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Rash after Argentum Nitricum in 4 year old

Dear Rishimba or Evocationer,
please help my 4 year old daughter.
Main complaints are timidity in new situations, where she needs to "perform" - lessons with a coach of any kind, even one she has known for a long time, or doing something similar even for parents. She seems to be afraid to make a mistake.

And sleeping issues - great difficulty going to sleep and wakes up multiple times at night, sometimes she has bad dreams, most of the time cannot describe what they were about. Most of the time, however, she just wants us to be near, or lie with her in bed in order for her to be able to sleep.

She used to say that she is afraid to sleep, but after we tried Lycopodium 12 and then 30, she is no longer afraid to go to sleep, but simply says that she does not want to. That sleeping is boring. Lycopodium was ineffective for her "performance timidity" at all. We tried Lyc 200 with no effect

We have also tried Argentum Nitricum 30 for the above issues because she is also constantly talks about how she cannot wait for the next time it will be summer, or when winter will come again, or she cannot wait for the light to change so we can start driving again, and such like "hurry". arg nit helped significantly with "performance", however, not at all with sleeping, and now she has eczema-like rash all over her arms and legs, shoulders, near armpits, wrists. The rash is in very small round patches, white or red. She says that the skin "tickles" all the time, and she is constantly scratching. Arg Nit has been given maybe 3-4 times with multiple days in between, as soon as she starts shutting up in conversation with abovementioned coaches.

Right now she is much better in trying newer things, and seems less intimidated by mistakes. Is definitely more confident. Sleeping is a huge problem. She is also not able to sit still very much, especially when eating. Is constantly jumping, running, climbing. Always picking at her lips. Likes to look at herself in mirror. She is able to concentrate on a quiet activity, when interested, and there is no add or anything like that. She is not interested in food, even less than she was prior to Lyc. Still "in a hurry". Has mentioned that she wants to fly in the sky, namely be an angel and fly to god. Gets overexcited in stores and demands that we buy this and that. We rarely take her to stores, perhaps this is why. She is afraid of the dark, spiders, mosquitos, being alone.
And the rash is an issue.

I would very much appreciate homeopathic help. Please let me know who can take up the case and what other questions there may be.
[message edited by Dora14 on Wed, 11 Mar 2015 15:12:39 GMT]
  Dora14 on 2015-03-10
This is just a forum. Assume posts are not from medical professionals.
The thread link has been
emailed to Rishimba- he will
advise about his availability.
simone717 8 years ago
Dear homeopaths, please advise on this case. The sleeping is terrible and is really affecting the whole family. Thank you
Dora14 8 years ago
Her full case needs to be taken. Please answer my questionnaire on her behalf.
rishimba 8 years ago
simone717 8 years ago
Patient ID: Female Age 4.5

1. Describe your main suffering?

Sleeping issues – great difficulty going to sleep, resists going to sleep for as long as possible, gets up to hug us or ask questions. Says that she does not want to sleep. It is boring to lie down. Sometimes she says that she is afraid, but does not know of what. She wants us to stay with her so she can fall asleep. During the night she wakes up many times. She always wants us to be with her, to stay, often to lie in the bed with her, or asks to sleep in bed with me. Sometimes she will wake up and cry, and not know what she wants, occasionally she will have a night terror, where she will keep crying and not respond to us for a while. She wakes up typically very early, and often in a bad mood, easily irritated. This quickly resolves, and it does not seem to matter how little she slept at night, she can have lots of energy during the day. She typically has a nap at daycare, but If she does not have a nap during the day when at home, she will be cranky in the afternoon, typically around 4 o’clock, and may fall asleep in the car.

“Performance” anxiety – has great difficulty with any sort of “performance”, such as going with her coach for a swimming lesson, being asked for pronounce things this and that way by a speech pathologist, being asked to play certain notes on the piano by her piano teacher, or to find something hidden, while listening for volume of music for guidance to the hiding place, even with parents, when we ask her to read some words (she is learning to read) of appropriate difficulty. Most of the time she will freeze and not say or do anything, cling to mother, and not budge. No amount of asking, negotiating, cajouling, threats will compel her to act. Very occasionally she will act for a reward of something she likes, but even then only until the next task that she perceives as difficult or intimidating. She seems to be very self conscious of being corrected, of making mistakes, of not finding something, even when asked something that she knows well. In general, she is not timid or shy. She takes a long time to get comfortable in a new situation (several weeks or visit), and sometimes will persist with this behavour even when she has been going to the same place for a long time. Her piano teacher she knows well and likes greatly, and always asks about her, but when it is time for the lesson, she freezes and will very often not do anything at all.

2. What other physical sufferings do you have in your body?

Rash – sparse dry itchy patchy rash covering most body parts. Small pink/white round patches on arms, legs, near shoulders, knees. Red bumps on inside wrist creases, near armpit on front of arms. Many small raised bumps of dry itchy skin all over legs and upper arms, bum. Red spots, not raised, on middle and lower back. She describes it as “skin tickles”, and is scratches most of the time, especially on inner thighs and near armpits.

Picking lips – constantly picking at her lips, ripping off shreds of old skin or scabs, if she is not pulling skin off, she is touching the lips

3. What mental sufferings / feelings do you have associated with your physical sufferings?

At home she is very active, running, jumping, has lots of energy. Can be demanding and impatient, disobedient. When asked to do something (not performance), she can refuse to do it, and when we eventually act upset with her behavior, she will become increasingly upset herself, seeking approval, but she will still not do what she was asked, despite many opportunities to comply. Only eventually after crying for a while she will be able to do what is asked and then admit that the acting out was not necessary and promise to do better next time. But she does repeat the same pattern of locking herself into a frozen state of no compliance.

4. What exactly do you feel when you are at your worst?

She will shut down all action, not look at the person who is asking her to do something, cling to mother, refuse to separate. Will not respond. When going to sleep she will not lie down, scream for us to stay, get out of bed, even cry loudly.

5. When did it all start? Can you connect it to any past event or disease?

When she was very young, maybe 2 years old or even before, I remember asking her to repeat some words several times to say them correctly (she was mispronouncing a lot of sounds), and she became very self-conscious after trying several times. I was very surprised to see such a reaction in a child so young. I did not ask her to repeat things very often, but she must have been self conscious from a very young age. Other anxieties surfaced soon after – shortly after age 2 – problems with lessons of any kind.
Sleeping was never very good, she never slept through the night as a baby or toddler, always waking up several times a night. My older daughter also had difficulties at night, so we thought that this one will also outgrow the night issues, but that has not happened. She did not want to move out of her crib into a child’s bed. She must have been around 2 when we tried this. She also did not want to wean from breastfeeding, also around 2 years old. She started going to daycare when she was 18 months, and that was a very difficult transition. She basically did not sleep at all for three weeks, very stressed, even though we started daycare very gradually. I went back to work at the same time, so perhaps she felt very separated, as she often did not see me when she came home in the evening, as it took a long time for me to get home. If I think as far back as the pregnancy, it was not very easy, I had anaemia and my daughter was born 5 weeks early by c-section. She was separated from me for at least a day. During the whole first year I had a great difficulty bonding with her because of an accident during previous birth, 2 years before. It was devastating for me as a mother, and I felt that I could not accept it. I had difficulty believing that this daughter, the one that is now 4, has a different story, that she is healthy and has a future. Instead of enjoying time at home with the newborn, I felt angry that I had to spend the previous early months in a terrible environment of the hospital, and relived a lot of past events. It was a whole year before I could believe that this child is actually healthy. She was slow to turn, crawl and walk and also speak, and still has difficulty pronouncing some sounds, but nothing serious, and is otherwise a very bright and intelligent girl, very gifted musically, very affectionate, observant and has an excellent memory. She toilet trained at 19 months (started asking to go herself), and is now able to read short words.
For a while after she started daycare, at least a year or year and a half, she would “melt down” when I picked her up in the evening. It would start when getting dressed, or after we left. She would cry for seemingly no reason, not want to dress, not want to do anything, just be really upset. In daycare the workers said that she was an angel – obedient, quiet, slept on command. For a long time they would ask whether she would start talking, as she did not speak at all at daycare. At home she talked all the time. I think she would suppress her stress while at daycare, but when I picked her up, she would release all of it at once, and literally melt.

6. Which time of the day you are worst?

Sleeping is definitely worst in the evening and at night.
Timidity does not seem to be affected by the time of day. She is typically more sensitive in the evening, or when hungry (midday or evening), but otherwise it does seem to not matter. She rarely is tired enough to want to sleep. If she asks to sleep that means she is sick.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?

Sleeping has been helped at times with the introduction of a helping aide. For example, we moved her older sister to sleep in the same room, and it helped for a few days. Later, we installed a night light, and she slept all night for a week. When we tried Lycopodium 12 and then 30, going to sleep became easier, and I think she even slept for a few nights, but cannot remember exactly. Later on, we gave her two icon of Mary, and after that she also slept through the night for a whole week. But all of this is temporary.
For “performance” it helps if she is told that nobody will be asking her to do anything at all. The she feels at ease, talks more, can even initiate conversations, and will actually engage and even answer questions and even “perform”, and show what she knows. She can even become boisterous, and mischievous. It seems that as long as no attention is drawn to the fact that she is doing something, she is happy to do it. She is sometimes better “performing” in a group, when she is not alone.

8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

She is definitely more comfortable at home, and more bashful in other places. In stores she becomes very excited, and asks to buy this and that, and has difficulty letting go of things she sees.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?

In general, she dislikes being cold, sometimes even clothes make her feel too cold. Is often pessimistic, and says that warm clothes will make her even colder when she is cold. However, she often complains of being hot in bed. Her hands and feet are often very cold, even while she may be complaining of feeling hot herself.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

Generally happy, active, inventive, easy going, but can be demanding and obstinate, can scream and disobey, rarely lazy, typically very helpful. There are times when she freezes and gets “stuck” in misbehavior, typically when very tired or very hungry, and it is difficult to move out of that. She is very observant and can copy her older sisters very unhelpful behavior very artfully, so sometimes it is hard to know whether she is misbehaving or just trying out bad behavior. She can scream as if hurt just to get attention when interacting with her older sister, but most of the time she behaves in a genuine fashion.

- How do you feel before or during a thunderstorm?
I think she is afraid of thunder.

- Do you like being consoled during your tough times? Yes

- Are you sensitive to external stimuli like smell, noise, light etc?
Not particularly, but can act out when very hungry

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
Twirls locks of hair when tired or upset or anxious, used to do it all the time, but now only does it when she is particularly upset or anxious. Constantly picks her lips. Likes looking at herself in the mirror. Often plays with plasticine - picking at it, ripping off small pieces, rolling them in her fingers.

- How do you feel about your friends, family, your children and especially your husband / wife?
Is happy to stay at home with family. Always likes to know where everyone is. Has difficulty going to sleep when not everyone is at home.

11. What are your fears and do you dream of any situation repeatedly?
She is afraid of a number of things – dark, being alone, spiders, mosquitos (does not want it to be summer, because there are mosquitos), making mistakes probably, likely afraid of bees and wasps too. A couple of summers ago I was stung by a wasp, and she really obsessed about that, repeating the description of what happened for a very long time, including the following summer. Often has bad dreams, but cannot describe. Once dreamt of a hockey puck asking her to play hockey, which she does not know how to do, so she woke up afraid. Another time of a blue spider, but doesn’t remember anything else. For a while she dreamt of a giraffe that came to her at night, we even had to find a toy lion to protect her from the giraffe and it helped for a little while. During the day she was happy to play with a toy giraffe or to look at them, so I can’t even say that she was afraid of giraffes. She seems to like dogs, but gets intimidated when dogs get near, even though she often asks to pet them.

12. What do you crave for in food items and what are your aversions?
Likes apples, watermelon, chocolate, candy
Dislikes anything new in food, but there are no particular aversions that I can think of

13. How is your thirst: Less, Normal or Excessive?
14. How if your hunger: Less, Normal or Excessive?
15. Is there any kind of food which your body can’t stand?

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
Definitely less

17. How is your bowel movement and stool type?

Typically regular with no issues.

18. How well do you sleep? Do you have a particular posture of sleeping?

Sleeps poorly. Usually on her back with mouth open, but I don’t think she breathes through the mouth. Sometimes on the side

19. Do you think you are able to satisfy your sexual desires in general?

20. How do you think you are different from others, if at all?

A high level of timidity when asked to do something, coupled with not being shy at all when she knows that nobody will ask anything of her. Switching from active and demanding to shut down, clingy and unresponsive when asked to “perform”. Very empathetic, affectionate. Dislikes brushing or braiding hair.
Often asks existential questions like "when will it be summer again, I can't wait that long", "when will it be your birthday again", "when will this winter end, I can't wait", and even everyday things like "when will this light turn green, I can't wait that long in the car". Often she will be very pessimistic, when already upset or tired. Saying things like "you will never pour me the milk I asked for", "we will never buy more apples", "will will be late again". All of these I find very unusual for a child, especially of this age. Also, whenever someone alludes to a toy's feelings or thoughts, she is quick to point out that the toy is not alive, and cannot be sad or have other feelings, for example. We have not insisted one way or another, so it is entirely her own interpretation.

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
Lycopodium 12 and then 30 – said that she was not afraid to sleep anymore. Going to sleep became much easier for a while. No change in “performance” anxiety. Lyc 200 was not effective. She has since started saying again that she is afraid to sleep.
Stram 200 – seemed ineffective
After a while she had an ear infection, during which Lyc 200 was tried
After that she had a period of intense misbehavior, kicking, screaming, very poor sleeping. We tried 2-3 doses of Tuberculinum 30, which helped her sleep for several nights, but the kicking and screaming did not reduce very much. It was at the same time that we gave her icons of Mary, so it is hard to say what helped her sleep.
Ignatia 200 and 1M – helped the kicking and screaming, and made for an easier time transitioning to daycare in the morning, but not sleeping
Arg nit 30 – definitely helped ease the “performance”, and each dose lasts for less than a week. It was not great, as she was still not able to show what she truly can do, so not full confidence, but much better. No effect on sleeping, perhaps even worse waking up and going to sleep, and the abovementioned rash developed.

22. What major diseases are running in your family?
Seasonal allergies in father, mental issues on both sides of the family, possibly diabetes in my grandmother, so her great grandmother. Her great great grandparent(s) had or died of tuberculosis. Not sure of anything else, and there has been no information sharing in my family, so difficult to know for sure.

23. Describe, how do you look like? Describe your overall appearance
Thin, but not unhealthy looking, active, dark blond or light brown long hair, large blue eyes, tall for her age. Graceful, affectionate child. Likes people, remembers names well.
[message edited by Dora14 on Fri, 13 Mar 2015 21:57:07 GMT]
[message edited by Dora14 on Fri, 13 Mar 2015 22:24:08 GMT]
Dora14 8 years ago
I can have a look at this if you like.

How many doses of Arg-nit did she have, and when was the last dose taken?
Evocationer 8 years ago
Hi, thank you. She had 3 or 4. The last dose would have been over a week ago. She has already shown difficulty participating in her piano and swimming lessons this week again. Last Wednesday they went very well, and I do not remember repeating the dose. There has been an occasional dose of Ign 1M. It seems to help when she get especially whiny, theatrical and contrary.
[message edited by Dora14 on Sat, 14 Mar 2015 00:30:36 GMT]
Dora14 8 years ago
You can give her a dose of CAUSTICUM 200C and if she responds to it, repeat it whenever her sleep issues return. Her present symptoms have possibly resulted from strong emotions when she was separated from her mother for some months.

If Causticum doesn't address all her problems, later a dose or two of SILICEA could be tried to elevate her confidence.
rishimba 8 years ago
Hello, I don't think she is responding to causticum. Does she seem to be a silica type? Should we try this? Or are there other ideas? Thank you
Dora14 8 years ago
How many doses did you give her? When was the last dose?

If its about a week back, you can give a dose of SILICEA 200C and see if she responds.
rishimba 8 years ago
I gave one dose the day it was suggested.
I have silica 30 on hand, can I try that or should we start with 200? If so, what dose of 30?
I can obtain 200 in pellets later today and liquid in a week. What is better? Thank you
Dora14 8 years ago
In your case 200C is more suitable to start with. Give a single dose on a single day.
rishimba 8 years ago
What can I give for low grade fever, stomach complaints, slight diarrhea and refusal to eat almost anything? I gave the silica yesterday, but do not believe that this is connected. There have been intermittent complaints about the stomach for the last couple of days, nothing specific or major.
Dora14 8 years ago
For acutes like this, you can give NUX VOMICA 12C every 4 to 6 hours for some 6 doses maximum.
rishimba 8 years ago
Great, thanks
Dora14 8 years ago
Hello, there does not seem to be any Change one way or another in her behaviour after the silicea. Please advise how to proceed. The sleeping is terrible, she does not want to sleep without us, often afraid, wakes multiple times and needs us to stay near. It seems about the same, but we are desperate to get some rest. Thank you
Dora14 8 years ago
You can try two doses of PULSATILLA 200C on a single day, each dose 12 hours apart.

As per your narrative, she doesn't like cold weather and is afraid of thunderstorm..which is the reason I didn't suggest Pulsatilla earlier. But her mentals and other generals have great similarity to this remedy. Please try it.
rishimba 8 years ago
Hi, thank you for such a quick reply. Did I say she doesn't like cold weather? She loves playing in the snow. Maybe when she is saying "when will the winter end"? It seems more about the time than the actual winter. She says that about many things, or short and long duration. Before she wanted the winter to start.
I do think she was afraid of thunder. I will try the pulsatilla, thank you
Dora14 8 years ago
Hello, I don't think there is any improvement. Things are at least the same if not worse. The rash is still present, but not very itchy, just scaly raised patches. She is possibly more afraid of darkness when there is time to sleep - wants lights on and door wide open. Asking to eat to fall asleep and when awake at nigh. Screams loudly when she wakes and is eventually calmed by food. Says that she wants to stay nearme all the time. Possibly even more tenacious with her demands. And much longer to fall asleep.
Dora14 8 years ago
If Pulsatilla hasn't worked, you can try a dose of Chamomilla 200C for her mentals, but not both together.

I feel she is having disturbed sleep full of nightmares which Chamomilla can address much better than any other remedy.
rishimba 8 years ago
Hello, we need some more advice. I did not give chamomilla, because the day you advised it, she slept all night, and the next day as well. After that she woke up once, and last night several time, with same complaints - wants us to be with her. The rash is worse. Near the wrists Isis more red, raised and painful, and the dry skin now extends on the u deride from wrist to elbow. The skin on the thighs is also very rough, and the rash patches remain. Thank you for your advice.
Dora14 8 years ago
Write down all conditions that make the rash worse and conditions that make it better.

Does it itch? How does it respond to itching and scratching?
rishimba 8 years ago
Hello, yes, the rash is itchy. She says that her skin tickles. She scratches wrists, inner thighs and outsides of knees. It as dry and flakey. Bumps near wrists look like they may be filled with yellow, but there is no oozing. Skin becomes softer with cream - calendula or lanolin, but does not improve. Rash came out after arg nit. It has become less itchy as we stopped arg nit. It does not seem connected to any food. There have not been any changes to her environment that I can think of. It becomes drier after a bath, but otherwise is largely stable. I see that it is possible to post pictures, and will try to add some later.
Dora14 8 years ago
Try SULPHUR 200C a few doses once in 6 hours. Not more than 4 doses.

If there is a change in her symptoms after one or two doses, don't give the rest of the doses.

Wait and watch for some days and see how long the doses hold.
rishimba 8 years ago
here are the hands
[message edited by dora14 on wed, 01 apr 2015 00:53:29 bst]
[message edited by Dora14 on Wed, 15 Apr 2015 05:48:32 BST]
Dora14 8 years ago

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