Down sydrome

Down Syndrome and Role of Homeopathy

Down Syndrome and Role of Homeopathy

down syndrome

Issued in Public Interest by

Vivid Homeopathy

On

world down syndrome day

Contributors

Dr Saurav AroraDr. Saurav Arora, BHMS (Gold Medalist), Founder: Vivid Homeopathy 

Dr Bharti Arora

Dr. Bharti Arora, MD (Hom.), BHMS (Silver Medalist), Co-Founder: Vivid Homeopathy 

Read Online Below or Download PDF here

In This Issue

  • Down syndrome
  • Presentation
  • Characteristics
  • How to Diagnose?
  • Aim of treatment
  • Management
  • Self Help – Support Groups
  • Organizations
  • Some Important Points
  • Role of Homeopathy in Down syndrome

Down syndrome

Also known as trisomy 21 (presence of a copy of the third chromosome), it represents an incurable, one of the most common genetic alterations, reflected through variable learning disabilities and certain physical characteristics. The term was coined by John Langon Down in 1866 and the cause (extra chromosome) was identified in 1959.
In developing countries and where prenatal screening is not carried, it is usually diagnosed after childbirth. However, prenatal screening can also help us in detecting the trisomy 21 or Down syndrome, if found suspected, further tests are advised to find the risk of developing Down syndrome.  The Down syndrome child is usually born to genetically normal parents, and no clear mechanism has been found out to explain the presence of three chromosomes in genes in place of two.

Presentation

Individuals with Down syndrome have characteristic physical and intellectual variations. But the most common struggling issues with which they suffer are:

  1. Poor immune function
  2. Delayed milestones
  3. Increased risk of a number of health problems like autoimmune diseases, heart problems, hypothyroidism, epilepsy, blood disorders and mental disorders, etc.

Characteristics

The characteristics of Down syndrome present variably in each and every case. The prominent and common characteristics may be:

  • Mental impairment
  • Stunted growth (short stature)
  • Slanted eyes
  • Abnormal teeth
  • Shortened hands
  • Short neck
  • Protruding tongue
  • Proportionally large tongue
  • Flathead
  • Abnormal outer ears
  • Flexible ligaments
  • Extra space between big toe and second toe
  • Low muscle tone
  • Obstructive sleep apnea
  • The narrow roof of the mouth
  • Bent fifth fingertip
  • Single transverse palmar crease
  • Flattened nose
  • Strabismus
  • Separation of first and second toes
  • Etc.

These characteristics are commonly associated with other anomalies like hypothyroidism, congenital heart disease, autoimmunity, epilepsy etc.

The intelligence quotient (IQ) may vary from person to person. It may be good, poor or low depending upon the presentation thus the neurological disability may be mild, moderate or poor respectively.

In Down syndrome, an individual usually has better understanding skills rather than speech skills, due to which he may do fairly well in society and improve their social skills over the time, but as there may be vocal impairment the coordination and active communication may become troublesome.

The behavior problems are not as great as other neurological disorders, however, mental illness and autism occur in a fairly good number of individuals. Since, a neurological as well psychological disturbance depends upon genetics, environment, and learnings, Down syndrome individual may develop some symptoms when they approach adulthood because by that time they are active interaction with the society and are exposed actively to social environment.

How to Diagnose?

The diagnosis can be pre-birth and post-birth. If a pregnant female is suspected to have trisomy 21 (on ultrasound or blood tests), invasive diagnostic tests like amniocentesis or chorionic villus sampling are performed. But these techniques usually have some false positive reporting and an increased risk of miscarriage, therefore, the diagnosis is not simple during pregnancy. When found positive the rate of elected abortion varies widely.
Diagnosis at birth can also be suspected on the basis of the physical appearance of the new-born. When suspected chromosome mapping may be advised.

Aim of treatment

  • The aim of treatment is improving the quality of life and intellectual capabilities of the individual, and decreasing the incurable disease burden.
  • It is seen that not every child needs special school, but every child needs special attention.

Management

Management of Down syndrome is a relative term. The management has certain goals which can be enlisted as:

Educate: The education plays an important role in understanding the pathophysiology of Down syndrome and thus it can prepare an individual, parent or a guardian to accept the reality. A well-educated parent, guardian and an individual know the limits and treatability of the case. Education programs not only aim at imparting short-term knowledge but regularly sensitizing regarding various important aspects of Down syndrome.

Treat – Manage: In Down syndrome, along with the characteristic features, there are certain conditions which can be treated medically and with the aid of therapies. For example,

  • Milestones achievement may be improved.
  • Immunity may be strengthened so that the individual is less exposed to disease burden.
  • Acute conditions can be treated satisfactorily.
  • Chronic conditions are treated holistically.
  • Behavioral and mental illnesses can be resolved with the help of right medications.

It is recommended that early screening and apt therapy helps a child to grow at a satisfactory pace. Therapies like speech therapy, occupational therapy, physiotherapy, etc. must be adopted at right time.

Screen: The most important aspect always remains alertness. The more alert an individual is, easier things can go. Down syndrome individuals must be screened for all possible alterations in health at regular intervals of time. For example, starting from the birth the screening schedule may be:

  • Thyroid function tests at birth and if normal once in a year.
  • Coeliac disease at 2 – 3 years of age or earlier if the symptoms occur.
  • Diabetes at 4 – 5 years of age and then routine blood sugar levels annually.
  • Alopecia areata – parents need to closely examine any usual or abrupt hair loss.
  • Screening for congenital heart diseases at birth.
  • Ultrasonography at birth.
  • Hearing test at 6 months and then annually.
  • Routine eye examination annually.
  • Sleep study if the symptoms of sleep apnea occur.
  • X-ray neck between 3 – 5 years of age.
  • GENERAL PHYSICAL EXAMINATION annually.

Follow: Follow the footsteps. A doctor’s/physician/therapist advice is to be followed regularly to counter the Down syndrome effects on life.

Differentiate: A very important aspect of Down syndrome is the differentiation from other neurological/psychological conditions. As an individual with this condition may have other co-morbid similar conditions, the responsibility lies in the identification and right treatment of the condition. For example, if a child is suffering from autism and depression, it is advisable to treat that condition first.

Access to a good healthcare is a fundamental right of everyone.

Self Help – Support Groups

The concept of self-help and support group has boomed with the increasing awareness regarding Down syndrome. These groups aim at exchanging knowledge and ideas to deal with Down syndrome and to live a better life. Broadly, we can extract that groups:

  • Gives access to the exchange of knowledge regarding the disease.
  • Platform for discussions amongst peers.
  • Common home-based therapeutic tips for minor ailments.
  • Counseling related to education, work, health and social interactions.
  • Job opportunities. Employee – Employer interaction.
  • Schooling tips – strategies to deal with individuals especially kids.
  • How to channelize burden of parents to raise their kids.
  • Improving cognitive capabilities – sign language, reading skills, speech etc.
  • Mutual respect and acceptance.

Organizations

Below are some of the organization for Down syndrome help groups:

*Please check the credentials of an organization before visiting their website or office. Not related to Vivid Homeopathy in any form.

Some Important Points

  • Down syndrome is a genetic anomaly and not a disability.
  • An individual with Down syndrome deserve equal respect and position in the society
  • It is our responsibility to teach society the right perspective to Down syndrome. Therefore, “Each one – Teach one” concept needs to be applied.
  • There are many medical conditions associated with Down syndrome which can be treated successfully with medical interventions.
  • If we come across any self-help group it is our responsibility to support them in our own way.

Role of Homeopathy in Down syndrome

Homeopathy heals holistically!

Identify the Cause: In the homeopathic system of medicine, prime importance is given to the underlying cause of the dis-ease, symptoms, and signs. Through a holistic approach, the aim is to find out the deviations from health. As in case of Down syndrome, because of the presence of an extra gene, the characteristic physical and mental symptoms appear. Now, this genetic makeup can’t be altered but the expressions can! The identification of cause can be of great help. Homeopathically in such cases, the prenatal and family history is very important. There are many medicines in homeopathy which are prescribed according to the prenatal, natal, past and family history. Therefore, if your homeopath asks you in-depth questions you should provide the best information to your knowledge.

Constitutional – Individualized Medicine: The term constitutional and individualized medicines are commonly used in homeopathy. The aim of constitutional treatment is to find out the best possible individualized remedy for a case. The aim of such treatment is to improve the immune system as a whole so that a person with Down syndrome doesn’t catch the infection, allergies and other diseases easily and also the recurrent tendency to a particular disease can also be reduced.

Acute – Chronic Diseases: In Down syndrome, there may be acute diseases, acute exacerbation of chronic disease and recurrent presentation of chronic diseases. Therefore, if we study the in-depth of a case we know the difference between an acute condition and acute presentation of a chronic disease.

Treat – Manage – Palliate: This concept is very easy to understand. With a thorough knowledge of disease and homeopathy, we categorize patients according to treatable, manageable and cases where palliation is the only option categories. For example, recurrent tendency to catch a cough and cold is treatable, delayed milestones can be treated to some extent, coeliac disease can only be managed and cretinism needs only replacement therapy (palliation).

First – Aid Kit: Likewise the educative material, individuals, parents, and guardians can keep a homeopathic first aid kit at their home to treat the minor symptoms and ailments homeopathically. The homeopathic medicines are safe, effective, affordable and easier to administer. Therefore, these kits can be used in consultation with the physician at odd hours also.

Improvement is the Keyword: Homeopathic medicines aims to improve the immunity and nervous system, therefore, these help in improving the cognitive and intellectual abilities of an individual suffering from Down syndrome.

Add-on: Many times it is commonly mistaken that homeopathic medicines cannot be opted along with other medicines or therapies. It is now well understood that homeopathic medicines can be safely taken along with other medicines or therapies. The patient is asked to maintain a gap of approx. 30 mins between different medications.

Following medicines are commonly used in homeopathy as constitutional or specific or both in Down syndrome individuals:

  • Baryta carb
  • Calcarea carb
  • Calcarea phos
  • Causticum
  • Phosphorus
  • Silicea
  • Syphilinum
  • Thuja occidentalis
  • Tuberculinum
  • Etc.

Dose – Potency: The dose and potency are dependent upon symptoms, chronicity of the case, age, and other factors. Usually, low potencies (x, 6, 30) are commonly used in acute conditions and high potencies (200, 1000, CM etc.) are used in neurological/psychological and irreversible conditions.

There are also few homeopathic remedies called as nosodes which are used as intercurrent remedies to improve the immunity.

Disclaimer

This article does not intend to replace the in-person consultation. The facts are for general purpose and public awareness only, and must not be taken as Medical Consultation in any form. For a consultation, treatment and specific queries, you need to contact your healthcare professional.

Not for Medico-legal purposes.

© Vivid Homeopathy & Arora’s Homeopathic Clinic 2018.

For reprint and collaborations please contact Dr. Saurav Arora at vividhomeopathy@gmail.com

PHHA Series, Pneumonia

Pneumonia: Salient Points to Remember & Role of Homeopathy

Pneumonia: Salient Points to Remember & Role of Homeopathy in Pneumonia

By

Dr Saurav AroraDr. Saurav Arora, BHMS (Gold Medalist), Founder: Vivid Homeopathy 

Dr Bharti Arora

Dr. Bharti Arora, MD (Hom.), BHMS (Silver Medalist), Co-Founder: Vivid Homeopathy 

Issued in Public Interest by

Arora’s Homeopathic Clinic

An Establishment under

Vivid Homeopathy

www.arorasclinic.com | vividhomeopathy@gmail.com | +91 9811425214

On the Occasion of World Pneumonia Day 

Read Online Below or Download PDF here

Global Burden

As per World Health Organization, “Pneumonia is one of the most solvable problems in global health and yet a child dies from the infection every 20 seconds.”

The global burden of Pneumonia is noteworthy:

  • It is a leading cause of death for children under the age of five years around the world.
  • Pneumonia is the single largest infectious cause of death in children worldwide. Pneumonia accounts for 16% of all deaths of children under 5 years old, killing 920 136 children in 2015. (WHO report)
  • India, Indonesia, Chad, China and Somalia are amongst those countries with highest burden of this disease.
  • It is because of pneumonia and diarrhoea that India is placed amongst the list of top 15 nations fighting with these diseases.
  • One third of the pneumonia population worldwide doesn’t get sufficient treatment.
  • Even if the treatment is given, it doesn’t guarantee the complete survival from pneumonia. In United States alone, 20% of all hospitalized pneumonia patients die every year.

Pneumonia

Pneumonia is one of the commonest infectious disease which may be caused due to bacteria (most commonly by Streptococcus pneumoniae), virus, fungi etc. leading to inflammation of the airspaces in lungs. The alveoli and bronchioles are infiltrated with white blood cells and fibrinous exudates.

  • It can be a presented as mild form or as a life threatening disease depending upon the immunity of the patient.
  • It can be transmitted via air-borne route (cough and sneeze) or via blood transmission.

Symptoms

Pneumonia is inflammation of the alveoli (air sacs) of the lungs, the following symptoms are commonly present in varying degrees:

  • High fever with chills (shivering)
  • Cough – may be dry or productive (green, yellow, brown or blood stained)
  • Difficulty in breathing – fasting breathing with lower chest wall in-drawing in children.
  • Chest pain
  • Nausea, vomiting, or diarrhoea
  • Loss of appetite
  • Increased perspiration
  • Increased heart rate
  • Excessive fatigue
  • Confusion or disorientation to surroundings
  • Wheezing
  • Headache
  • Joint and muscle pains
  • Unconsciousness, hypothermia and convulsions: especially in severely ill infants or old age patients.
  • Etc.

Risk Factors

It is true for every disease including Pneumonia – the interaction of host and environment. Pneumonia only attacks when there is a weakened immune system. This condition commonly affects:

  • Children under 5 years of age.
  • Malnutrition or undernourished children.
  • Severely ill patients.
  • Patients with other chronic illnesses.
  • Immuno-compromised patients such as HIV+/AIDS.
  • Excessive exposure to infection such as: indoor air pollution, crowded homes/schools/societies, parental smoking etc.

Pneumonia may be Hospital Acquired or Community Acquired

Diagnosis

The symptoms of pneumonia, if mild, are liable to be ignored and thus misdiagnosis is very common. It is only when symptoms are severe since beginning and/or prolonged, the correct diagnosis is made. The diagnosis of Pneumonia is pretty simple and can be arrived by following tests:

  • Clinical examination may yield hyperthermia or hypothermia; Tachypnea (>18 respirations/min); use of accessory respiratory muscles; tachycardia or bradycardia; central cyanosis; altered mental status
  • Physical examination may yield adventitious breath sounds (rales/crackles, rhonchi, or wheezes); decreased intensity of breath sounds; dullness to percussion; tracheal deviation; lymphadenopathy; pleural friction rub etc.
  • Complete blood count
  • X ray Chest (lung consolidation)
  • Sputum test, if required to see bacterial presence and growth.
  • There may be specialized and other investigations if the symptoms are complex and prolonged.

Conventional Treatment

The conventional treatment of Pneumonia includes antibiotics, but in cases of pneumonia with viral pathology, the treatment becomes a challenge.

Complications

There may be mild to severe complications of Pneumonia such as pleural effusion and sepsis. The complication may be life threatening and therefore, timely treatment and management is necessary.

Management

The management of Pneumonia (adopted from WHO) has three thumb rules:

  • Protect: Every possible measure must be adopted to protect an individual (especially children) for protection against Pneumonia such as adequate nutrition, healthy lifestyle, exercise etc.
  • Prevent: Prevention is better than cure. Every measure must be taken to prevent Pneumonia spread such as less exposure to risk factors (e.g. indoor air pollution, crowded places), hand washing, etc.
  • Treat: Every Pneumonia case must have access to the right treatment. We must encourage early detection and timely treatment of Pneumonia.

Role of Homeopathy in Pneumonia

Homeopathy heals holistically!

  • Homeopathy stimulates body’s natural immune system to tackle with infectious diseases such as Pneumonia.
  • In Pneumonia the infection arises of lowered immunity, immunocompromisation or increased burden of disease. Homeopathy acts on each and every level to ensure protection from pneumonia. Therefore, Homeopathy acts to: a)Reduce disease burden; b) Improves immunity, c) Have no side or residual effects.
  • Since it is an acute and self-limiting infection, the treatment of pneumonia is symptomatic and conservative.
  • Homeopathy is safe and effective for every age group and therefore, can be given to infants or severely ill patients with ease.
  • Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy) for quick recovery and no side effects.
  • All symptoms are observed and noted to form a drug picture of the patient. This includes in-depth details of presenting complaints as well as non-specific symptoms.

The homeopathic treatment of pneumonia is divided into three major parts:

  • Mild form (detected early with minimal to moderate symptoms): Constitutional treatment and/or specific medicines are used to control the disease; the disease duration is shortened with complete recovery.
  • Severe form (moderate to severe symptoms): Specific homeopathic medicines are used frequently to control fever and to prevent complications. In such cases aid of conventional measures and treatments are advisable. A close monitoring is required to ensure no complications.
  • Pneumonia in immuno-compromised patients: These cases are dealt with homeopathy as Add-on therapy. Specific medicines are repeated too often along with general management and conventional treatments. The major aim is to decrease the disease burden and to improve quality of life.

In addition to constitutional or individualized medicines the following specific medicines are used frequently in homeopathy for Pneumonia:

  • Aconite Ammonium carb.
  • Ammonium iodatum
  • Antimonium arsenicosum
  • Antimonium sulph
  • Antim tart.
  • Arsenicum iodatum
  • Bryonia
  • Calcarea iodatum
  • Carbo vego
  • Digitalis
  • Ferrum phos
  • Iodum
  • Ipecac
  • Kali carb.
  • Kali iod.
  • Phosphorus
  • Silicea
  • Squilla
  • Sulphur
  • Veratrum viride
  • Etc.

Disclaimer

This article does not intend to replace the in-person consultation. The facts are for general purpose and public awareness only, and must not be taken as Medical Consultation in any form. For consultation, treatment and specific queries you need to contact your healthcare professional.

Not for Medico-legal purposes.

© Vivid Homeopathy & Arora’s Homeopathic Clinic 2017.

For reprint and collaborations please contact vividhomeopathy@gmail.com