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Acute Tonsilitis Emergency

I have a 10 year old daughter who is currently suffering from acute Tonsilitis.

For last six months she has been down almost one week every month with very high fever (104 F -105 F). Each time she was treated for throat infection and tonsilitis with different antibiotics, mainly Amoxcilin, Ethromycin and Ceftrioxane.

Since Friday (7th day today), she has been down with 105 F fever and tonsillitis which appears to remain unaffected by the above antibiotics. She is responding mildly to Paracetamol, to the extent that an adult dose of 500 mg brings down the temperature for a few hours to around 100.5 F – 101 F and then it tends to shoot back up to 103 F. Even at that temperature her feet are usually cold. She has been complaining of pain in the left knee over last few months, but X-rays showed no abnormality.

Her tonsils are frighteningly swollen and red and have now almost blocked her throat 90%. She complains of pain in the throat while swallowing. She has also developed incessant cough over last 48 hours. She was nebulized, after which the cough frequency has reduced from once every 2 seconds to once every few minutes or more. When she sleeps the coughing frequency drops further.

Today : (1) She complained of pain in left ear while coughing, (2) her left eye appears red and slightly shrunk compared to the right one (3) Since yesterday she is having loose motions (almost once every hour) and passing out jets of watery stools (4) She has developed rashes all over her body (4) Her food intake is meager (hardly any compared to her usual poor diet) (5) She appears de-hydrated, looks emancipated, has drowsy eyes and doesn’t appear to have much will or the energy to talk.

She is presently admitted in a reputed hospital, with Ceftrioxane 3g been administered I.V. Chest X-rays appear normal, blood reports don’t show any serious anomaly, most CBC counts are closer to the lower limits, but not alarming, throat swab is gram positive for Coccii. Blood culture reports will be available after 72 hours.

The doctors are not sure of diagnosis yet and believe it is either a serious case of acute Tonsilitis gone bad or a composite viral infection with concomitant acute Tonsilitis. Don't even know whether tonsilitis is the cause or effect of, as yet, unknown cause.

She is an attractive child, enchanting, cheerful and talkative, is usually very apprehensive of desease and fever, a slower eater, averse to eating curd, is underweight (30 Kgs only), prefers salty (and junk) food whenever possible, dosn’t like fruits, is fond of cheese, attempts to swallow food with water. Has short concentration span, prefers engagement in physical activity over mental activity. Shows good grasp when made to study and is otherwise quite wise, emotional, compassionate and sharing. She has low immunity and tends to catch infections frequently.

I took her to a nearby homeopath on first second day of the fever. He said the tonsils were really really bad, upto 80% blocking. He prescribed three 2 hourly pills, an analgesic liquid for fever and 3 tabs TDS (perhaps for soar throat). No idea what those pills contain and that treatment hasn’t helped so far and was discontinued after 2 days. At present, it is not possible to discontinue her ongoing emergency allopathic treatment

Please advise what homeopathic treatment can be started for her to pull her out of this emergency state, how to prevent a relapse in future and how to increase her immunity to infections for the future.
 
  kgovindam1 on 2010-12-16
This is just a forum. Assume posts are not from medical professionals.
This sounds like an illness that has been suppressed too often with medical drugs. This is a very serious case.

Has your daughter been able to describe the throat pain at all?

What kind of access do you have to homoeopathic medicines?

Both the acute and chronic symptoms look Tubercular to me.

Is she sweating? If so does the sweat have an odour, does it occur at certain times, on certain parts of the body?

Is the cough productive? What is brought up? What aggravates the cough? What makes it better (apart from drugs)?

What is her thirst like? What does she want?

The general state of weakness, fever, diarrhea, emaciation, lack of appetite,constant coughing, cold feet, gushing watery stool - would suggest the remedy Tuberculinum to me. However quite a lot of remedies come up for the symptoms mentioned.

If however I add in the chronic symptoms you mention, then the remedy that comes up most strongly is Phosphorous, which is also a well-known tubercular remedy. In any case where I see a strong indication for Phosphorous, but the exhaustion, weakness and emaciation with sunken eyes is very prominent, I will usually consider Phosphoric acid instead.

Perhaps others will have some better suggestions?
 
brisbanehomoeopath last decade
Thanks. I appreciate your quick response. Answers to your queries are as follows :

>Has your daughter been able to describe the throat pain at all?

Complains of pain while swallowing. That’s the most description she provides.

>What kind of access do you have to homoeopathic medicines?

We have full access to all homoeopathic medicines.

>Both the acute and chronic symptoms look Tubercular to me.

Please forgive my ignorance of homeopathy, is ‘Tubercular’ a symptom, disease or a remedy ? If you mean a disease like tuberclosis of the lungs, she was examined for that. The X-rays are clear and show no signs of any likely disease. If its something else, please elaborate.

>Is she sweating? If so does the sweat have an odour, does it occur at certain times, on certain parts of the body?

No she is not sweating. Surprisingly she hardly ever sweats. On the contrary, she appears to have a very dry skin, parched lips almost all year round even when she is normal. Over the last few months, dry whitish patches have started to appear on her face. They look like ones suggestive of calcium deficiency in children or fungal infection on the skin.

>Is the cough productive? What is brought up? What aggravates the cough? What makes it better (apart from drugs)?

It was dry cough until they put her on IV fluids two days ago. With two days of continuous IV fluids, today her cough sounded wet but it is not productive at all. Nothing in specific aggravates the cough. It appears to increase on its own, maybe at times when she sits up and subsides when she sleeps. I guess its just rest that makes the cough become better.

> What is her thirst like? What does she want?

Her constitution appears dry, but she does not complain of thirst. Her fluid intake is hardly one cup a day and that’s probably the reason she is on constant IV fluids. She feels averse to any oral intake (solid or liquid) even when coaxed to.

>The general state of weakness, fever, diarrhea, emaciation, lack of appetite,constant >coughing, cold feet, gushing watery stool - would suggest the remedy Tuberculinum to >me. However quite a lot of remedies come up for the symptoms mentioned.

>If however I add in the chronic symptoms you mention, then the remedy that comes up >most strongly is Phosphorous, which is also a well-known tubercular remedy. In any >case where I see a strong indication for Phosphorous, but the exhaustion, weakness and >emaciation with sunken eyes is very prominent, I will usually consider Phosphoric acid >instead.

Then what’s the remedy to be tried ?

Allopathy has not yet thrown up any diagnosis. The doctors are in a wait and watch mode. Antibiotics are being administered to keep away any additional bacterial infections. In absence of any evidence to the contrary, present hypothesis of allopathic doctors is that it is a case of uncontrolled tonsillitis which is likely compounded by additional bacterial or viral infections in the throat or elsewhere.

>Perhaps others will have some better suggestions?
 
kgovindam1 last decade
What was happening in her life just prior to or at the same time as her first attack?

So my understanding is she has no thirst and no sweat during the fever, and that overall she seems parched and dry? She is losing weight, is unwilling to talk, has lost interest in things.

Based on the extra information you have given, I would give her Nat-mur 200c. Are you able to procur this remedy?

The remedy should be bought or made into a liquid dose. If you can only get pellets or pillules, also get hold of a small bottle preferably with a dropper. One pellet or pillule is dissolved into the water in the bottle, the bottle is hit twice before giving each dose, one drop is placed in 1/4 cup of water, the water is stirred thoroughly, and finally 1 teaspoon is taken out of that into your daughter's mouth.

Throw that cup of water out, then remake it each time. Repeat the dose after 2 hours, then report the reaction. If the first dose creates a marked reaction do no give the second dose.

A reaction may be a mild worsening of the symptoms before there is improvement. A reaction may also be an old symptom suddenly reappearing for no reason. These are all expected and nothing to be concerned about, but you do not do any more doses until such symptoms pass off.
 
brisbanehomoeopath last decade
>What was happening in her life just prior to or at the same time as her first attack?

Nothing unusual was happening, except that she sometimes complained of pain in the left knee and sometimes about her throat hurting. Her lips usually remained dry and she would eat food very slowly, perhaps because of disinterest in eating, she didn’t like concentrating on eating. She usually gets tired and sleepy by seven in the evening and often complains of pain both legs while going to bed.


>So my understanding is she has no thirst and no sweat during the fever, and that overall >she seems parched and dry? She is losing weight, is unwilling to talk, has lost interest in
>things.

That’s correct. However, there’s been a change for good in her condition over the last 32 hours. Her fever has broken and now it touches down to 98.6 F, unlike before when it would not fall below 102 F, although it tends to rise again if paracetamol administration is delayed. She continues to take a 6 hourly dose of 500mg paracetamol and 1.5g of Cefatriaxone injections twice daily. Her cough appears to be abating too. The emaciation is fading, she appears to have gained some energy and has started oral intake of solid food. She is now talking, but not as much as before.

Since there is still no confirmed diagnosis of her problem, as you suggested, this could well be suppressing cause of the disease harder with stronger medicines.

>Based on the extra information you have given, I would give her Nat-mur 200c. Are you >able to procur this remedy?

I was able to get Natrum Muriaticum 200 in liquid form. The ‘c’ as in ‘Nat-mur 200c’ suggested by you is missing. Do I have the right remedy ?


>The remedy should be bought or made into a liquid dose. If you can only get pellets or >pillules, also get hold of a small bottle preferably with a dropper. One pellet or pillule is
>dissolved into the water in the bottle, the bottle is hit twice before giving each dose, one >drop is placed in 1/4 cup of water, the water is stirred thoroughly, and finally 1 teaspoon i>s taken out of that into your daughter's mouth.

Please reconfirm that for Natrum Muriaticum 200 procured in liquid dose form, also one drop is to be placed in ¼ cup water, stirred thoroughly and only one spoon is to be administered as a single dose. Second dose should follow after 2 hours.
 
kgovindam1 last decade
Yes that is the correct way to use the Nat-mur 200. As her situation is less acute than it was, I would only give her the single dose and not repeat it afte 2 hours. Give me regular updates on her reaction to the medicine.
 
brisbanehomoeopath last decade
Will do that first thing tomorrow morning on empty stomach and update on the reaction.
 
kgovindam1 last decade
Davind,

I havn't been able to give Nat Mur 200 to my daughter yet as the doctors did not permit any external medication while she was in the hospital. She is now discharged and recuperating at home.

The last test performed on her was an ultrasound of the abdomen as she complains of occassional abdominal pain. The ultrasound report shows that she as the following abnormalities :

1. Multiple stones (size 4mm max) in the Gall Bladder

2. Multiple small homogenous lymph nodes in the Mesentry region (near small intestine). No significant lymphadenopathy.

The doctors have refered her to pediatric surgery for further follow up.

I will try to give her a dose of Nat Mur 200 tomorrow.

Is there any remedy for gall bladder stones in homeopathy ?

Do the swollen lymph nodes in the Mesentry need to be treated with homeopathy ? The doctors believe that they would return to normal in a few weeks time, once the infection is completely gone.
 
kgovindam1 last decade
My daughter is recovering. I was finally able to give nat Mur 200 to my daughter. There is no notiable reaction upto 48 hours. Do I just leave it at that or is there are follow up remedy to be given ?

For those whom it might help - her ultrasound of abdomen showed gall baldder stones. I found on the web that allopathic cetriaxone antibiotic leads to gall bladder stones which disappear after the drug is discontinued.
 
kgovindam1 last decade

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