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Attn: Joe De Livera - Infant Acid Reflux and Constipation 3



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Attn: Joe De Livera - Infant Acid Reflux and Constipation

My son was diagnosed with Acid Reflux at the age of 1 month. At first he was prescribed Prilosec and Zantac, then we switched to Prevacid as the first two were not helping much for his Reflux. He's 4 months old now and is still on Prevacid. It works for his Reflux; however, it makes him constipated (he can go without poop for days, and really suffers from it by trying and being unable to move bowels, forehead and head sweating while breasfed, crying, and waking up frequently.) When he finally poops (with help; our pediatrician recommended pear and prune juices (don't help), lactulose (gives him abdominal cramps) and glycerin suppositories (seem to help), his sleeping pattern changes for a couple of nights dramatically - he sleeps well, and after about 48 hours without moving bowels the cycle starts all over... He is exclusively breastfed.

I came across this forum and found out that my baby's Reflux can be treated with Nat Phos 6x and Nux Vomica 30c. I also read that Nux Vomica can be used for my son's constipation. I also read your thread http://abchomeopathy.com/forum2.php/76124/
I am not sure about the dose of Nat Phos 6x for my 4-month-old. He is 26 1/2 inches long and 17.5 lb now.

So far, I followed advise from this thread http://abchomeopathy.com/forum2.php/210362/ and gave him Nux Vomica 30c (2 pellets dissolved in 2ml of boiled water 3 times a day) for his constipation yesterday. Still giving him Prevacid. I have yet to see any positive results from Nux Vomica 30c. Just smelly gas, and sleepless night, especially closer to the morning he was unable to sleep even though was very sleepy.

It seems to me his symptoms have gotten worse today... as he's fussy today and does NOT want to play by himself at all (unusual, when nothing bothers him, he's a very content baby), but instead wants to be held constantly, keeps moving his legs up and down, turns and tosses while at the breast, spits up more, forehead sweats as he's trying to poop, but nothing comes out. Also has difficulty with going down for his naps today, it took me an hour to put him down right now, which is really unusual... I've read that physical symptoms may get worse at first when homeopathic remedy is administered, then my question to you is this:

How long should I wait for the positive results from Nux Vomica?

What should I do next? When do I start Nat Phos 6x and what dose?

I do believe Prevacid causes his constipation as he is exclusively breastfed otherwise.

I am new to homeopathy. Could you please provide a detailed schedule including the dose and duration for each remedy for my 4-month-old? Or should it be only one remedy? So many questions, sorry... I would LOVE to stop giving him Prevacid as I know how harmful it is for his little body... Thanks in advance!
[message edited by yuliak on Thu, 07 Jul 2011 03:51:23 BST]
  yuliak on 2011-06-26
This is just a forum. Assume posts are not from medical professionals.
This is an example of how you have taken upon yourself to experiment with the therapy I have prescribed to other patients with zero results and it is fortunate for your 4 month old son that you recorded his ailment on this ABC forum even though very late.

You must use Nat Phos 6x FIRST and the dose is 1 tablet dissolved in milk or water and taken immediately after a feed. This will usually fix the problem almost immediately.

Nux Vomica is only of use to reinforce the action of the Nat Phos if it does not help.

You should notice that in a few days your baby will not need the Nat Phos and you can then stop the dose.

Please do not give your infant son the Prilosec or Zantac that your pediatrician has prescribed as the after effects on a baby can be dangerous.

Report progress in 24 hours after the first dose.
Joe De Livera last decade
Dear Joe,
I am very sorry I've done that... I hope I didn't do any harm to my baby... The thing is that I did ask for help and explanation before I gave my son Nux Vomica; however, I mixed up the forums, and used 'homeopathy and more' website instead of this one, and I am yet to get clear answers to my questions on that forum...

So, just to clarify, tomorrow I stop Prevacid and give 1 tablet of Nat Phos 6x to my son. Then I wait for 24 hours, observe, and I report progress to you. Do I give him another dose of Nat Phos 6x for a few days after that?

Homeopathy is amazing. I still cannot believe that a few doses of Nat Phos 6x can cure my baby's Acid Reflux that's been treated by different kinds of drugs for 3 months now...

Also, I am trying to understand why Nux Vomica didn't help my son's constipation, was it incorrect dose or wrong potency or his condition just requires a different homeopathic remedy?

Will Nat Phos 6x also cure his constipation? My son was so miserable tonight (2.5 days without moving bowels),I had to use glycerin suppository tonight again... ugh... I really hope I will never have to use those again.

Once again, thank you so much for your time in answering my questions!!! I really need your guidance at this point!
yuliak last decade
You will have to give a tablet of Nat Phos 6x after every feed for a day and reduce it down to half tablet on day 2 and later taper it off on day 3 to half when your baby's GERD should have stabilized.

NP is also the ultimate remeduy for his constipation which should be stabilized within 24 hours.
Joe De Livera last decade
One more question: Do I give him NP during the night also (he still gets 2 feeds at night)?
yuliak last decade

[message deleted by yuliak on Wed, 29 Jun 2011 02:08:59 BST]
yuliak last decade
It is the symptoms that guide us to the remedy. Symptoms need to be examined closely and individualised for a homoeopathic medicine to work best.

There are two kinds of 'worsening' that can happen after taking a homoeopathic remedy. It is important to distinguish which of these is happening.

The first is what we call a genuine 'Aggravation'. This is a temporary intensification of the patient's normal symptoms. Typically, this happens just before a remedy begins to improve the condition. The symptoms will appear very much like they normally do, but exaggerated, and often occurring in a cluster.

The more precise the prescription is the more similar to the normal symptoms the aggravation produces. The less precise the prescription, the more unusual the symptoms will seem - they may have new qualities (like being worse for the cold suddenly or discharges becoming a strange colour). You can still get improvement when this happens, but it does suggest that a better remedy might exist.

The second kind, which is related to the idea of an imprecise prescription, is what we call a 'Proving'. This is where a range of new symptoms and behaviours occur. Some of the normal symptoms seem worse, but there are extra ones, and even those old symptoms have a variety of new qualities. This means the remedy is incorrect, and these are what orthodox medicine would call 'side effects'. They happen primarily for 2 reasons.

1. The dose was given too frequently and in too large an amount. This often happens when the dry doses are used (the pillules givne straight rather than diluted).

2. The patient is unusually sensitive to homoeopathic medicines. In such cases the dosing needs to be adjusted to compensate (which can be done fairly easily).

David Kempson
Professional Homoeopath
brisbanehomoeopath last decade
Great explanation, David. Thank you very much! I'll keep an eye on my little one as we started Nat Phos 6x today for his Acid Reflux.
yuliak last decade
Dear Joe,
Okay, it has been 24 hours since the first dose of Nat Phos 6x. I've given my son 8 doses (1 tablet each dissolved in 5ml of boiled water) of it within this period of time. These are the symptoms that I have been observing:

First, the strangest thing is that my son started having difficulties falling and staying asleep... Even with his naps, he refused to take his second nap yesterday - very unusual, he's NEVER done that before. His 3rd nap usually lasts at least 45 minutes, after which he usually does NOT want to stay awake, falls back to sleep within a short period of time, and stays asleep for another 1.5-2 hours. Yesterday, he slept 35 minutes for his 3rd nap, and woke up cooing, not wanting to sleep more.
At night, he woke up 5 times instead of the usual 2. It also took me a lot of time and effort to put him back to sleep each time whereas normally he'd eat and fall back asleep within 10 minutes.
Another thing is that he would finally fall asleep for his naps or at night just to wake up 5-15 minutes later on several occasions.
He was arching his back every time I put him down in his crib.

Second, he's been arching his back, sweating on the head a LOT, moving his legs up and down, and his body was stiff every time he nursed.

I did burp him frequently. And I did give him NP after EACH feed, even at night. That seemed to calm him down.

He's shown the above symptoms before (except for skipping his nap) when his medicine wasn't working properly.

Third, he started passing a lot of gas. Still no poop... It has been almost 2 days without moving bowels.

Also, his nose has some white or clear discharge, just a little here and there.

Other than that, his Reflux seems stable. Although, I'm thinking that Prevacid may still have its effect on his body. Maybe not, I am just guessing. It has been 41 hours since the last dose of Prevacid. Before that he would get a dose every 24 hours.

He's had a normal, tiny spit-up once yesterday and once this morning.

I've lowered his dose of NP to half this morning. He's already had one half dose of NP.

Where do I go from here next? Do I continue with half dose after each feed as you recommended?
I do believe that he needs to start moving his bowels frequently. That's still a problem.

I will report progress again in 24 hours. By that time, in my understanding, Prevacid's residue should be gone, and we should see true symptoms if there are any.
[message edited by yuliak on Tue, 28 Jun 2011 20:34:43 BST]
yuliak last decade
It has been 48 hours since the first dose of Nat Phos 6x.

I've been giving half a tablet for the last 24 hours, and I've given my son 6 doses of that (decided not to do it after each feed due to his sleep problem I mentioned yesterday).

His sleeping pattern was the same during the day. He didn't want to go down for his naps, and was very alert; one of the naps was only 15 minutes, and my son was fine with that, he was up and alert for another 2 hours - very unusual.

Although at night he was sleepy, he woke up frequently - 5 times. He woke up 15 minutes after falling asleep for the first time... He was unable to settle down from 3 to 4 in the morning, sleeping for 3-5 minutes only to wake up arching his back and coughing.

I did not give him a dose of NP before bedtime; however, I gave him 3 doses of it throughout the night as he definitely needed that. First dose immediately calmed him down. Two of the other doses had to be given one right after another (that happened at 3:15 and 3:35 in the morning, after that he was able to fall back asleep.)

His Reflux symptoms were definitely back during the night. He'd arch his back every time I put him down in his crib.

He passed a lot of gas at night, too. He did not poop. I had to use a glycerin suppository this morning as he was moving his legs up and down nonstop while at the breast and was crying. His bowels looked NORMAL; however there was a huge gas bubble before them. I do not understand why he was unable to push them out (it had been 2.5 days without them), was it because of the gas?

He had a few of the spit-ups this morning, but those didn't seem to bother him, and were normal and curdle-looking ones, which meant to me that Prevacid stopped working, and my son had acid in his stomach. (Before that, for 3 months in a row, all spit-ups were liquid, even when he'd spit up 30 minutes after a meal as the acid was not produced in the stomach due to Prevacid intake.)

I gave him a half dose of NP this morning.

So, how do I proceed? Do I lower his dose again as your recommended? Or do I stick with half a dose for a while? And how many times a day do I give it to him? Is it safe to use NP for a while? It seems like he needs it for now.

Can his sleep pattern have something to do with NP intake? I've read that NP actually promotes sleep...

What do I do with him not being able to move bowels?

Thank you, Joe!
yuliak last decade
You can continue to give him the half tablet of Nat Phos 6x after every feed as it seems obvious that he needs it to help digestion. NP usually helps with bowel motions and we will have to figure out the reason for his constipation (2 days) which is not unusual with infants for which no medicines are necessary. Please note that NP is perfectly safe to be used over extended periods unlike the PPI drugs that your pediatrician had prescribed which are dangerous in use for adults and far more for babies.
You can check the 'danger of using PPI drugs' on Google to learn more about them.

Arnica 30c in the Wet dose will help with his sleep. You can give him half a teaspoonful per dose thrice daily half hour before a feed.

The Wet dose of any Homeopathic remedy is made as follows:

Order the remedy in the Liquid pack in Alcohol, also referred to as Liquid Dilution in a bottle preferably with a dropper arrangement.
Get a 500ml bottle of Spring Water from the nearest supermarket.
Pour out about 3cm of water from the bottle to leave some airspace.
Insert 3 drops of the remedy into the bottle and shake the bottle hard at least 6 times before you sip a capfull of the bottle or a large teaspoonful which is the dose.
Shaking the bottle hard is homeopathic succussion and this enhances the effect of the remedy on the user.

Report progress.
Joe De Livera last decade
Is it okay to use Arnica 30c in pellets for the Wet dose? If so, how many pellets per 500ml of water?
[message edited by yuliak on Thu, 30 Jun 2011 04:41:29 BST]
yuliak last decade
It is best to get the Liquid Dilution in Alcohol to make the Wet dose.

If you live in India you can get it from the nearest Homeopathic pharmacy. In the US you may experience some problems in sourcing it but in the meanwhile you can use a branded product like Boiron or WHP for the pellets till you get the Liquid dilution and you will use 6 pellets for a 500ml spring water.

It is essential that you get the Liquid dilution to make the Wet dose for best response as we are dealing with Nano levels in using Homeopathic remedies.
Joe De Livera last decade
Okay, will order the liquid dilution of Arnica. I am in the US, and I have found it on-line. Thank you for clarification.

As for my son's latest symptoms, he's been suffering from gas, and it seems like he's in pain (I believe it's NOT the upper GI tract that's bothering him, but rather the lower). Every time I've nursed him for the last 24 hours, he's been going on and off the breast nonstop, stretching/moving his body constantly. When I burp him, he hasn't been burping much, he actually hasn't been burping most of the times. I keep giving him half a tablet of NP 4-5 times a day.

His sleeping pattern has become really bad, wakes up every 1-2 hours at night, and it seems like his tummy is really bothering him. As for the acid Reflux, it seems okay.
[message edited by yuliak on Thu, 30 Jun 2011 20:09:48 BST]
yuliak last decade
So is he worse in some ways since taking the Nat-phos?
brisbanehomoeopath last decade
I think he is. Although, his Reflux seems to be gone most of the time. Sometimes it seems like it's back as my son starts coughing all of a sudden; however, he does Not spit up more than something usual for a baby his age, and it doesn't seem to bother him, which is really great!

However, since we started him on Nat Phos 6x, his sleeping has gotten much worse, like today, his first nap lasted for an hour, which was great, followed by three 15-minute and one 20-minute nap one after another... He just couldn't settle down, but then he finally did by the late afternoon, and slept for 1hr 30min. Very, very unusual... During the night he'd wake up every 1-2 hours now. He'd wake up more often on the bad nights in the past; however, current situation is exaggerated as he can wake up 5-15 minutes after falling asleep.

Also, his lower tummy is bothering him almost constantly, whereas it used to bother him after 2-3 days without moving bowels (his stool became infrequent when we started him on Prevacid at the age of 2 months.)

I've noticed the further he gets from his last dose of Nat Phos, the calmer he becomes. Right now it is 4 in the afternoon where we are, and I gave him a dose of Nat Phos at 7am and 10am, none after that, and he is nursing calmly right this second.

I now give Nat Phos to him only when I really think it is needed for his Reflux based on the symptoms.
[message edited by yuliak on Fri, 01 Jul 2011 00:28:39 BST]
yuliak last decade
Then the Nat-phos is suppressing his reflux, and causing an aggravation of his sleep and other symptoms. It is the wrong remedy. A better one needs to be found.

Continuing with Nat-phos might cause serious problems.

There could be a number of reasons. The way you are dosing is not really the best. Any remedy should be 'succussed' before being repeated. Dissolving the pillules in water is not as effective and may be aggravating him.

Ideally, the pillules should be dissolved into a mixture of water and alcohol (5 parts to 1 part) in a small bottle with a dropper.

The bottle should be hit very firmly against the palm of the hand twice, then 1 drop placed into an amount of water - I would suggest 1/2 cup (125ml) to begin with. Stir thoroughly, then place 1 teaspoon of this in his mouth. This is one dose.

The number of hits, the amount of water, and the number of teaspoons can all be adjusted to improve the reaction.

However, I do not believe from your description that Nat-phos is working curatively. A patient should improve on ALL levels when a medicine is correct. There is a hierarchy in the bodily functions we use as an indicator for a good medicine. Sleep is high up on that list, so if that worsens while something in a particular physical location (like stomach) improves, we see that as the wrong direction.

I think you have to trust your observations and instincts on this one. Nat-phos is not good for him. Move to a new remedy.

David Kempson
Professional Homoeopath
brisbanehomoeopath last decade
What would be your new remedy suggestion in the case of my son? Is there any remedy that I can take that will pass to him through the milk?
yuliak last decade
Can you go through each symptom he currently has, describing each in detail.

I have an intake form I post for cases, it may call for a lot of information that has not yet been gathered.


It is important to describe all his problems in as much detail as you are able. One word answers and short sentences are not particularly helpful. Discuss each problem one at a time, providing (as a minimum level of detail) the following information. Note that some complaints may not lend themselves easily to answer each of these questions.

1. What exactly happens?
2. Describe all sensations and pains. Each pain or sensation should be described in such a way that allows us to imagine having the same pain.
3. What causes the problem to get worse after it has started occurring?
4. What creates some relief for the problem?
5. What triggers the problem into occuring?
6. What time of the day or night does the problem occur?
7. When did the problem start? What was happening in his life at that time? Did some specific event or treatment take place just before the problem started?

Move from one problem to the next, doing the same thing. IT IS VITAL THAT YOU GIVE A COMPLETE PICTURE OF his HEALTH BY PROVIDING ALL PROBLEMS YOU HAVE, EVEN IF NOT CONNECTED TO THE MAIN ONE, AND EVEN IF YOU CONSIDER IT OF LESS IMPORTANCE. You should address each problem separately using the above 7 questions as a guide.

As well as this, please describe any traumatic incidents that have taken place in his life. Discuss anything that has had a lasting impact on him mentally, emotionally or physically.

Discuss the way that he manages or deals with his problems, or any problems that occur in his life.

Discuss any patterns you have noticed in his behavior especially concerning his disease.

Discuss any part of his life where he seems stuck or unable to change and grow, especially where this occurred around the beginning of his disease, or as the disease evolved.

Describe his childhood and the kind of environment he grew up in, with reference to his relationships with his family, his school experiences, and any serious childhood diseases.

If the earlier discussions have not mentioned these already, please describe:

1. The specific foods that he craves (not just like) or hates
2. The specific drinks that he craves or hates
3. What his sleep is like
4. How the weather and the temperature affects him
5. What kinds of things in the environment he is particularly sensitive to
6. What is his general level of energy is like

9. Also give these details

a) Body type and build
b) Skin colour and texture
c) Areas of the body tends to perspire on
d) Odour of sweat, body, stool, flatus, urine
e) Colour of stool, urine, sweat

10. Give any reactions to vaccines or medical drugs.

11. Please describe the pregnancy in great detail, noting any problems or symptoms you had. Most important are any strange or unusual symptoms that vanished after your child's birth, or any symptoms that you experienced which your child now shows.

Some of these questions may not be relevent to someone so young of course so you can ignore those.

Since he cannot be asked what is going on for him, just give your observations, and your intuition as a mother is extremely valuable. Your maternal awareness of him far outstrips our intellectual ability to understand him.
brisbanehomoeopath last decade
Okay, I will gather this information, and post it within the next 3-4 hours. Thank you!
yuliak last decade
What is your situation like in terms of getting remedies locally?
brisbanehomoeopath last decade
I am in the US, California, and I can go to a nearest health store, and get many of the dry remedies such as Boiron and Hylands remedies. I also just ordered Arnica 30c liquid dilution on-line. I guess a lot of remedies are available on-line nowadays.
yuliak last decade
You should only use one remedy at a time. If you are going to follow Joe's suggestion you should only do that. I can make another suggestion based on the symptoms which would also need to be done separately. If you want you can still give the case, so that if necessary I can resprescribe at a later date if you want to use Arnica.
brisbanehomoeopath last decade
I understand, and in no way was I going to treat him with several remedies at once. Thank you for the concern!

I don't know what I am going to do yet. I ordered Arnica per Joe's suggestion before I started our discussion with you. I do think that you may be right about the Nat Phos as I can see that its intake brings some unpleasant symptoms.

For now, I think I would stop Nat Phos (he's nursing calmly again, and his last dose of Nat Phos was in the morning), and see if he can go without it. Who knows maybe he doesn't need any remedy for his Reflux anymore. However, I'd like to keep my guns loaded, and be ready to try something else should his Reflux symptoms come back within the next 24 hours. That is why I am willing to fill out your questionnaire, and I am really thankful that you're offering your help.
yuliak last decade
Okay, here is an update on my son's health.

Dear Joe,
I wanted to thank you from the bottom of my heart for your help in curing my son's Acid Reflux. He's been off of Nat Phos 6x for over 24 hours now, he's been off of Prevacid for 5 days now, and his Reflux seems to be gone as it was never there! Some would say, 'Oh, he just outgrew it.' I can assure that it's not the case as my husband and I tried to take him off of Prevacid a few weeks ago, and our baby was miserable, throwing up after each feed, screaming in pain, and showing all kinds of Acid Reflux symptoms...

My son's Reflux was cured by a 3-day intake of Nat Phos 6x, and I can't thank Joe enough for that! Yes, I agree, Nat Phos brought aggravation of other symptoms as I believe my son is extremely sensitive to this remedy, but nevertheless, NP did its job in getting rid off his Acid Reflux.

Dear David, I thank you so much for your thorough explanations and offering your help. I really appreciate this! I apologize for not giving you the detailed case last night as I promised, but I just wanted to watch my baby a little longer to make sure he required further help as I did not want to spend your valuable time evaluating the case just to find out it was not needed.

It seems like no further help is required for his Reflux.

As for the constipation, he hasn't gone again for 2 days now, but it does not seem to bother him so I am not worried. I started him on cereal today, and I hope that fiber will do the trick, and his stool frequency will improve!

His sleeping pattern is not back to normal yet, he's still waking up frequently; however, he goes down easily just like he used to do. And I just think that his sleep will improve on his own over a short period of time. As I said earlier, he sleeps well when nothing is bothering him.

I will report progress again in a week!

I am so happy my baby isn't sick anymore! :)

[message edited by yuliak on Sat, 02 Jul 2011 03:35:53 BST]
yuliak last decade
To Yuliak

Glad to note that your baby is OK now.

I appreciate your kind expression of gratitude on the part I played in stabilizing his GERD with my default remedy Nat Phos 6x with Arnica 30c but as far as I can see you have not used the Arnica up to now and this is, in my opinion, the reason why your baby seems to suffer from a lack of continuous sleep which is essential at his age of 4 months.

It seems to me that even the half tablet of NP may have been an overdose and the simple solution is to reduce the dosage even more by giving him just quarter tablet or less. The fact remains that NP has actually cured him even without the Arnica which would have helped to reinforce his general state of wellbeing. I would advice you even now to give him a half teaspoonful of Arnica 30c Wet dose twice daily and you should observe that his sleeping pattern improves almost immediately after the first dose. If there is any negative response you can give him the Split dose where you will insert a teaspoonful of the Arnica into a cup of water from which you will give him a teaspoonful.

I was awaiting David's prescription for your baby with some interest as I had the impression during the past 2 days that he had convinced you that NP was virtually poisoning his (baby's) condition which you reported was getting worse even though he was not spitting up the milk. His interference with my therapy is not at all uncommon as he seems to harbour some deep grudge at the success of my therapy which types like him who are classically qualified homeopaths derisively termed 'Joepathy' in the fond hope that they could suppress my participation on this and other Homeopathic forums I have visited for the last 10 years where the successful conclusion of my Joepathy is available for scrutiny by anyone at any time. It seems to me that there may also be some tinge of jealousy on the success of my Joepathy in comparison to his classically oriented therapy.

You may perhaps not be aware that I am not a qualified Homeopath and am all of 82 years of age and the CEO of a very old family owned business organization in Colombo where I live. I have been involved with Homeopathy since 1968 first as a skeptic but after I discovered that it helped me I studied this science using the standard texts use by classical homeopaths and after experimenting in the use of remedies first on myself and later on others I have evolved what is now known as 'Joepathy' which is listed on Google and currently has over 3400 hits. Reference to my name Joe De Livera will show almost 70000 hits the majority of which are selected from the many cases that I have treated on the homeopathic forums I visit. Homeopathy to me is a Hobby to which I have dedicated the rest of my life and I treat selected patients here in Sri Lanka free of charge including the remedies.

Please feel free to address your baby's problems if any in the future on the ABC and if you feel that I can help him, I shall be glad to do so.
Joe De Livera last decade

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Information given in this forum is given by way of exchange of views only, and those views are not necessarily those of ABC Homeopathy. It is not to be treated as a medical diagnosis or prescription, and should not be used as a substitute for a consultation with a qualified homeopath or physician. It is possible that advice given here may be dangerous, and you should make your own checks that it is safe. If symptoms persist, seek professional medical attention. Bear in mind that even minor symptoms can be a sign of a more serious underlying condition, and a timely diagnosis by your doctor could save your life.