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Authors

Dr. Saurav Arora

Gold Medalist, MD (Hom.). Founder: Vivid Homeopathy

Dr. Bharti Arora

MD (Hom.), BHMS (Silver Medalist), Co-founder: Vivid Homeopathy

Issued in Public Interest by

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post viral arthralgiaPost viral arthralgia, as the name suggests, is a chronic condition which arises after a person is infected and battled with viral infection. In an era, where viral infections are swapping the world, post infection complaints are becoming a clinical nuisance for both patients as well clinicians. There are many theories for the development of post viral arthralgia, but most commonly it is associated with auto immunity, i.e. body’s self harm against an infection, disease or stress. Due to cross reactivity, even after the virus is eliminated, it causes a short term, as well as, a long term inflammatory changes in the joints and muscles. This is the reason why patients keep on complaining pain in joints and muscles months and years after encounter with an infection. This commonly seen complication is actually a large clinical burden in almost every country of the world.

Etiology

Although it is very difficult to establish an association of specific virus with the post viral arthralgia, but there are few viruses that can give rise to post viral arthritis such as:

• Hepatitis viruses (A, B and C type)
• Parvovirus
• Rubella virus
• Alphaviruses (e.g. Chikungunya virus) and flaviviruses
• Retroviruses etc.

Effects on Health

Earlier considered to be a mild disorder which does not require any special attention, post viral arthralgia has spread to each and every segment of population. Due to rise in the prevalence of viral diseases their associated complaints are also rising alarmingly. It is interesting to be noted that there are various other co-morbidities and risk factors which are associated with the post viral arthralgia such as:

1. Low immunity which favours auto-immune processes to harm the body.
2. Lack of Vitamin D which has predisposed almost half of the population for bone and muscle related diseases.
3. Lack of healthy lifestyle.
4. Inadequate physical activity, along with sedentary lifestyle.
5. Nutritional deficiency etc.

Presentation

The prime most presentation of post viral arthralgia is joint dysfunction. The chronicity and duration of infection decides the actual symptoms and comorbidities. Commonly it can be presented as:

• Pain in single large joint
• Pain in multiple large joints
• Pain in small joints
• Pain in muscles
• Decreased quality of life due to less physical productivity

Symptoms:

• Pain
• Difficulty performing day to day activities
• Morning stiffness
• Redness and swelling in joints
• Discomfort

Diagnosis

The diagnosis of post viral arthralgia depends upon

• History: In majority of the cases, a patient presents with clear cut picture of symptoms developed after fever, viral infection, etc. Therefore, it is very important to ask for the detailed medical history.
• Physical Examination: Since the condition is associated with joints, bones and muscles, a thorough physical examination (following best practices of clinical examination) is sufficient to describe the location involved with details.
• Laboratory Dignosis (General/specific): In majority of the cases, general laboratory diagnosis is made by simple investigations such as blood indices (CBC, Rheumatoid Factor, Serum Calcium, Vitamin D, Vitamin B12, PTH, TSH etc.), X ray of the affected joints etc. In few cases where specific viral pathologies are suspected, specific investigations and expert opinions are sought for.

Differential Diagnosis

It is very important to differentiate the condition with commonly prsented musculoskeletal disorders such as:

• Rheumatoid Arthritis
• Psoriatic Arthritis
• Ankylosing Spondylitis
• Rheumatic Fever
• Sjogren Syndrome
• SLE
• Lyme Disease
• Polymyositis etc.

Conventional Treatment

In conventional system of medicine, in general, if the presentation is mild it is usually treated symptomatically with analgesics or nonsteroidal anti-inflammatory drugs. In few cases, low dose of prednisone is also used in conjugation. But the real challenge arises when there is slow response and irrational usage of pain killers. The over the counter misuse of pain-killers is also becoming an associated clinical challenge. In cases, where specific systemic disease and cause is identified, the treatment becomes targeted.

General Management

The keywords of general management with respect to post viral arthralgia are:

Prevention:

• Prevention is always better than cure.
• If a patient is likely to have tendency for musculoskeletal disorders or have pre-existing illnesses it is always advisable not to expose oneself to areas where viral diseases are prevalent.
• Regular exercise and apt physical activity keep the musculature healthy thus even if one encounters an infection, recovery from a disease and its post complications is quick and long lasting.
• Avoid travelling or exerting too much especially when there is pre-existing illness or nutritional deficiencies.

Eat Healthy

• Eating healthy food keep your immunity intact and strong.
• Food items like Jaggery, food rich in vitamin E and C keeps your immunity intact.

Medication

• Irrespective of the medical system one follows, timely medication under supervision can help your immunity to fight disease better, with low or minimal post effects.
• Don’t ignore symptoms even if they are minor and nonspecific.

Yoga & Physiotherapy

• Yoga and Physiotherapy may play a vital role when introduced with best clinical practices in patients suffering with post viral arthralgia. It is best to adopt such practices in consultation with an expert so as to receive the maximum benefits.

Education

• Keep yourself educated regarding the viral diseases and post viral conditions especially if they are untreated or treated with self-medications.

Role of Homeopathy in post viral arthralgia

Homeopathy heals holistically!

• Homeopathic medicines stimulate body’s inner strength and improve the overall immune system to work in homeostasis.
• The aim of the treatment is to reduce the disease burden and to improve the overall health. This method is considered the best method of treatment because it follows the holistic approach and not only alleviating the symptoms alone.
• The constitutional, well known as individualized homeopathy treatment is known to reduce the tendencies and to improve the overall health.
• The prescription is dependent upon symptoms, signs, tendencies, history and causation.
• The treatment can be curative, palliative or supportive depending upon state and staging of disease.
• Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy).

In addition to constitutional/individualized medicines, the following medicines are frequently used on the basis of causation and symptom similarity:

BRYONIA ALBA: Knees stiff and painful. Hot swelling of feet. Joints red, swollen, hot, with stitches and tearing; worse on least movement. Every spot is painful on pressure. Constant motion of left arm and leg (Helleb).

CARBOLICUM ACIDUM: Cramps in fore part of leg, close to tibia during walking. Gnawing pains in shin bones. Arthritis.

COLCHICINE: Convulsive jerking of right hand; rheumatic fever, gout, endo and pericarditis, pleurisy, arthritis, deformans in early stages; intense pain of rheumatism. (Preferred in lower triturations such as 3x).

FORMICA RUFA: An apt remedy for arthritic conditions. Gout and articular rheumatism; pains worse, motion; better, pressure. Right side most affected. Chronic gout and stiffness in joints. Rheumatic pains; stiff and contracted joints. Muscles feel strained and torn from their attachment. Weakness of lower extremities. Rheumatism comes on with suddenness and restlessness.

ICHTHYOLUM: Polyarthritis. Chronic rheumatism. Uric acid diathesis. Hay-fever. Lameness in right shoulder and right lower extremity.

IODUM: Acute exacerbation of chronic inflammation. Arthritis deformans. Acts prominently on connective tissue. Joints inflamed and painful. Pain in bones at night. Rheumatism of nape and upper extremities. Nightly pains in joints; constrictive sensations.

MEDORRHINUM: Pain in back, with burning heat. Legs heavy; ache all night; cannot keep them still (Zinc). Ankles easily turn when walking. Burning of hands feet. Finger-joints enlarged, puffy. Gouty concretions. Heels and balls of feet tender (Thuja). Soreness of soles. Restless; better, clutching hands.

NATRUM PHOS: Weariness; aching in wrists and finger-joints. Hamstrings sore. Synovial crepitation. Rheumatic arthritis.

POLYPORUS PINICOLA: Useful in deep dull, severe pain in bones especially after intermittent, remittent and bilious fevers, with headache, yellow tongue, constant nausea, faintness at epigastrium, and constipation. Rheumatic complaints preventing sleep.

RHUS TOXICODENDRON: Rhus affects fibrous tissue markedly-joints, tendons, sheaths-aponeurosis, etc., producing pains and stiffness. Post-operative complications. Ailments from strains, over lifting, getting wet while perspiring. Septic conditions. Rheumatism in the cold season. Hot, painful swelling of joints. Pains tearing in tendons, ligaments, and fascia. Rheumatic pains spread over a large surface at nape of neck, loins, and extremities; better motion (Agaric). Soreness of condyles of bones. Limbs stiff paralyzed. Tenderness about knee-joint. Loss of power in forearm and fingers; crawling sensation in the tips of fingers.

STELLARIA MEDIA: Rheumatoid pains in different parts of the body. Sharp pain in small of back, over kidneys, in gluteal region, extending down thigh. Pain in shoulders and arms. Synovitis. Bruised feeling. Rheumatic pains in calves of legs.

SYPHILLINUM: Sciatica; worse at night; better about day-break. Rheumatism of shoulder-joint, at insertion of deltoid. Run-around. Severe pain in long bones. Redness and rawness between toes (Sil). Rheumatism, muscles are caked in hard knot or lumps. Muscles contracted in hard knots.

THYROIDINUM: Rheumatic arthritis with tendency to obesity, coldness and cramps of extremities. Peeling of skin of lower limbs. Cold extremities. Aching pains. Edema of legs. Trembling of limbs and entire body.

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.

©Public Health and Homeopathy Awareness Series (PHHA) by Vivid Homeopathy. The facts and information given in this article are for general purpose and public awareness only, and must not be taken as Medical Consultation in any form. Not for Medico-legal purposes.

For consultation, reprint request and collaborations please contact vividhomeopathy@gmail.com

Thyroid disorders are on the rise as reported by various surveys and research studies. There are various myths and concerns related to thyroid disorders which must be dealt with judiciously. On this World Thyroid Day, Vivid Homeopathy presents its latest article on Thyroid Disorders under PHHA series of articles.

Thyroid Disorders and Role of Homeopathy: Facts and General Considerations

Issued in Public Interest by

vivid homeopathy

On

World Thyroid day

World Thyroid Day 2018

Public Health and Homeopathy Awareness ©

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

Contributors

Dr Saurav Arora

BHMS (Gold Medalist), Founder: Vivid Homeopathy

Dr Saurav Arora has a rich experience of more than 11 years being a medical homeopath and independent researcher. Dr Arora has served various key positions in Ministry of AYUSH, Govt. of India; Ministry of Defence, India; Govt. of NCT of Delhi etc. Dr Arora’s profile and achievements may be seen at www.sauravarora.com

Dr Bharti Arora

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

Dr Bharti Arora is a medical homeopath committed to promoting homeopathy for the benefit of individual and health care system. Dr Bharti has been awarded Silver medal for meritorious position in BHMS. For more info visit www.arorasclinic.com/bhartiarora/

Read Online Below or Download PDF here

In This Issue

• General Considerations
• Thyroid Disorders
• How Thyroid Disorders Develop or Progress
• Available Tests to Diagnose Hypothyroidism
• How to Diagnose?
• Why Thyroid Disorders are Clinically Relevant
• What is Normal TSH
• Common Symptomatology
• Common Clinical Queries and Misconceptions
• Practical Tips, Good Practices and Dos
• Management
• Homeopathic Approach
• Therapeutic Management
• Some of the Commonly Used Medicines
• Ethical Concerns

General Considerations

• Optimal thyroid function is essential for normal growth and development.
• The thyroid regulates the metabolism of our body.
• It influences almost every tissue/part of the body.
• Its dysfunction leads to discomfort, disease(s), decrease quality of life, or even death.

Thyroid Disorders

Thyroid disorders can be best understood when we know “thyroid gland” functions. There may be

• Hypo – or less functioning of the thyroid gland – represented by low T3, T4 values and high TSH – this is called Hypothyroidism.
• Hyper – or more functioning of the thyroid gland – represented by high T3, T4 values and low TSH – this is called Hyperthyroidism.
• There may be physio/pathological/structural changes in gland leading to conditions like Goitre, Nodules, Carcinoma thyroid etc.

In addition, the clinical presentation of each condition can be presented in more than one form.

How Thyroid Disorders Develop or Progress

There are several theories and phenomenon which are responsible for the development and progression of the thyroid disorders. In the simpler form we can understand it like this:

Thyroid Progression

Available Tests to Diagnose Hypothyroidism

• Thyroid Stimulating Hormone (TSH)
• T4 (total, free) -Protein-Bound and Free
• T3 (total, free) -Protein-Bound and Free
• Anti Thyroperoxidase Antibody (anti-TPO ab)
• Ultrasound of Thyroid Gland
• MRI
• Technetium scan/Radio Active Iodine Uptake

How to Diagnose?

The thyroid disorders can be easily diagnosed as follows:

biochemical diagnosis of thyroid

FT3: Free T3; FT4: Free T4; aTPOab: anti-TPO antibodies

Why Thyroid Disorders are Clinically Relevant

• There may be no or minimal symptoms – thus there is a challenge in diagnosis.
• The conditions like subclinical hypothyroidism, autoimmune thyroiditis is not yet fully understood.
• The concept of personalized remedy is emerging in other fields also.

What is Normal TSH

This is usually the most common question encountered in clinical practice. Is it

• <2;
• 2-3
• 2.5-5
• 2-4μIU/ml or something else?

Various authorities have proposed “normal” ranges for serum TSH. In an epidemiological study done in an Indian population, it was found that mean TSH value in the reference population was 2.2 ±0.9 mIU/L (n=1916 healthy volunteers).

Common Symptomatology

The symptomatology depends upon the condition with which a patient is suffering. For example, in Hypothyroidism the common symptoms may be:

• Fatigue
• Constipation
• Weight gain
• Cold intolerance
• Coarse hair and skin
• Brittle nails
• Puffy face
• Non-pitting edema
• Enlargement of tongue
• Periorbital edema
• Hoarseness
• Bradycardia
• Decreased exercise capacity
• Menstrual irregularities
• Depression
• Dementia etc.

In hyperthyroidism, due to increased metabolism, there may be:

• Weight loss
• Tremors
• Diarrhoea
• Excess sweating and hunger
• Fatigue
• Heat intolerance
• Mood swings, nervousness, or panic attack
• Fast heart rate, or palpitations
• Insomnia
• Irregular menstruation
• Protrusion of eyes or puffy eyes
• Hair fall
• Muscle weakness
• Etc.

While in cases of goitre or nodule there may be no or minimal symptoms.

Common Clinical Queries and Misconceptions

Q: The report shows normal T3 T4, but TSH is in hundreds.
A: Counsel the patient that TSH is ultrasensitive; therefore, it must be repeated before any conclusion is made!

Q: What if T4 and TSH both are low?
A: The case may be of Central Hypothyroidism.

Q: What would be the effect of family history on thyroid status of the child?
A: Children who have a positive history of thyroid disorders must be screened regularly, as they have increased chances of developing the disease.

Q: Should anti-TPO antibodies be repeated too often?
A: They are more of prognostic value than diagnostic. It is observed that antibody positive population has more chances to go into hypothyroidism. In such cases, TSH still remains the best screening and follow up test.

Q: What is the role of T3 and T4?
A: T3 is biologically active and T4 is a biological stable hormone. In the body, T4 is converted to T3 and used up by cells.

Q: What is LT4?
A: In the conventional system of medicine the deficiency of T4 is replaced by Levo-Thyroxine (LT4) which commonly comes with many brand names – Eltroxin, Thyrox, Thyroff, Synthyroid etc.

Q: Can I change my LT4 dosage on my own?
A: No, the dosage of LT4 depends upon many factors, and not only body weight or TSH levels. Therefore, to regulate the dosage of LT4 you need to visit your treating physician.

Q: Can I taper off the medicine?
A: Yes in many cases the medicines can be tapered off, but that doesn’t happen in every case. The medicines must be tapered off gradually in consultation with your treating physician. During this process, the health is assessed from the mental, physical and social point of view.

Practical Tips and Good Practices

• Whenever a patient is suspected of a thyroid problem – TSH and FT4 may be done immediately followed by other necessary tests.
• If you are on treatment you need to regularly follow up your treating physician. The follow up depends upon symptoms, history and severity and may vary from every 6 –8 weeks to every 3 – 6 months. The routine tests while at follow up are TSH and FT4 or as advised by your physician.
• The assessment is divided into the symptomatic and biochemical assessment. Both are necessary and important.
• Co-morbid factors ie other diseases and symptoms are not be ignored at any stage
• When there are raised anti-TPO antibodies the case is usually assessed with FT4, TSH and if possible USG neck.
• At no point in time, antiTPOab must be misinterpreted at own level.
• The antiTPOab may be raised in Hashimoto thyroiditis, Graves, and even in acute fever associated with thyroid malfunction.
• Acute illness alone may alter thyroid function tests without thyroid disease, so be aware and repeat the thyroid profile after few weeks of normalcy.
• When a patient comes with Goiter it must be assessed for physiological causes also such as during puberty and pregnancy.
• Goitre must always be assessed with TSH and USG of Thyroid to rule out any nodule.

Management

The management goal for thyroid disorders depends upon the correct diagnosis, however, broadly, they can be summarized as:

Educate: The thyroid education is of vital importance. Many a time people are treated for the diagnosis they never had. Yes, it is true. In the majority of the cases, due to lack of knowledge and misdiagnosis, the treatment modalities tend to fail.

Treat – Manage: Every thyroid disorder can’t be cured but every thyroid disorder can be managed. The treat – manage balance must be understood by the physician as well as patients. Patients must be educated and counselled about the possibility of being treated and managed.

The treatment must aim at holistic normalcy and not only “good” reports.

Screen: The most important aspect always remains alertness. The more alert an individual is, easier things can go. Early detected thyroid disorders tend to manage early then untreated and complex, chronic cases. Screening must be done whenever there is any suspicion or indication. Nowadays thyroid screening tests such as TSH are within reach of any strata of the patient.

Follow up: Follow up under guidance is a must!

Don’t Ignore: A very important point is the alertness for one’s own health. Thyroid disorders are not stand alone diseases in the body. Sometimes there is an association with other diseases or co-morbid symptoms are a matter of concern. Therefore, every deviation from health must be reported to your treated physician.

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

Homeopathic Approach

• Understanding the pathophysiology is the key point. We must be able to differentiate what is “treatable”, “manageable”, or “curable”.
• Assess the thyroid function status, health as well as other risk factors like dyslipidemia, cardiovascular diseases, infertility, pregnancy, old age etc.
• As a thumb rule, believe in Individualized Medicine and regular follow up of the patient.
• The aim of treatment of thyroid disorders is not only the biochemical normalcy, but holistic improvement as a whole. As thyroid hormones affect almost every part of the body, therefore, the improvement should aim at the person as a whole.

Therapeutic Management

Time and again there is a debate between individualized and specific medications in thyroid disorders! Specifics too have a role to play especially when homeopathy is used as add-on or cases where we taper off the conventional medicines.

Some of the Commonly Used Medicines

Individualized

• Phosphorus
• Calcarea carb
• Natrum mur
• Silicea
• Sulphur
• Lycopodium
• Iodum
• Baryta carb
• Bromium
• Spongia tosta

Intercurrent

• Tuberculinum
• Medorrhinum
• Carcinosin
• Thuja

Specific

• Thyroidinum
• Iodum
• Fucus

Ethical Concerns

Treatment of Thyroid disorders is a matter of special concern in:

• Pregnancy
• Childhood
• Puberty
• Elderly
• With other co-morbid incurable diseases such as uncontrolled hypertension, heart diseases 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 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

Down Syndrome and Role of Homeopathy

down syndrome

Issued in Public Interest by

On

world down syndrome day

Contributors

Dr Saurav Arora

Dr. Saurav Arora, MD, Gold Medalist, Founder: Vivid Homeopathy

Dr Bharti Arora

Dr. Bharti Arora, MD, Silver Medalist, Co-Founder: Vivid Homeopathy

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:

• Down syndrome federation of India
• Nayi Disha
• Parents of Down syndrome
• Down’s syndrome Association
• Mencap: The voice of learning disability
• Global Down syndrome Foundation
• National Down syndrome Society
• National Association for Down syndrome

*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

Homeopathy Do’s and Dont’s

Issued in Public Interest by

In this issue

• Commonly Prescribed Forms of Homeopathic Medicines
• Common Scales
• How to take
• Time gap
• What to Avoid
• Taking Homeopathy along with Allopathic and other therapies
• Two Prescriptions at a Time
• Storage
• Expiry
• General consideration
• Report Unusual

Commonly Prescribed Forms

1. Liquid – Dilutions: The dilutions are one of the most common form of medicines used in homeopathy. These are readily available online as well as on homeopathic pharmaceutical stores and homeopathic physicians. The potency of each medicine is indicated on the label, along with the name of the medicine. It must be carefully read and understood before taking medicine.

For example Belladonna 30x is different from Belladonna 30c. The liquid potencies are commonly available as:

• Centesimal: denoted by ‘c’, ‘ch’, ‘CH’ or simply nothing is written after the numerical potencies, e.g. 6, 30, 200 etc. are same as 6c, 30c, 200c or 6cH, 30cH or 200cH respectively.
• LM/50th Millesimal scale/Millesimal scale: The medicines are denoted either as LM/1, LM/2, etc. or 0/1, 0/2 and so on. These are generally prepared by the pharmacy or the homeopathic physician as their preparation involves a stepwise manner according to homeopathic principles. These must be taken with proper advise and understanding.

2. Pills (Globules) soaked with liquid dilutions:

• This is probably the most common method of dispensing homeopathic medicines.
• Usually, plastic or glass vials are used.
• There are various sizes of pills (globules) such as 10, 20, 30, 40 etc. and the dosage and repetition is decided by the treating physician.
• Pills are easy to administer and can be easily given to every age group.
• Pills are made up of sucrose/lactose sugar and are naturally white, therefore, if you note any change in their colour you must not use them anyway.
• Vials cap/cork must be tighten after each use.

3. Biochemic tablets

• Biochemic salts (also known as Schussler’s salt are commonly prescribed as homeopathic or add-on to homeopathic prescriptions. Their dose depends upon condition and chronicity of the disease. For almost all biochemic salts and bio-combinations the dosage is mentioned on the leaflet provided with them. Commonly 4-8 tabs per dose are recommended by the homeopathic physicians.
• If there is any change in colour of tabs, their usage must be avoided.

4. Powder form: The powder used in homeopathic prescription is made up of milk sugar and is completely safe, even for kids. The liquid medicine or few medicated pillules are added to the powder as a dose.

5. Mother tinctures

• Mother tinctures are the crude/base potency of homeopathic medicines.
• These are diluted with water for usage.
• Usually these are given in less to moderate doses (ranging from 1 – 30 drops per dose).
• Prolonged usage of mother tinctures as self-medication must be avoided.
• It is always advisable to take them with physician’s advice, and checking the expiry date before usage.

6. Triturated Tablets: Triturated tablets are form of homeopathic medicines containing low potencies of medicines in a suitable base (e.g. lactose). These are consumed either by chewing or crushed and mixed with water. Triturated tablets are commonly denoted with ‘x’ along with name of medicines e.g. Thyroidinum 3x, Insulinum 6x, etc.

Common Scales

• Decimal – denoted by ‘x’ such as Calcarea phosphorica 6x;
• Centesimal – denoted by c, ch or CH as in liquid potencies.
• LM/Fifty Millesimal – liquid potencies.

How to take

• Homeopathic medicines must be taken as per the advice of a registered homeopathic practitioner only.
• Pills must be taken in the cap of the vial or plastic spoon first and then put in the mouth.
• The idea behind not touching the medicine is to keep medicine safe from contamination of any kind.
• Liquid potencies must be diluted in water before consumption. Usually, 04 drops of liquid dilution are diluted with 2 – 4tsp water and 20 drops of mother tinctures are diluted in one cup of water, but this dilution factor may vary from practitioner to practitioner.
• Bottles must be capped and tightened properly after each use.

Time gap

• There must be an ample time gap between meals/consuming homeopathic medicines.
• The basic logic is that lesser the smell in the mouth more effective the medicine would be.
• As a general advice, a patient need to give a gap of 20 – 30 minutes before and after taking homeopathic medicines.
• However, there is no restriction on having water immediately before or after taking medicines.

What to Avoid

• In general, there is no restriction to onion and garlic (as commonly asked by the patients), provided patient maintains an ample gap between meals and medicines (before or after taking medicine).
• In some cases, there are specific restriction of certain food/environmental items, which are clearly told by the treating physician.
• Strong smelling food items must be avoided immediately before or after taking homeopathic medicine.
• One may take Tea, Coffee, etc. (in less to moderate quantity), if not specifically restricted by the treating physician.
• Tobacco (chewing and smoking), alcohol, drugs are to be strictly avoided while taking homeopathic treatment.
• You may avoid strong smelling perfumes, medicated soaps, scented hair oils etc., only if asked by the treating physician.

Taking Homeopathy along with Allopathic and other therapies

• As per latest research and experience, homeopathy can be taken as Add-on or complementary therapy along with other therapies or allopathic medicines.
• A half an hour gap is advisable between homeopathic and other medications.
• These situations are common when the patient is on essential medicines such as Diabetes, Hypertension, Cardiac disorders, Thyroid disorders or life-saving medicines as in accident or post-surgery, in such cases, you must follow the treating physician’s advice.
• The route of action of homeopathy is different from the conventional medicines, hence it may be taken along with conventional medicines.

Two Prescriptions at Same Time

• Many a time patients ask about taking prescription from two homeopathic practitioners at the same time for two different problems. This must be avoided.
• A patient should follow a single homeopathic practitioner/prescription at a time.
• However, if required, second opinions may be obtained from other homeopathic or senior medical professionals.

Storage

• Homeopathic medicines must be stored in a cool, dry place, away from direct sunlight, heat, radiations such as microwave, TV, or strong odors such as camphor, solvents, paint, and chemicals etc.
• Homeopathic medicines should not be refrigerated.
• Their storage must be out of reach of children.
• Medicines must be tightly capped after each use.

Expiry

• Nowadays every homeopathic medicine comes with a pre-defined expiry especially biochemic tablets, combinations, patents and mother tinctures.
• The expiry of homeopathic medicines and formulation vary from region to region and according to type of preparation.
• If there is any change in colour of the pills, biochemic tablets or change in consistency/colour change in liquid dilution/tinctures, one must not consume them.
• For liquid dilutions, if by adding liquid dilution, pills dissolve immediately, it points towards discarding the dilution.

General considerations

• Homeopathic medicines are completely safe but must be taken with consultation and supervision only.
• A qualified homeopathic practitioner knows the dosage, repetition and potency selection and therefore helps a patient with right medicine – right dose – and right repetition.
• Self-medication must be avoided.
• Many times, people keep on taking mother tinctures in substantiate dosage for long without consulting a physician. Such a usage is not advisable at all.

Report Unusual

Homeopathic medicines are amongst the safest medicines with no side effects, however, there may arise a condition when your symptoms may get aggravated due to other factors (self-medication, progressive medical condition, side effects of other medicines etc.). If you feel any other symptom or deviation from health, you should immediately report it to your treating physician.

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 2019 – 2021.r

Collaboration

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

By
Dr Saurav Arora
Dr. 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

Vivid Homeopathy

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

Read Online Below or Download PDF here

In This Issue

• Polycystic Ovarian Syndrome (=PCOS or PCOD)
• Common Age of Onset
• What is PCOS
• Important terms
• How it happens
• Clinical Presentation
• Types of PCOS
• Prevalence
• Diagnosis
• Differential Diagnosis
• Complications
• Some Important facts
• Management
• Role of Homeopathy in PCOS
• Recommended Scientific Reading

Polycystic Ovarian Syndrome (=PCOS or PCOD)

Polycystic Ovarian Syndrome or commonly called PCOS or PCOD (disease) is one of the rising endocrine disorders affecting millions of reproductive age group females. It is not only a disease which affects ovaries but may result in reproductive, metabolic, and psychological consequences.

Common Age of Onset

• Common age of onset is adolescence.
• Common time of diagnosis: 2nd to 4th decade of life.
• Some symptoms may appear starting at menarche or post menopause.

What is PCOS

The first consensus definition of PCOS arose from the proceedings of an expert meeting in April 1990 in USA (1990 NIH criteria). It defines PCOS as the combined presence of:

• Hyperandrogenism,
• Oligoovulation and
• Exclusion of related disorders such as Cushing’s syndrome, hyperprolactinemia, and congenital adrenal hyperplasia.

However, in today’s scenario, an increasing awareness about PCOS suggests that the clinical expression of PCOS are broader than that specified by the 1990 NIH criteria.

Important terms

• Hyperandrogenism = Androgen excess = excessive levels of androgens (male sex hormones such as testosterone).
• Oligoovulation: Infrequent or irregular ovulation (usually defined as cycles of ≥36 days or <8 cycles a year).
• Anovulation: is absence of ovulation when it would be normally expected (in a post-menarchal, premenopausal woman).

How it happens

The exact cause of PCOS is still unknown. It is believed that the hormonal imbalances and genetics play important role in its pathogenesis.

• Females with PCOS often struggle with higher-than-normal production of androgens.
• This affect the development and release of eggs during ovulation.
• In many cases excess serum insulin may cause high androgen levels.

Clinical Presentation

The type and severity of symptoms varies from individual. Hyperandrogenism is a primary hallmark of PCOS. PCOS may cause women to develop certain characteristics, such as:

• Abnormal growth of hair on the face, chest, stomach, thumbs, or toes (hirsutism),
• Acne
• Weight gain

Other symptoms/signs include:

• Deeper voice
• Decrease in breast size
• Thin hair
• Pelvic pain
• Anxiety or
• Infertility

Along with PCOS a female may have other concurrent health problems, such as diabetes, hypertension, and high cholesterol. These are linked to the weight gain typical in PCOS patients.

Types of PCOS

PCOS may express in following subtypes:

1. HYPERANDROGENISM, normal cycle, PCO IN ULTRASOUND.
2. Normal androgens, OLIGO-ANOVULATION, normal
3. HYPERANDROGENISM, OLIGO-ANOVULATION, normal
4. HYPERANDROGENISM, OLIGO-ANOVULATION, PCO IN ULTRASOUND

Prevalence

• It affects approximately 5-10% of the female population in developed countries
• In India it is approximately reported in 9% of the adolescent females.
• Between 15-35 years of age it is commonly prevalent in around 6 – 13% of females

Diagnosis

PCOS is diagnosed clinically, but certain investigations are advised to diagnose it completely, such as:

• Androgen level: free testosterone, DHEAS and androstenedione.
• Sex hormone binding globulin (SHBG): usually low in PCOS.
• Fasting insulin: elevated in PCOS.
• Fasting glucose or 2-hour post-prandial glucose: elevated in PCOS.
• LH/FSH Ratio: PCOS is associated with high LH with normal FSH. Normally, the ratio of LH: FSH is 1:1, but in PCOS, this ratio can get altered to 2:1 or even more.
• Cholesterol levels: Impaired lipid metabolism may occur together with impaired blood sugar metabolism leading to an increase in both HDL and LDL.
• Ultrasound to check for the presence of ovarian cysts in a typical pattern.

Differential Diagnosis

• Pregnancy
• Premature ovarian failure
• Hyperthyroidism
• Hypothyroidism
• Pituitary adenoma
• Late-onset congenital adrenal hyperplasia
• Congenital adrenal hyperplasia
• Androgen-producing tumor of the ovary or adrenal gland
• Discontinuation of oral contraceptives
• Rapid weight loss

Complications

Untreated PCOS may be associated with

• Increased risk for cardiovascular disease
• Dyslipidaemia
• Infertility
• Menstrual irregularities like amenorrhea, dysfunctional uterine bleeding
• Permanent hirsutism
• Persistent acne and
• In some cases increased risk for endometrial cancer, endometrial hyperplasia and, breast cancer.

Some Important facts

• This disorder was first identified in 1935 by Stein and Leventhal who noticed a condition in women characterized by irregular menstruation, obesity, and hirsutism, in addition to cysts on the women’s ovaries.
• Genetic and environmental factors when combined with ovarian dysfunction, hypothalamic pituitary abnormalities, and obesity can accentuate PCOS.
• Hormones imbalance involves estrogen, progesterone and androgens, such as testosterone.
• The syndrome has major metabolic as well as reproductive morbidities. Reproductive problems may include infertility and various pregnancy complications and clinical signs of androgen excess.
• Since it is reflected as hormone imbalance, there are instances where metabolic problems are also seen such as insulin resistance, metabolic syndrome, impaired glucose tolerance etc.
• It is a psychological stress to a female and may result in lack of confidence, poor quality of life, poor self-esteem, depression, anxiety, and possibly eating disorders.

Management

The management of PCOS has four thumb rules:

• Education: The PCOS and its causes must be taught to the patient. Many times it may be due to an underlying risk factor such obesity or stress.
• Understanding: PCOS and its pathophysiological understanding is a must. Its present form, how much it is going to trouble a patient, what would be the probable outcome in future etc. must be understood.
• Treat the Cause: As a thumb rule we need to identify the underlying cause of the PCOS, thus the treatment must aim at considering the root cause and not superficial symptoms only.
• Eat Healthy Live Healthy: It is now an established fact that PCOS is related to poor life-style, stress and genetics. We can’t modify genetics but we can modify body’s expression and health status. Involment in health activities and treatment is the key rule. The patient is advised to take active interest and participation in timely medication, exercise, and dietary restrictions. Activities may include controlling cholesterol levels, reducing obesity, maintaining blood pressure etc.

Role of Homeopathy in PCOS

Homeopathy heals holistically!

• Treat the Cause: Homeopathic system of medicine is a therapeutic system of symptoms similarity which is safe, effective, affordable and within reach. It takes into account the holistic approach i.e. person as a whole. This means that we treat every patient on the basis of individualization. During this process prescription is based upon the many factors such as symptoms, sign, causation, history, family history, mental status and inherent nature of the person, likings, disliking etc. This is synonymous with term Constitutional Medicine.
• The PCOS has been termed as a syndrome as it affects many systems of the body. Therefore, it may be considered as a constitutional problem rather than a local disease.
• Homoeopathic intervention aims at halting the progress, providing symptomatic relief and curing the patient.
• Homeopathic medicines stimulate the hypothalamic-pituitary-ovarian axis thereby strengthens the immune system and trigger the natural release of hormones.

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

• Initial stages (detected early): Constitutional treatment and/or specifics to control the symptoms.
• Developed stages: Specific medicines to control symptoms and to regularise the body’s hormonal imbalance.
• PCOS with other morbidities: Specific medicines are repeated too often and given for longer duration. The aim is to control the situation and improve quality of life of patients.

Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy).

• The patient is asked to maintain a gap of approx. 30 mins between different medications.
• The key point of treating PCOS is holistic healing and not hormonal or ultrasonography normalcy only.

Following medicines are commonly used frequently in homeopathy as constitutional or specific or both:

• Apis mellifica
• Natrum muriaticum
• Platina
• Phosphorus
• Sepia
• Pulsatilla (both in potency and mother tincture)
• Thuja occidentalis
• Senecio aureus
• Oophorinum
• Jonesia Asoca
• Etc.

As a common myth, mother tinctures are not always superior to potencies. The right potency may be mother tincture, trituration or a dilution depending on severity and presentation of the case.

Recommended Scientific Reading

1. Azziz R, Carmina E, Dewailly D, Diamanti – Kandarakis E, Escobar-Morreale HF, Futterweit W, et al. The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertil Steril. Feb 2009;91(2):456-88. [Medline].
2. Stein IF, Leventhal ML. Amenorrhea associated with bilateral polycystic ovaries. AJOG 1935; 29(2):181-191.
3. Garad, R., Teede, H. J., & Moran, L. (2011). An evidence-based guideline for Polycystic Ovary Syndrome. Australian Nursing Journal, 19(4): 30.
4. Heidi A. Polycystic ovary syndrome (PCOS) in urban India. Manlove University of Nevada, Las Vegas. Available from: http://bit.ly/1Dq1fbP [Last accessed on 26 April 2015].
5. Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of polycystic ovarian syndrome in Indian adolescents. J Pediatr Adolesc Gynecol 2011;24:223‑7.
6. Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of Polycystic Ovarian Syndrome in Indian Adolescents. Journal of Pediatric and Adolescent Gynecology 2011; 4: 223–27.
7. Polycystic Ovary Syndrome: Current and Emerging Concepts. Springer. Lubna Pal 2014. London
8. Burghen G.A., Givens J.R., Kitabchi A.E. (1980) Correlation of hyperandrogenism with hyperinsulinism in polycystic ovarian disease. J Clin Endocrinol Metab 50: 113–116
9. Jeffcoate, William et al. Diabète des femmes à barbe: a classic paper reread. The Lancet , Volume 356 , Issue 9236 , 1183 – 1185
10. Kierland RR, Lakatos I, Szijarto L. Acanthosis nigricans: An analysis of data in twenty-two cases and a study of its frequency in necropsy material. J Invest Dermatol 1947:9:299-305
11. Brown J, Winkelmann RK. Acanthosis nigricans: a study of 90 cases. Medicine 1968 47:33-51
12. Kahn CR, Flier JS, Bar RS, Archer JA, Gorden P, Martin MM, Roth J 1976 The syndromes of insulin resistance and acanthosis nigricans. N Engl J Med 294:739–745
13. Hughesdon PE 1982 Morphology and morphogenesis of the stein-leventhal ovary and of so-called “hyperthecosis.” Obstet Gynecol Surv 37:59–77
14. Roe AH, Dokras A. The Diagnosis of Polycystic Ovary Syndrome in Adolescents. Reviews in Obstetrics and Gynecology. 2011;4(2):45-51.
15. Legro RS. Polycystic ovary syndrome: current and future treatment paradigms. Am J Obstet Gynecol. 1998;179:S101–8.

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 Dr. Saurav Arora at vividhomeopathy@gmail.com

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

By

Dr. Saurav Arora, Gold Medalist, MD (Hom.)

Dr. Bharti Arora, Silver Medalist, MD (Hom.)

Issued in Public Interest by
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.

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

Diabetes mellitus: Salient Points to Remember & Role of Homeopathy in Diabetes mellitus

By

Dr Saurav Arora

Dr. 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 Diabetes Day

Read Online Below or Download PDF here

diabetes mellitus

Diabetes Mellitus: Salient Points

Diabetes mellitus is now an established multi-system and challenging syndrome. It is attributed to various risk factors including lifestyle, stress and genetic predisposition. Diabetes mellitus is prevalent in almost every part of the world in today’s scenario. Once thought to be a disease of sedentary origin, it is now one of the most common endocrine disorders prevalent amongst every strata, sexes and ethnicity.

Given below are some of the quick points which may help us to understand and thus tackle diabetes mellitus in a better manner:

• Diabetes mellitus (DM) is an endocrine disease syndrome characterized by persistent hyperglycaemia (high blood sugar levels), resulting either from inadequate secretion of the insulin, or an inadequate response of target cells to insulin, or a combination of both factors.
• DM has been recognized since antiquity, and treatments of various efficacies have been known since the middle ages, but the elucidation of the pathogenesis of diabetes occurred mainly in the 20th century.

The DM is commonly divided into Type 1 and 2 DM.

Image source: http://www.startstemcells.com/img/diabetes1.jpg & http://danii.org.au/wp-content/uploads/2016/01/Type-2-Diabetes-1.jpg

Other types of DM are Gestational and other specific types.

Image source: http://myremedysource.com/wp-content/uploads/2017/01/insulin-for-type-2-diabetes.jpg

Type 1 DM

• The type 1 DM is also known as Insulin dependent DM or IDDM or Juvenile diabetes has an early onset (usually 2nd or earlier decade of life). It is characterized by beta cell destruction caused by an autoimmune process, usually leading to absolute insulin deficiency. The onset is usually acute, developing over a period of a few days to weeks. Over 95 percent of persons with type 1 DM develop the disease before the age of 25, with an equal incidence in both sexes and an increased prevalence in the white population.
• A family history of type 1 DM, gluten enteropathy (celiac disease) or other endocrine disease is often found.
• Most of these patients have the “immune-mediated form” of type 1 DM with islet cell antibodies and often have other autoimmune disorders such as Hashimoto’s thyroiditis, Addison’s disease, vitiligo or pernicious anemia.

Type 2 DM

• Type 2 DM (formerly called NIDDM, type II or Adult-onset) is characterized by insulin resistance in peripheral tissue and an insulin secretory defect of the beta cell.
• The defective secretion of insulin and/or defective uptake fuel the cycle of glucose intolerance and hyperglycemia.

Risk Factors

The following risk factors increase the chances of developing Type 2 DM:

• Genetic factors, usually family history, are present in many patients.
• Increasing age
• Altered food habits
• Sedentary lifestyle
• Obesity; and
• Lack of physical activity.

Other (or rarer) causes include:

• Certain medicines;
• Pregnancy (gestational diabetes); and
• Any illness or disease that damages the pancreas and affects its ability to produce insulin e.g. pancreatitis.

Type 2 DM now affects a higher proportion globally!

Symptoms

• The classical symptoms of DM may be polyphagia, polydipsia, polyuria, weight loss, fatigue etc., but in the majority of the patients symptoms are variable in the presentation.
• Many a time patients are diagnosed on the routine investigation or on the basis of non-specific and trivial symptoms.

Complications

The complications of diabetes are far less common and less severe in people who have well-controlled blood sugar levels.

In fact, the better the control, the lower is the risk of complications.

Diagnosis and Investigations

DM is diagnosed on the basis of clinical presentation and biochemical/specific investigations. The following tests are done in routine clinical settings:

1. Blood sugar fasting and postprandial (PP)
2. Blood sugar random
3. Glycated Hb – HbA1C
4. Serum insulin level
5. Other tests: Liver function test, Lipid profile, Kidney function test, Eye examination etc.
6. In addition, specific tests are also done depending upon symptoms and signs.

Goals of DM Medication

Whatever the form of medication you opt, the broad goal of medication remains the same

• Normalcy of blood Sugar levels
• Improvement in overall Health
• Prevention of Complications

Levels of blood sugar for Normal and Diabetic Patients

Oral Hypoglycaemic and Insulin Preparations

A major challenge and equal confusion exist in general population regarding conventional treatment of DM i.e. whether to take oral hypoglycemic or insulin. In this regard following points may be noted:

• It is a common practice for a physician to start oral hypoglycemic drugs in initial stages. The oral hypoglycemic drugs lower the blood sugar levels after entering body’s digestive system.
• On the other hand, when oral drugs fail to achieve the desired blood sugar levels, or there is lack of compliance on part of patient or due to side effects oral drugs etc., various insulin preparations are advised. The Insulin is injected directly into the bloodstream. The insulin preparation and units are decided by the physician keeping in mind average level of blood sugars, the age of patient, compliance, complications, if any etc.
• Insulin is also advised where blood sugar levels are abnormally high and there is a chance of developing pathological changes in the body.
• It is also commonly observed that patients keep on taking oral hypoglycemic drugs or insulin without monitoring of blood sugar levels for longer times.
• Therefore, it is not advisable at all to experiment with your health. The blood sugar levels must be controlled under the supervision of a medical practitioner only. It is also equally important to know which kind of medication especially insulin preparation you are taking because it lowers blood sugar levels faster and a patient may end up in acute hypoglycemia rather than control.

Following are the common types of insulins and the duration for which they work

Hypoglycaemia

Hypoglycemia is commonly encountered in diabetic patients and can be life-threatening. To treat, one simply needs the presence of mind and alertness to the condition. Here too, prevention is better than cure. It is advised to take sufficient food with anti-diabetic medications especially insulin to avoid sudden fall in blood sugar levels. Even if someone suffers from it apply the Rule of 15! When the blood sugar level falls beyond 70 mg/dl a diabetic is given 15gm of carbohydrates and after 15 minutes sugar is again checked. This is done until the sugar comes to a normal range. The following items contain approx. 15 grams of carbohydrates:

• ½ cup of orange juice
• 1 tablespoon of honey or syrup
• 1 tablespoon of sugar or 5 small sugar cubes

Management

The management of DM has four thumb rules:

Education: The DM and its outcome must be taught to the patient is a simple language. Patient has the equal right to have the right knowledge of the disease, its progression, and complications.

Understanding: DM, its present situation, and prognosis must be understood keeping in mind background of the patient, presenting complaints, occupation, history, environment (family and working) and mental state. Not every diabetic land up in complication.

Participation in health activities and treatment is the key rule. The patient is advised to take active interest and participation in timely medication, exercise, and dietary restrictions. Activities may include smoking cessation, controlling elevated cholesterol levels, reducing obesity, maintaining blood pressure etc.

Save your Eyes, Kidneys, and Nerves. Undergo a routine check-up at regular intervals.

By changing diet, blood glucose levels can be controlled

• Despite diabetes being a condition of sugar regulation, specific restriction of sugars is not necessary, except as part of ensuring a balanced diet overall.
• The best thing is to reduce the amount of simple sugars and refined carbohydrates and increasing the amount of complex carbohydrates and fibre in the diet.
• The body needs time and energy to break and use complex carbohydrates such as fruits, vegetables, and whole grains. This leads to the slower release of glucose into the bloodstream.
• Simple carbohydrates, such as sugars and highly processed or refined foods, are broken down quickly, leading to a rapid rise in blood sugar.
• A diabetic may consult a dietician for specific and customized diet plans.

Exercises yield following benefits

• Exercise causes contracting of muscles thereby using the circulating sugar and hence decrease the pancreas’ burden.
• Exercise consumes much of accumulated fat and thus weight is maintained, which in itself may ameliorate most symptoms of diabetes.
• Exercise gives a psychological boost.
• A diabetic can opt for any light exercise like walking, jogging, swimming, cycling, gardening, etc.
• A middle-aged diabetic should desist from doing heavy or tiring exercises.

Role of Homeopathy in Diabetes mellitus

Homeopathy heals holistically!

• Homeopathy has been used for a long time to control the blood sugar levels.
• Homeopathic medicines directly act on nervous system thereby stimulates the immune system. They stimulate the pancreas function and release of quality pancreas secretions, and at the same time improves the uptake and metabolism at the cellular level.

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

• Initial stages (detected early): Constitutional treatment and/or specifics to control (and cure in some case) blood sugar levels, usually given for few weeks to few months.
• Developed stages: Specific medicines to control blood sugar levels, usually given for few months to years.
• Complicated cases: Specific medicines repeated too often and given for years. The pathology can’t be reversed but progression can be checked with improvement in the quality of the life of the patient.
• Homeopathic medicines can be taken safely along with other/conventional medications (ADD-ON Therapy).
• The patient is asked to maintain a gap of approx. 30 mins between different medications.

The key point of treating holistically is to keep a regular check on blood sugar levels, improve quality of life and minimize (or avoid) complications

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

• Syzygium jambolanum
• Cephalandra indica
• Uranium nitricum
• Lycopodium
• Acid phosphoricum
• Abroma augusta
• Insulinum
• Natrum sulph.
• Etc.
• As a common myth, mother tinctures are not always superior to potencies.
• The right potency may be mother tincture, trituration or a dilution depending on severity and presentation of the case.
• One should not take medicines for DM without supervision. It is a common practice amongst general public to take anti-diabetic medications for long without checking their blood sugar levels.

The success of treating diabetes is directly proportional to its understanding.

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

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