A ten-year old male child came with her parents with the complaint of nose block the last few months. An ENT doctor had diagnosed enlarged posterior adenoids. The child had to breathe through his mouth. He had been suffering from recurrent cold and cough for 3 years. The complaint aggravated in winter and the monsoon season.
MIND:
The parents said the child is very reserved. He is very emotional but does not express much. He keeps things he feels to himself. He likes to be at home, though he goes down to play with his friends.
He likes to perform on stage in school. Good in academics. Observation: puts his finger in his mouth. His parents said he puts finger in his mouth without realizing it during the day as well as when he feels emotional. He tries not to do so.
PHYSICAL GENERAL:
Appetite- normal
Thirst- 1-2 litres /day
Stool- satisfactory, once a day
Urine- normal
Perspiration- moderate, on exertion
Sleep and dreams- sound/ not remembered
Thermally- Hot
Craving- sweets++, chocolates, pulses
Aversion- nothing specific
Birth history:
LSCS
Milestones:
Walking- 12 months
Talking late: After 2.5 years he started talking in two letter words but later picked up fast. Teething- first tooth at 6 months of age
Rubrics:
- Reserved
- Child puts finger in mouth
- Late learning to talk
- Desire sweets
- Swelling of adenoids
- Obstruction of nose, has to breathe through mouth
REPERTORISATION:
The remedies that came highest were Calcarea, Natrum mur, Sulphur, Tuberculinum.
The final remedy chosen was Natrum Muriaticum on the basis of thermal modality- Hot patient.
PRESCRIPTION:
16/2/2020
Natrum Mur 200 1dose
FOLLOW UP:
29/2/2020
Nose block is better by 40%. Parents said he does not keep his mouth open entire day now. Rx- Natrum Mur 200 1dose
5/3/2020
Nose block completely better
No episode of cold or coryza
No breathing through mouth
Rx – SL
16/3/2020
No Nose block
No episode of cold or coryza
No breathing through mouth
General symptoms- normal
Rx – SL
14/4/2020
No complaints
Rx- SL
Summary:
- It is extremely important to consider birth history in a child. Here late learning to talk becomes an important symptom to be considered in the totality of the case.
- Observation makes any case easy to solve. A child putting his finger in its mouth can be one of the rubrics for the constitutional prescription.
- The M.M. of Natrum Muriaticum shows a hot patient, reserved and emotional. Slow learning to talk is one of the important symptoms of Natrum Mur. With the simillimum, the patient improved without much repetition of the remedy.
