CHILDRENS BLADDER



Lycopodium will be the remedy if sediments like brick-dusts are found on the diaper. The child, on waking from sleep, becomes very cross and kicks at them who happen to be on his bed.

Five drops of tincture Lycopodium in a little water is claimed to have worked like a specific.

Nux vomica will be suitable for those who are in the habit of taking patent medicines, too much tea or spicy foods. The child is peevish and constipated. The urine dribbles due to paresis of bladder.

Magnesia phos. has nocturnal enuresis from nervous irritation. The urine is pale and copious. Try 3x or 6x trituration.

Argentum nitricum children are afraid to go to a crowded place and of strangers. It will benefit more if the child is very fond of sugar and sweet things which do not suit him and bring diarrhoea.

Gelsemium has copious pale, watery urine. The child urinates too frequently if he has to go out. Nervous children who are afraid of strangers and crowds. The Gels. kid is a chilly subject and gets frequent attacks of spasmodic sneezing. Thirst is never prominent in Gels. patients.

Note:- Sepia is the most frequently indicated remedy for enuresis in first sleep, next comes Causticum and then Kreosote.

For spasmodic enuresis think of Arg. nit. first and Gelsemium next.

For dreaming of urination consider Caust., Sep., Kreos., and Phos-ac. The first two merit greater than the other two.

When the child wets the bed every day consider Ferr-met., Bell., Caust and Equisetum in the order they have been named.

The next common urinary complaint for which the parents bring their wards to us is painful micturition. For this trouble Borax is the most frequently indicated remedy (for adults-Canth.) and fear of falling down leads to its application. The child cries before urination. Lycopodium is indicated if deposits of urates are found on the childs diaper. Sarsaparilla also has strangury associated with deposits of sands on the childs diaper. Under this drug the child cries before and during micturition.

Marasmus of children, summer boils and a history of eruptions after vaccination will further guide to its choice. All these three drugs have painful urging for urination and the child cries until the flow is established. But in Sarsaparilla alone the cry i.e. the pain continues until the flow is concluded. Nux vomica is another medicine for painful urging and its leading features have already been described under enuresis.

Another renal trouble of children is ischuria although it is not so common as the preceding two complaints. If this condition is brought from an exposure to cold, particularly dry cold, then Aconite will be sufficient. It has fever, restlessness, unquenchable thirst and dry skin. The child has the urging but nothing comes out. Gelsemium is another remedy having dysuria from an exposure to cold but the condition develops slowly and not soon after the exposure as in Acon. The fever of Gelsemium is also milder and drowsiness is always its predominant symptom. It lacks thirst and restlessness of Aconite.

Dulcamara will be indicated if the retention is from an exposure to damp cold weather. All these three remedies are also suitable for a paralytic condition of the bladder or of the sphincter and so is Causticum which may be tried if any of the previous ones fails to reach so deep. Apis mel. is the remedy if there is oedematous swelling of eyelids, more particularly the lower.

It has sudden piercing pain in the ureter as will be indicated by sudden shrieks of the child. The child sits to urinate but only a little dark colored urine comes out drop by drop. Opium will be required when a soporous sleep predominates. It is also suitable for retention of urine after fright. Benzoic acid will be useful if the urine has very strong odor. Other possible medicines are Bell., Copaiva, Nux-v., Puls., etc.

For ineffectual urging think of Aconite first and then Lycopodium. Apis may also be required in some cases for this condition.

Remember:-.

Petroselinum is the first medicine for sudden urging for urination and next comes Kreos. or Sepia. Phos-ac and Sulph also have this symptom.

Petroselinum is the first medicine for sudden urging for urination and next comes Kreos. or Sepia. Phos-ac and Sulph also have this symptom.

Petroselinum has another peculiar symptom, the child gets the urging suddenly and if he is not allowed to empty the bladder immediately a severe pain ensues which makes him jump about up and down.

Aconite has a similar peculiarity. Though the urging is not sudden like the former but each time the boy feels the urging he will grasp the genital and cry. For painful urging there are several medicines but to hold the genital every time before urination can be found only in this remedy.

Under Mercurius sol also we find that the child frequently puts his hand on the genital, perhaps it is due to some irritation or a pricking sensation in the urethra, may be a mere feeling of uneasiness there. Whatsoever may be the reason this symptom is an indication of Mercurius and Mercurius will correct this habit.

For calculi think of Benz-ac., Calc-c., Canth., Lyco., and Sepia. But for brick dust sediments in urine Lycopodium is the best remedy.

For copious or increased urination think of Arg-n., Kreos., Merc., Nat m., Nat-s., Phos-ac., Puls., and Sulph.

And when the quantity of urine is diminished consider Apis, Equis, Graph, Hell., Merc-sol., Nat-s., Op., and Sep.

Natrum mur. has both copious flow of urine with inordinate thirst. But it has two great peculiarities. The quantity of urine voided is greater than the quantity of water taken and great thirst inspite of increased ptyalism.

Apis mel. is just the reverse of the preceding two remedies. Both thirst and urine are greatly diminished, sometimes totality absent, under this drug.

Sarsaparilla has a strange symptom worth remembering. Adults requiring this drug has no pain before or during urination but the pain comes only on the conclusion of the flow; but in the case of children it produces the opposite symptom; the pain arises before the urination, remains as long as the flow continues, and ceases only with the cessation of the flow.

B K Goswami