Rare remedies for urinary tract infection in children

Dr. Prasoon Choudhary¹, Dr. Sandhya Rathour², Dr. Shivangi Jain², Dr. Manju Bijarnia²

1. HOD, Department of Paediatrics, Homoeopathy University, Jaipur (Raj.)
2. PG scholar Department of Paediatrics, Dr. M.P.K. Homoeopathic Medical College Hospital and Research Centre, Jaipur (Raj.)

ABSTRACT: Urinary tract infection is common medical problems in pediatric, UTI is a bacteria infection it is occurrence rate is common in infancy in boys and girls beyond infancy incidences of infection is higher in girls. It can cause discomfort during micturition. Recurrent UTIs observed in 30-50% of children.

KEYWORDS: Urinary tract infection, Homoeopathy, Pediatric age group, VUR.

INTRODUCTION: Urinary tract infection (UTI’s) is significant bacteriuria, colony count is 105 CFU/ml of a single bacterial species of midstream. It is a more common bacterial infection of childhood, affecting 3-10% of girls and 1-3% boys. During infancy, the rate of transmission of infection is hematogenous so that UTI’s are equally common in boys and girls.

UTI’s are commonly caused by e.coli, others include staphylococci, Klebsiella, Enterobacter, etc. An important cause of morbidity may result in renal damage, often associated with vesicoureteral reflux (VUR). Girls are more prone to UTI’s due to obstructive uropathy, constipation voiding dysfunction, sever vesicoureteral reflex. Infection may affect the upper urinary tract (Pyelonephritis) or lower urinary tract (Cystitis). The onset of the symptoms is with fever, anorexia, the child can cry during micturition, Dysuria, Burning & Itching in the urethra, redness in the area. Some time blood may also present in urine, failure to thrive, irritability, lethargy, offensive cloudy urine, poor urinary stream, the appearance of symptoms – asymptomatic bacteria.

Examination: Pediatrician should examine the child carefully on palpitation bladder is distended tight phimosis, a question to the parents is there is straining during micturition. Poor urinary stream or any color is urine or offensive smell.

Investigation: Urine Culture, Blood test, Ultrasound, Mictureting Cystouretherogran.    

Management: 

• Symptomatic treatment is given 
• Proper cleaning of the genitals from back to front.
• Use antibiotic Medication.
• Hygienic Environment

HOMOEOPATHIC MANAGEMENT: 

1. Bursa Pastoris – Urine burning, passing frequently, of a strong odor. Copious discharge of urinary sand, increased flow of urine, relief of dropsy. Brick dust sediment. Chronic cystitis.
2. Chimaphila Umbellate– Urine turbid, offensive, containing ropy or bloody mucus and depositing copious sediment. Burning and scalding during micturition and staining afterward. Scanty urine. Must stain before flow comes. A constant desire to urinate.

3. Clematis – Tingling in urethra lasting some time after urinating. Frequent, scanty urination and burning at the orifice. Pain worse at night. Urine turbid, milky, dark, with flakes of mucus and frothy. Stitches in the urethra, stitches from the abdomen into the chest.

4. Colibacillinum– Colibacillinum is the best medicine. The symptoms include an urge to pass urine frequently, scanty urination, and pain while passing urine. The urine may be offensive smelling. 

5. Doryphora-  Dysuria, with burning, stinging pain. Urethritis in children from local irritation and gleet. Difficult micturition. Urethra inflamed, with excruciating pain when urinating. Pain in back and loins. Severe trembling in limbs.
6. Equisetum – Incontinence in children, with the dream or nightmares when passing urine. Severe, dull pain and feeling of fullness of bladder, not relieved by urinating. Frequent urging with severe pain at the close of urination. Excessive burning in urethra while urinating. Urine cloudy.
7. Oniscus – Tenesmus of the bladder and rectum, with the absence of stool and urine. Cutting burning in the urethra, with excessive bodily restlessness. Cutting, burning in urethra.

8. Petroselinum Sativum– Discharge of a milky fluid from the urethra. Orifice of the urethra agglutinated with mucus.  Slight burning in the navicular fossa while urinating. Drawing and sticking in the navicular fossa, that after urinating changed to a cutting biting.

9. Pareira – Micturition difficult, with much straining only in drops, with sensation as if urine should be emitted in large quantities. Dribbling of urine after micturition. Urine smells strongly of ammonia and contains a large quantity of viscid, thick, white mucus. Black, bloody, foaming urine, depositing brick-dust sediment of uric acid; deep red and mucous urine. 
10. Sabal Serrulata- Feeling as if bladder too full; starting the flow was painful as if forced through very narrow meatus. Constant desire to pass water at night. Cystitis with prostatic hypertrophy. A desire for milk.

11. Stigmata maydis – Suppression and retention.  Blood and red sand urine. Tenesmus after urinating. Scanty urine.

12. Taraxacum – Painless urging to urinate. Frequent urging to urinate with copious discharge of urine. Urine high-colored, and considerably diminished in quantity.

13. Triticum Aestivum – Frequent, difficult, and painful urination. Chronic cystic irritability. Urine is dense and irritates the mucus surfaces. Incontinence, constant desire.

14. Uva Ursi – Cystitis with hematuria, chronic cystitis with pain, tenesmus, and catarrhal discharge. Burning after the discharge of slimy urine. Frequent urging with severe spasms of the bladder burning and tearing pain. Urine contains blood, pus, and a lot of tenacious mucus, with clots in large masses. Painful dysuria with green urine.

REPORTORIAL APPROACH:

1. Kent’s repertory: 3 marks rubrics 

• BLADDER-Urging to Urinate – Arg-n; Bell; Berb; Bry; Camph; Cann-i; Cann-s; Canth; Caust; Kali-c; Lil-t; Merc-c; Nat-m; Nux-v; Puls; Sabin; Sars; Sep; Staph; Sulp; Thuj
• BLADDER-URINATION-dribbling – Canth; Lil-t; Merc; Merc-c; Nux-v; Plb; Puls; Sulph; Ter
• BLADDER-URINATION-frequent- Am-c; Apis; Arg-m; Arg-n; Bar-c; Calc; Calc-ar; Canth; Caust; Gels; Graph; Ign; Lac-ac; Lach; Lyc; Merc; Merc-c; Nux-v; Puls; Stap; Sulp
• BLADDER-PAIN-Burning – Berb; Canth; Caps
• BLADDER-URINATION-dysuria- Acon; Arg-n; Ars; Bell; Cann-s; Canth; Cop; Dig; Lil-t; Lyc; Merc-c; Nux-v; Op; Puls; Sulph; Ter
• URETHRA- Inflammation- Arg-n; Cann-s; Canth; Ter
• URETHRA-PAIN-burning-urination, before- Bor; Cann-I; Canth
• URETHRA-PAIN- burning- urination, during  – Arg-n; Bell; Calc; Camph; Cann-I; Cann-s; Canth; Caust; Lil-t; Nat-c; Nit-ac; Nux-v; Sulph; Thuja; Uva-u
• URETHRA-PAIN-burning- urination, after – Cann-I; Canth; Nat-c; Nat-m

2. Boger Boenninghausen’s Characteristics  & Repertory: 5 marks rubrics 

• URINE-MICTURITION- Urging – ACO; BELL; BRY; CANTH; CARB-V; CAUS; GRAP; KALI-C; LYC; MERC-C; NUX-V; PHOS-AC; PULS; RHUS TOX; SARS; SABI; STAP; SULP
• URINE-BEFORE URINATION- BOR; COLO; NUX-V; PULS

3. Murphy’s repertory: 3 marks rubrics

• Bladder-pressing, pain, pressure in- cystitis, in – LYCO
• Diseases-emaciation, body- bladder, catarrh-cystitis, with – EUP-PUR.
• Fever- hectic fever- cystitis, in – EUP-PUR. 
• Kidneys-dull pain-cystitis, in – EUP-PUR.
• Pulse- small, pulse-quick, after working in sun- and, in cystitis – HELL.

4. Clinical Repertory – O.E. Boericke 

Urinary System – inflammation, (cystitis) acute – BELL, CAMPH, CANN-S, CANTH, COP, CUB, DULC, EQUIS, EUCAL, EUP-PUR, FERR-P, GELS, MERC-C, PAREIR, POP, PULS, SABIN, TER, OL-SANT, STIGM.

5. Van Zandvoort R., Complete repertory:

• Bladder -pain pressing, pressure in cystitis, in – LYC

RESEARCH RELATED TO UTI IN TREATED WITH HOMOEOPATHY:
A prospective randomized controlled trial was designed to estimate whether adjunctive treatment with classical homoeopathy leads to a relevant reduction of the rate of Urinary tract infection in patients with Spinal Cord Injury. 50 patients were randomly distributed into two groups: patients in the homoeopathy group (n = 25) received standard-of-care prophylaxis combined with homoeopathic treatment; the control group (n = 25) received standard-of-care prophylaxis alone. The results of the study showed very much significant result in homoeopathy group.⁶

CONCLUSION AND DISCUSSION:
Homoeopathic medicines are very helpful in treating the urinary tract infection and prevent the child from recurrent infection. Maintain a proper hygienic environment with the help of homeopathic medicine. UTI is fully curable or improves the immunity of the child because the recurrent infection can give a negative impact on the growth and development of the children.  

BIBLIOGRAPHY: 

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