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Dear Fellow Doctors,

I have this one patient female child 10 years old with cerebral palsy that developed after aspiration pneumonia when she was few days old. She has paretic tongue and cannot make words.

she developed seizures at the age of 3 when in winters when her head was exposed to radiation heat from a room heater and was followed by high fever for few days and common treatment was given.

After that one episode she has almost regular fits once in two months or once a month.

before the fit and few days earlier, parents can now tell that a fit is coming in few days because following symptoms start developing;-

1- Nightly dry cough.
2- Insomnia or restless sleep.
3- hyperactivity.
Sometimes shivering and as if feeling cold.
(cypripedium has never been tried on her).

Then there is an unusual symptom that is almost confirmed,

'She can hold urine for but she must not hold it, if the call is not attended to or delayed for she would go into a fit. That applies to stool also.'

The fit itself is unique, slow in development, she can actually wake her mother at night and alert her that she is feeling bad. Her eyes would be wide open, fixed and fear can be seen.

Usually a sip of cold water almost always averts her fit... but only for few hours or a day, then the conditions appears again.

If the fit is not averted, she would sit down and start to and fro movement, her legs go away first, then swallowing motion starts, she tries to swallow some white glarey elastic mucus, but when she cannot, her eys would turn at one side, mouth to oneside (anyside infact) with quivering of face and lips.

She needs Diazapam at this stage or she will go into full body grand mal that would not be stoppable for many hours and may suffer brain damage.

If she vomits during any stage, it actually helps her in reducing the shaking and many times even ending the fit.


She is Bulimic, eats everything that comes her way, overeats a lot, She is obese and overweight.
----------------
She is on Ferrum Phox-12x and Nux Vomica-200 daily morning.

Agg. by eating sour yogurt, egg, lemon.

Temporarily better by sips of cold water when feeling threatened by coming seizure.

Otherwise she drinks a full glass of water hurriedly as if she is very very thirsty.

-----------
Cuprums, Agaricus never helped.

Better by Cheopodium-200, Natrum Mur-30, Argentum Nit-200, Actually I couldn't rule in any one thing that helps because simple water also helps her.
-----------

Now, I was thinking of prescribing Lil.Tig due to urine and stool hurried symptoms but would really appreciate if I could have some insight about this case.

Regards

H.Dr.SFA
 
  H/Dr.SFA on 2013-09-18
This is just a forum. Assume posts are not from medical professionals.
try kali phos 6x and nat sulph 6x in alteration.ie three pills of each three times a day.

keep giving weekly feed backs.
 
anuj srivastava last decade
Hello.
I firmly believe she needs Causticum. Give her one dose of Causticum 200C, wait and observe 5-6 days. Remember, only one dose. (3-4 pills)

Parakletos.
 
Parakletos last decade
Many Thanks indeed Dr.Srivastava and Dr.Parakletos, none of these remedies ever occurred to me so I will now do my work on all of these.. but something happened this morning.

Incidentally I was called today in emergency and found her in fit, yet again, had to give 5 mg diluted Valium and later another dose of 5 mg diluted Valium - while the Canola was being installed, I noticed that the fit started from eyes going to left, stertorous breathing, so I placed her on Oxygen. then occasional jerks of left wrist, her fingers remained relaxed throughout.. then severe quivering of facial muscles began, by this time we found a vein on her right wrist after few failed attempts in the back of both hands. She relaxed slowly after first dose of Valium but we gave another after 2 mins because of jerks like hiccoughs were holding. we sent her home when she woke up fine and smiling about an hour later. Due the very noticeable Stertorous Breathing, I packed two doses Opium 200 to be taken at 3 hours gap.

If everything remains fine, she will visit me on Saturday.

Your invaluable suggestions indeed improve my confidence in handling this very obstinate case.

Regards to everyone,

Dr.SFA
[message edited by H/Dr.SFA on Fri, 20 Sep 2013 06:46:37 BST]
 
H/Dr.SFA last decade
Updates:-

Right Sirs,

She came back on Saturday generally active and feeling fine in two things;

1- She is much better as after food eructations are easier though loud in sound.

2- No jerks, fits.

She remain unchanged in following:

1- Tongue Paralysed
2- Obese
3- her hearing is good but she doesnot learn well.

Meanwhile:

I worked on the proposed remedy Causticum and found out she had been given Causticum 1m and Thuja 1m by a local homeopath about 4 years back when she had warts on inside of fingers. Now there are no warts.

I also found out that she had been taking Natrum Sulph -6x tablets soaked in Kali Phos-30 daily night for many months and she had remained quite better in those years pertaining to her fits.

What I think:
As the case of fits started after exposure to radiated heat, what is your advice on giving her few doses of Gloninum-200 ?

Next question is, what should be my approach ? Shall I focus on the Cerebral Palsy ? take it as a local paralysis case of tongue ? Try to treat fits ?

A correct approach might make a difference in healing.

Thanks
 
H/Dr.SFA last decade
which medicines is she taking at the moment?
kp or causticum
 
anuj srivastava last decade
As on the day of last fit she got Opium-200 on the symptoms of stertorous breathing.

She is presently taking opium-200 occsionally, she had taken a total of 4 doses in last week.

I have not given anyother remedy. (please see post of 2013-09-19).
 
H/Dr.SFA last decade
PLS GIVE HER kp6x and Nat Sulph 6x three times a day.i strongly recommend these medicines only.
 
anuj srivastava last decade
I ll call them and put her on these remedies from tonight.

would update after a week then.

Thanks a lot!
 
H/Dr.SFA last decade
Right,

1) The female patient 11 years old of cerebral palsy, obese, tongue paralysed is put on 3+3 tablets of Natrum sulf-6x + Kalium Phos-6x from yesterday afternoon. All other remedies have been stopped.

2)We talked today on phone and found out she is generally playful and happy, except that last night she slept at 9 pm and woke up at 1 am and played for an hour then she slept back in an hour by 2 am.

Please note that parents are wary if she remains playfully awake at night that surely evokes a fit in next 24 hours.

so long so good.

Regards Everyone.


SFA.
 
H/Dr.SFA last decade
dear Doc,

The little girl is doing fine so far. She regularly on 3+3 tablets of Natrum Sulf-6x and Kali Phos -6x.

Her learning ability has improved a point - her Special School experts say she has started to write the number '3' fluently.

In last week of medication, there has been no signs and symptoms of any impending seizure.

She has not been 'very bulimic' in past except for one meal a day (earlier she was be bulimic on every meal time).

--------

Her gait: If you see her walking, she appears to throw her weight forward and then cope it with her steps, she cannot take a slow stroll, she cannot balance on her heals and could be seeing trying to balance it out when she is slightly pushed sideways or backwards.


Please recommend if or any change is required ?

Regards.

SFA
 
H/Dr.SFA last decade
anuj srivastava.

A good choice, Anuj Srivastava.
Interesting to see that Schuessler';s Biochemic remedies actually work. Many homeopaths, serious and experienced, who believe that this medicine therapy has no place in homeopathy. But they are wrong, obviously.

Best of luck.

Parakletos.
 
Parakletos last decade
Yes Dr.parakletos,

Truly speaking I also had my doubts, though few still persisit as I not a bio-chemic expert. A week is too small a period to know it all, espicially when a number of homeopathic remedies have failed to provide the resluts in this case.

I got hope listening to Natrum Sulf-6x from Dr. Srivastava, as this was the remedy that her parents told me that they give, after seizures and it helps her get out of the recurring seizures and not get one immedialtely after the first.

Still, I have no idea how shall we go forward in this case.

Thanks to you indeed.

SFA
 
H/Dr.SFA last decade
If Biomedicine is not working properly, I believe that Belladonna might be worth trying.
At first I thought of Causticum, but after taking symptoms through my computer program, Belladonna came up as a good first choice.
This has dry cough at night, restless sleep, hyperactivity, and paralysis of the tongue. Or rather, paralyzed ability to speak.

Parakletos.
[message edited by Parakletos on Mon, 07 Oct 2013 11:32:39 BST]
 
Parakletos last decade
That's a great suggestion. I ll note it down just in case. I know that Bell has never been administered to her.

Right now Dr. Anuj's insight seems to work for her. So it is wise to follow his cue in this case, I think he will like to maintain the NS and KP 6x for some longer period.

Waiting for his response.

Truly

SFA.
 
H/Dr.SFA last decade
Ok, but please take into consideration Kali phosphoricum. The chief remedy for all cases of paralysis.

Paralysis of vocal cord, causing loss of voice, etc...

This, according to George W. Carey M.D. Specialists in Biochemic System of Medicine.

P.
 
Parakletos last decade
Natrum Sulph-6x should not be stopped. bio chemic medicines are broad spectrum medicines incorporating the medicinal properties of many homeopathic drugs and in many cases more effective and less harmful than homeo medicines. i love to prescribe them more often if i have not seen a patient.

Parakletos, i believe practices homeopathy in classical sense and his advises are valuable so you should try what he is suggesting by virtue of immense experience that he possess.
 
anuj srivastava last decade
Oh Thanks Dr.Srivastava,

Leaving it to me, I would like to continue 3+3 tabs of Kali Phos 6x and Natrum Sulph 6x for straight 3 months due to quite apparent improvement in child.

Occasionally giving a single high dose of Belladonna-200/1M or its very close symptomatic sister Glonoinum-200/1M.

Once again, my gratitudes for your great advices.

SFA
[message edited by H/Dr.SFA on Tue, 08 Oct 2013 14:31:18 BST]
 
H/Dr.SFA last decade
Dear Sirs,

Things are fine for the girl, she is taking the salts as usual and occasional dose of Glonine-200.... until today morning as a minor incident is told to me.

I thought I must share this.

'The patient got up fine in the morning for her daily morning shower with luke warm water. Only today, she was prepared a bath of hot water. in few seconds of entering hot water her neck began to turn to left side she stopped singing. She was urgently taken out and a dose of Glonine-200 was given with few spoons of cold water. she recovered and the fit did not commence.'

This actually made me thinking of Apis Mel. ..

please advise ..
 
H/Dr.SFA last decade
it is a freak incident,pls observe her reaction to hot bath again and let me know.dont start apis at the moment.
 
anuj srivastava last decade
Actually you are right as later upon investigations I found out that the patient was already in fever when this happened..as it was followed by grand mal when all this came to me.

It appeared as if she developed sore throat that was missed by all as she cannot complain. Fever developed and then she was put in hot bath, when the fit initiated.

Now the fever could be due to pneumonia or sore throat, because when she cam here she might have aspirated some of the froth while in seizure.

this sent us back to emergency handling and heavy dose of diazapam IV was given. further reports as as under.

CRP Positive
TLC Raised
X-ray chest: mucus in Rt. Lung
Fever 103 C

so this infection took some time developing.

Right now she had to be returned on Epival Inj. and Cefim DS 200mg and Calcium.
-------

I still think Opium should have been continued by me along with the NS and KP salts.
 
H/Dr.SFA last decade
you can continue opium ones in a blue moon dont repeat often.
 
anuj srivastava last decade
The child was threatening with auras from last three days (again).. resorted to Belladonna-30 four times a day and things improved, auras are no more coming.

she kept her vomitings after 2 hours of food and had received one dose of Kreosotum-200 at bed time.

today morning no medicines have been given but she will get Bell-30 around noon.

...
 
H/Dr.SFA last decade
hope the vomiting has stopped,after kreosote.may be repeated after three days .bell was a good choice.but why are you repeating it if things are normal.
 
anuj srivastava last decade
right... I got it. stopping Bell-30 for now.

Actually yes just called and found out no more vomitings.

would repeat kreoste-200 tomorrow night perhaps.
 
H/Dr.SFA last decade
vomiting started again after one day.. so she came to me yesterday morning following a vomit... it was so sour smelling.. like sour yogurt. I was immediately drawn to Nat.Phos. 1 M was given single dose... beautiful results.. no more vomits since yesterday morning. She was sent home with few doses of 30th potency to be given if vomit returned.. but it did not.

How difficult it is to draw correct symptoms...:-(
 
H/Dr.SFA last decade

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