Clinical Cases

A Case of Adenoids

A Case of Adenoids 1

Dr. Nishtha Bhat shares a case of inflamed adenoids in a boy of ten. Reserved, putting fingers in his mouth and late learning to talk were among the symptoms leading to the simillimum.

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:

A Case of Adenoids 2

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.

About the author

Nishtha Bhatt

Nishtha Bhatt

Dr. Nishtha Bhatt, MD (Hom), Mumbai, completed her BHMS from CMPH Medical College, Mumbai in 2014 and MD Homeopathy from YMTH Medical College, Mumbai in 2017. She now operates Dr. Nishtha’s Homeopathic Clinic.

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