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Neurogenic Bladder in Children

Hi,

My 8 year old son has been diagnosed for Neurogenic Bladder after some investigations like sonography, x-rays etc.

The problem was he was getting his troucers wet quite a few times during day (mostly during day time and once in a while during night also), almost for the last 8 years. When we tell him to pass urine, he will say he don't feel like passing urine and within another few minutes we will see his troucer is wet. Even if we force him to pass urine (I think he has to use some force) only a little urine gets passed and in another few minutes troucer will be wet again. According to the urologist this was happening due to overflow of bladder.

Till recently, i.e. before we did any investigations like x-ray etc, he did not had any bladder pain, urine infection etc. But now for the last two months he is suffering from infection, which is got rid off only when the antibiotics are on.

As suggested by our urologist he was undergoing intermetent caterization for the past few days to get rid of the infection, as according to him urine retention is the main reason for continuanace of the infection.

Latest development is while trying to pass urine he is having severe bladder pain and he is not able to pass urine. Also the overflaws also have become few. Consequently we need to do catheterization more often and that is becoming the order of the day.

Shall be really grateful for any advise from anybody.

Arnica 30c therapy as suggested by Mr. Joe De Livera was tried for a few days but problem still exists.
 
  tvrwarrier on 2006-09-29
This is just a forum. Assume posts are not from medical professionals.
Give Cantharis 30 for pain while urinating. Its good for ill effects of retention.

Post other symptoms too reg. this prob.
 
maheeru last decade
Is that urine passing involuntarily or dribbling/leaking?
 
maheeru last decade
After giving fair trial to the medicines recommended by others use THLASPI BURSA PASTORIS in tincture form, 5 drops in half cup of water thrice daily .Most of the time it replaces the need of catheter.

sajjad.
 
sajjadakram635 last decade
Sajjad do u think Causticum in this case will do good(for the root problem of incontinence)?
 
maheeru last decade
Hi All,

Many thanks for all your suggestions.

Sorry, my knowledge about homeopathy is very very limited and hence may need a little more details.

How to use Cantharis 30, in what form (liquid/pills) it is available, how to use, quantity to be used and how many times to use in a day.

Also any indication of after how many doses/days effects are likely to show up wil be helpful.

Can THLASPI BURSA PASTORIS be used side by side and if so at what intervals.

Earlier the problem was limited to just wetting the troucers, mostly during day. Once we started why this is happening and the first cateterization to take an x-ray after filling the bladder with glucose, using a cateter, infection started. Thereafter to get rid of the infection, cateterization was started to empty the bladder, since this was not happening in his case due to neurogenic bladder and infection persisted, inspite of various antibiotics.

Now things have come to such a pass that without a catheter he is finding it very difficult to pass any urine and the retnetion is going upto even 400 ml morning and evening.

Thanks & regards,

Warrier T.V.R.
 
tvrwarrier last decade
I think u can get pills cantharis 30. Take 3 doses per day(a dose = 3 pills) for 3 days. If his pain is acute, dilute 3 pills in a glass of water and give him a teaspoon every half an hour till the pain subsides. Report the progress after 3 days. From then on if its essential u can take Thalaspi.
 
maheeru last decade
Hi All,

I have been giving him cantharis 30 (3 tabs 3 times a day) and pain seems to have subsided.

I forgot to mention that I have also been giving him Cirprofloxine 250mg twice daily as suggested by his pediatrician and catheterization twice daily is also going on to get rid of the infection. In a day or two I will again test his urine to see the infection level and report to you.

In the meanwhile, the main problem now being faced is urine residue (PVR) especially in the morning when the bladder is full he is absolutly unable to pass urine and we are forced to use a catheter and the residue is 400-500 ML at times. After that he starts passing some urine by himself at regular intervals and by evening residue becomes 40-50 ml.

Under the circumstances what further medication will be helpful please ?

Thanks & regards,
 
tvrwarrier last decade
Hi All,

I have been giving him cantharis 30 (3 tabs 3 times a day) and pain seems to have subsided.

I forgot to mention that I have also been giving him Cirprofloxine 250mg twice daily as suggested by his pediatrician and catheterization twice daily is also going on to get rid of the infection. In a day or two I will again test his urine to see the infection level and report to you.

In the meanwhile, the main problem now being faced is urine residue (PVR) especially in the morning when the bladder is full he is absolutly unable to pass urine and we are forced to use a catheter and the residue is 400-500 ML at times. After that he starts passing some urine by himself at regular intervals and by evening residue becomes 40-50 ml.

Under the circumstances what further medication will be helpful please ?

Thanks & regards,
 
tvrwarrier last decade
Did you tested the infection level in urine? what are the current readings?

For how many days you've been giving cantharis?
 
maheeru last decade
Hi,

Infection level now is almost nil i.e.

Albumin - Nil
Pus Cells - 1-2

All others are nil.

However, as instructed by the pediatrician Cirprofloxine 250mg is being continued for another week.

Cantharis was given for three days as instructed by you and he is not complaining of any bladder pain now, except somethimes in the morning when the bladder is full.

Also since I was not getting any reply, I have started giving THLASPI BURSA PASTORIS, five drops thrice daily from yesterday.

Mr. Sajjad - I am still awaiting your comments on whether Causticum in this case will do any good (for the root problem of incontinence)?

Thanks & regards,
 
tvrwarrier last decade
The antibiotic and catheterization are harmful in long run. So try to reduce these things after TALKING to ur doctor.

Since u ve started thalaspi, continue it for 2 weeks and post the progress. Repeat cantharis if pain is very acute.

Its a good thing that infection became nil after cantharis which even persisted after an array of antibiotics.
 
maheeru last decade
Thanks for your response.

I know antibiotic and catheterization are harmful in long run, but right now I have little alternative, since he is not able to pass any urin when the bladder is full. The doctor has advised a test called 'Urodynamic Study' which I will be getting done sometime next week.

As far as infection is concerned, so far our experience is concerned, he is able to get rid of the infection during the first dose of any antibiotic byt when stopped or repeated infection reoccurs. So I am keeping my fingers crossed and hope this time it will not happen.

I will continue thalaspi, for 2 weeks as suggested by you and report back.

Do you think Causticum will be of any help in this case ? I understand from some other post (http://www.abchomeopathy.com/forum2.php/28924/) that it is some one of dose. If so can you suggest power/dose etc ?

Further do you think, will it be of any help if I forward you some scanned copies of reports like sonography, x-ray, doctors comments etc ?

Thanks,
 
tvrwarrier last decade
Dear Joe,

This is further to my earlier post.

I had been consulting a local homepathist and he was under medication. Recently we have observed some improvement in his condition as regards urine flow, bladder/muscle pain etc, though he is still having infection (In spite of giving Cipro for 2 weeks) and needs occassional catheterisation. I don't know what medicines he was giving, however from whatevber I overheard one of the medicines given were Causticum 200 or something (I heard him telling his assistant to give that medicine.

In the meanwhile we were also conducting investigations under an alopathy doctor and the result of a Urodynamic Study conducted is:

'Detrusor shows severe degree overactivity. These features go on to explain his symptoms of urinary incontinence (which is of urge type) as well as nocturnal enuresis. His voiding study confirms a severe degree obstruction at the bladder outlet. This appears to be a case of dysfunctional voiding (Learned voiding dysfunction) of a typical type. However in the absence of significant sphincter interference, a mechanical cause such as Posterior Urethral valves should be considered.'

Next test advised is Cystography.

Any comments, recommendations, suggestions please ?

Thanks,
 
tvrwarrier last decade
This is further to my earlier post.

I had been consulting a local homepathist and he was under medication. Recently we have observed some improvement in his condition as regards urine flow, bladder/muscle pain etc, though he is still having infection (In spite of giving Cipro for 2 weeks) and needs occassional catheterisation. I don't know what medicines he was giving, however from whatevber I overheard one of the medicines given were Causticum 200 or something (I heard him telling his assistant to give that medicine.

In the meanwhile we were also conducting investigations under an alopathy doctor and the result of a Urodynamic Study conducted is:

'Detrusor shows severe degree overactivity. These features go on to explain his symptoms of urinary incontinence (which is of urge type) as well as nocturnal enuresis. His voiding study confirms a severe degree obstruction at the bladder outlet. This appears to be a case of dysfunctional voiding (Learned voiding dysfunction) of a typical type. However in the absence of significant sphincter interference, a mechanical cause such as Posterior Urethral valves should be considered.'

Next test advised is Cystography.

Any comments, recommendations, suggestions please ?

Thanks,
 
tvrwarrier last decade
Hello tvrwarrier

It was a sensible decision to show your son to nearest homeopath as his case needed a bit of personal supervision.

If he's administering causticum its OK. As I said earlier, its most indicated in such bladder troubles.

Did any benefit accrued from Thalaspi(which was suggested by Sajjad)?
 
maheeru last decade
Hi,

Thanks for your quick response.

Thalaspi did not help. In fact it looked like it is increasing the problems (he was finding it more difficult to pass urin). As such I had to stop it after about 3 days trial.

As I said earlier, he has to use some force to get the urine out and while trying to force it out he is having pain (bladder or abdominal muscles, I am not sure). That prevents him from further attempts and then the bladder gets filled, which forces us for catheterization.

Local homeopaths never tell you what medicines they are giving. He has now given a second set of medicines.

Can I also give Cantharis, as prescribed by you earlier, to get relief from muscle pain ? I am not sure if the local homeopath has already given it this time amd hope it won't be overdose.

As you can see from the Urodynamic study result the problem seems to be POST URETHRAL VALVE dysfunction.

Thanks,
 
tvrwarrier last decade
their are few medicine for bladder pressure
if pressure is less belladona 30,nux vomica 30 is given hepar sulpur 30,kerosite 30 is also given to thro out infectios urine
thsi is not case of bladder paralyssi so cantaris ont work here.kali phos 6x can be used to calm him and his muscles and nerves
 
sanjaybatra last decade

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