report back after a week. the antibiotics are to be taken for 10 days.

There is something relevant that I think is apt to mention here. A couple of months back he developed 8-10 boils on his face (near/under chin area) after eating mangoes. Since he is already hypersensitive, we thought of letting his defense mechanism work it out. In about 10 days, all the boils burst oozing out pus. We thought the episode is over, but then we found a small hard lump under his chin (right in the center), paed told that it is lymph node, should be ok in a couple of weeks and it turned out to be so too. In under a week his lymph node came back to normal.

We think that the two episodes may be inter related.

His condition seemed to have worsened since yesterday. I know it takes 2-3 days before it starts to show some results. But he seem to be in a lot of pain today. He has become cranky, he is throwing around tantrums and he is moaning in his sleep and starts crying soon after. He says 'please take me to doc' and we can understand that he is in pain...We feel so helpless...

His condition deteriorated so quickly that we didn't have a chance to avoid antibiotics. He was not eating anything yesterday and from a day before to yesterday the swelling had increased considerably.

I understand that homeopathic remedies might not be administered while taking allopathic medicine, but since we feel that this is quite serious given the problem location, is there some way in which homeopathy can help us in conjunction with already ongoing treatment?

Thanks
Navdeep
 
psoriasis1977 last decade
You can give a single dose of Pulsatilla 200c.

1 teaspoon as dose.
 
sameervermani last decade
Okay...Thanks Sameer...we will give him puls 200 today. His fever has slowly started to swing more. We just gave him meftal.

I am sorry I should have informed you of these boils earlier when I wrote to you first time. But just went completely out of mind.

Do you think blocked tear duct and this episode could also be related and that getting resolved resulted in this problem?
 
psoriasis1977 last decade
Yes that can happen, but the direction of cure is correct, and you should not have given allopathy for this.
 
sameervermani last decade
Hi Sameer,

I too feel that we shouldn't have started the allopathic treatment before consulting you. But fom saturday to sunday to monday, things got exponentially worse in terms of swelling, pain and enlargement of the node. Moreover I myself didn't know what was going on with him. We got scared and the first words from paed were also not comforting - he said it is very unusual for lymph node to grow that big. Even before the diagnostic results he put him on antibiotics and we just followed - we didn't know what to do.

It was only yesterday that he said after looking at the reports that he suspects a bacterial infection induced enlargement of lymph node , and then I could link it up with the previous episode. Then I decided to inform you. However he added that if the size of node doesn't become half by the time we see him next time, we would have to go for biopsy (and maybe further tests).

There is no further deteroration in his condition today, apart from the mild fever that he is having. But already the swelling on his left side is too much and the lump didn't seem to change much. We thought his swelling looked a little better today, but again that maybe a premature reading.

He woke up happy in the morning and started playing with his toys. He didnt want me to leave for the office but I had to. He is still very peevish - gets upset (sometimes angry) at the smallest things and starts throwing tantrums and starts crying too. That is not his usual behaviour, he is very adjusting and understanding. We are also giving in because of his condition and let him have his way. His appetite was ok yesterday but he hasn't eaten much today. His energy levels are also low. I also observed him grinding his teeth today (again unusual).

We will give him puls 200 today and keep you posted on his condition.
 
psoriasis1977 last decade
Hi Sameer,

Just an update on his condition, we were feeling in the morning that there seem to be some improvement. But after coming from office, I don't see improvement. The lump seem to have increased a little in size, and there is swelling on his left cheek near to the jawbone extending nearly half the length of his face upwards. However, he seem to be happy and in playful mood. He still complains of pain when inquired about and not letting us touch the swollen area. He did eat some rice eventually in the afternoon. Also his crankiness seem to be more when he is having fever.
 
psoriasis1977 last decade
Hi Sameer,

We gave him puls 200 yesterday night just before him going to sleep and 1 hour after his other medications. His most protruding part on submandibular
bulge is becoming red and feels hot to touch (as told by his mother sometime back). Otherwise not much change in his condition since yesterday. The good part is that it hasn't worsened. I believe it would take us a few more days to see the more visible impact of puls kick in.

We have to see his paed next monday. Meanwhile I'll keep you posted on his progress.

Thanks
Navdeep
 
psoriasis1977 last decade
Hi Sameer,

He woke up today morning throwing up a yellow watery mucusy kind of vomit and followed it up with 3 more watery vomits. I am not sure if this could be his body trying to get rid of.

Since he is already weak because of continuous fever and not eating properly, I wanted to know if we need to intervene or we let him throw up for some more time if you think this could be a part of the discharge process.

Thanks
Navdeep
 
ruchimanav last decade
Keep him well hydrated and give him sugar and salt solution if needed.

Otherwise, no need to intervene.
 
sameervermani last decade
Hello Sameer!


It was a difficult day for the little boy today. So I thought of letting you know about his status. I forgot to mention one thing in my morning post - the swelling on the both cheeks was less today when he woke up and continued to improve during the course of the day. But the size of his enlarged lymph node remains almost the same. It continues to be red and feels warm to touch.

He had fever only once in the afternoon, he used to have it every 4-6 hours till yesterday.

He vomited 4-5 times in the morning and started having loose motions. Then during day time he didnt vomit but he kept on passing a little stool with little mucus for almost all day. He was ok otherwise for the entire day, but started looking dull and weak towards the evening. Then he went for a little walk with me and just lost almost all of energy, asked me to pick him up and was fully leaning on me. He threw up again twice and his condition deteriorated rapidly - he was lying limp on the bed. We had to give him anti-vomit medicine and glucose to re-energize him back (which fortunately did work!). Had it not worked, we would have taken him to ER. He was throwing up even water and had started to refuse to take anything. He had got scared with frequent throw ups.

His appetite was very weak today. He had some rice and soup in the afternoon (which he eventually threw up in the evening) and half idli in dinner. But he had lots of fluids (with and without glucose).

Sameer, a quick question before I close...can the discharge process for homeopathic remedies get so severe or could it be because of something else? It has been too much for him to handle.

Thank you, and I really appreciate your time and attention for my son!

Navdeep
 
psoriasis1977 last decade
Usually the discharges can carry on for 2-3 days of strong lose motions and vomits, depending on case to case.

When he has stabilized a bit, report back, and we will then think of the next step.
 
sameervermani last decade
Hi Sameer,

An update from the paed visit today - he told that there is lot of pus accumulation that has happened around the node and need to be drained out immediately. We met a paed surgeon in the same hospital and he performed a small incision to drain out the pus. He drained a total of 10mm pus and his lump has almost gone now. He didn't put any stitches on the wound and inserted some dressing inside so as to allow more pus to come out if it has to. We have to see him daily for next 5 days for the dressings.

We also had to intervene for his loose motions and vomiting as doc told that these are side effects of antibiotic (amoxycycline). He had nosebleeds twice - yesterday and day before, again because of the side effects. I noticed today only that he was being given 400 mg of amox twice a day! I consider that MASSIVE, but I guess given the magnitude of problem, it would have been needed.

His wound still continues to bleed a little (his dressing is getting redder), however he is stable but with much of allopathic medicines we have to feed him. We have to give him medicines for 5 more days because of this surgical procedure.

I'll keep you posted on his progress. Please let me know your valuable opinion as and when you deem necessary.

Thanks,
Navdeep
 
psoriasis1977 last decade
Hi Navdeep,

Please come back when his situation has stabilized.

Good luck
 
sameervermani last decade
Hi Sameer,

He has recovered quite well now. We last saw his doctor two weeks back and he was happy to see the progress and informed us that he was apprehensive of recovery when he put him on antibiotics. Anyway that episode is behind us now.

However, he has started showing signs of relapse of asthma. We never thought it has completely gone away, but he had responded well to change in climate. He had a couple of episodes where we thought he would get an asthma attack, but recovered well after one or two puffs of inhaler. Not this time...

He had his birthday on 27th of last month and had all the eatable things we would not normally give it to him. He started to have heavy breathing with pulling in of his neck as well as accompanied wheezing. We are giving him blue inhaler almost once every day or alternate days but it is not going away this time. It is not asthma attack (I don't know for sure but I think asthma attack would not subside for many days), but he is having breathing difficulty atleast once a day accompanied by wheezing. Most of the times it is triggered by his physical activity like running around in the house or his dancing to some music. He loves music and loves to dance (only in front of his parents). He would tell everybody else to go out of room when he wants to dance.

He also had quite severe coughing yesterday night (around 12.30 am). He used to have it earlier too but when we were in bangalore. We didnt give him any inhaler yesterday during the day, but at night we had to give him relent (cetrazine) and inhaler because it was not going away.


It has been raining intermittently for last 3-4 weeks. It is wet and humid weather here these days, which is otherwise pretty dry. I am not sure if this is also playing some part in his asthma.

He has also started bed wetting almost on a daily basis now. He started doing it recently and I'm afraid it coincindes with his first dose of pulsatilla. He also seem to have developed incontinence especially while asleep.

Can you please help us with his condition! Please let me know if you need further information.

Thanks,
Navdeep
 
psoriasis1977 last decade
I would recommend 3 doses of Silicea 30c for 1 day only.

Dissolve 1 drop in 120 ml water, and give him a teaspoon from there. That's one dose.

Report in 10 days.
 
sameervermani last decade
Hi Sameer,


We gave him Silicea30 same night (07-08/09) at 12AM/4AM and 8AM. He woke up with his wheezing sounding worse (double wheeze) and we had to give him inhaler at regular intervals. His asthma attack continued well into the next day. He was having a lot of congestion. We gave him expectorant too (on 09/09), and he vomited out a little mucous. He started to feel better after that. However, he would still get breathless after the physical activity and had to labor for breathing.

On Sunday and Monday, we had to give him inhalers because he started wheezing again, but was less this time around.

He seem to be doing fine since yesterday. However he seem to be having some trouble breathing while he is asleep. He forces his tummy in to breathe out.

Behaviour wise, not much change except that he has become naughty, enrgetic and wants to play and laugh all the time. We have to moderate him sometimes so that he doesn't get too breathless.

Sameer, how do we proceed with his case? Shall we give him the remedy on when he shows some symptoms (e.g. asthma attack) or shall we give him remedy based on his behaviour so that his hyper responsiveness is cured?

Thanks,
Navdeep
 
psoriasis1977 last decade
We should treat based on his constitution.

Will respond in a day or 2.
 
sameervermani last decade
I think we should wait for 1 more week.
 
sameervermani last decade
Hi Sameer,

Wish you a very happy Dushehra!

I was visiting my native place at a very short notice and did not have access to internet. My apologies for the delay in giving you update about his status. He seemed to be okay at the time of posting my last message, but had breathing difficulty later in the evening. We were travelling the next day and air conditioning made things worse for him.

The weather was extremely hot and humid at my native place. I felt that there was too much of dust in the air. His condition worsened with all these factors and we had to use both the blue and pink inhalers. For last two days, he is off both inhalers and seem to be doing fine as of today. He is still there at my native place.

I am not sure how much he was helped by Silicea because we had kept a threshold for using allopathic options. It is not very low, but when we hear him wheezing and when he is having breathing difficulty, we administer inhaler to him.

Thanks,
Navdeep
 
psoriasis1977 last decade

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