It is a non progressive neuromuscular disorder causing mild to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders which appear in young children due to damage to the brain during delivery or due to some pathological conditions in the intrauterine life.The neuroligical problems are multiple but non progressive in nature.Approximately 2 per 100 live birth is having this problem.This disease is having no hereditary tendency.
Causes of cerebral palsy:
1) Injury to the brain during delivery.
2) As a complication of forceps delivery.
3) Lack of oxygen supply to the baby during delivery.
4) Infections during delivery.
Signs and symptoms of cerebral palsy:–
The signs and symptoms may not be similar in all babies affected.Depending upon the damage to the brain there may be mild to severe lesions.
Mild cases:- 20% children will have mild disability.
Moderate cases:-50% cases are having moderate disability.The affected children require self help for assisting their impaired ambulation capacity.
Severe cases:-About 30% of the affected children are totally incapacited and bedridden and they allways need care from others.
Abnormal findings in cerebral palsy:-
1,Abnormal neonatal reflexes.
2,Stiffness of all muscles with awkward motion.
3,Extention of extremities on vertical suspension of the infant.
4,Scissoring of the lower limbs due to spasm of the adductor muscles of the thigh.
5,In severe cases the back bend backwards like and arch.
6,May have total or partial paralysis.
7,Arrest of neurological and behavioral developement.
8,Swallowing may be difficult in some cases.
9,Drooling of saliva.
10,Mild to severe mental retardations.
11,Abnormal movements are seen in some cases.
12,Tremors with typical movements.
13,If cerebellum is affected there will be loss of muscle tone with difficulty in walking.
14,Complete or partial loss of hearing.
15,Speech may be affected.
16,Squint and other visual problems may be associated.
17,Convulsions may be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and by eliminating other similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are needed to ruleout other diseases.
Management of carebral palsy:–
General management:
This includes proper nutrition and personal care. Symptomatic medicines are needed to reduce convulsions and muscle stiffness. Diazepam can reduce spasticity and athetosis.
Dantrolene sodium helps to relax skeletal muscles.
Physiotherapy:
Here massage,exercise, hydrotherapy and ect are needed.Special training is given to train walking,swallowing and talking.The affected children are also trained to hold articles for routine activities.
Rehabilitation:
Moral and social support should be given to these children.They should be send to special schools where special training can be given by trained staff.Mentally retarded children need special training.Depending up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.
Occupational therapy:
This is given by occupational therapists.They train the disabled people to do some suitable works so that these people can have their own income.
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The temperature of drinks must be in strict accordance with the prescription of the physician. The patient must be urged to thoroughly masticate the food, so that it will be properly salivated and thus facilitate digestion. Patients seriously ill, should receive their food mashed or minced, so that they can partake of it more easily. All waste parts, such as skin, fat, sinews, bones, must be removed from the food, even for convalescents. Warmed up food and fibrous vegetables must be banished from the patient’s diet.
It must not be a question as to what the patient wants; the prescription of the physician only must govern. The patient’s food must be prepared carefully, absolutely correctly and in a cleanly manner. In case of strong thirst, great care must be exercised in regard to drinks, depending on the physician’s directions.
The thirsty feeling of the patient may be alleviated by putting glyzerine on his lips and small pieces of ice on his tongue, without, however, permitting him to swallow the water as the ice melts. Normal Diet for Stomach Diseases. Milk, sweet and sour, buttermilk, yoghurt, kefir, albumen cacao, cereals in the form of mush, strained legumes, cooked in soup or milk, all sorts of glutinous soups, farinose dishes prepared from stale rolls, biscuits, zwieback, tender and easily, digestible meats, mashed game meat, chicken, raw beef, ham, meat jelly, young vegetables, preserved fruit.
Avoid the following: all indigestible fats, meat which requires more than 4 to 5 hours for its digestion, hot salads, gas-producing vegetables, gravy, fruits which abound in cellulose, such as apricots and peaches, hard stems, xylocarp ribs of leaves, the strong smelling and sharp tasting parts of some kinds of vegetables, as for instance, new potatoes, cabbage (in the cooking of which the first water must be poured off), hot soups and spicy herbs, spices of all kinds, high game, sausages, bacon, yeast pastry, drinks too hot or too cold, strong coffee (in the place of which fruit coffee is recommended), stale raisins and almonds, nuts, too much candy, much liquid with meats, and excitement of all kinds while eating.
General Hints for a nourishing treatment. The patient who is to gain in flesh must adhere strictly to the prescribed diet as well as to the prescribed rest, if the treatment is to take effect. The following articles are very nourishing: yolks of eggs prepared in any style, milk, cream, kefir, rich cheese, beef marrow on toast (cooked in soup), all kinds of noodles and dumplings, puddings, cocoa and chocolate, white bread, rich thick soups, gravy, potatoes and oats prepared in various ways, sweet beer, malt beer, sweet wines and puddings with preserved fruits, fruit juices, meat from well-fed animals only. All meals must be served in small portions, so as not to create distaste for food. 7 A.M. —250 grams of fresh, boiled, unskimmed milk, or ¼ quart cocoa prepared with milk or Knorr’s oat-cocoa, or ? quart cream with tea added, one roll, butter and honey. 9 A.M. —1 cup bouillon, 20 grams hot or cold roast meat, 30 grams Graham or gluten bread, 10 grams butter. Then ¼ quart milk, butter and Graham bread. 11 A.M. —¼ quart milk with the yolk of one egg. 1 P.M. —100 grams soup (oat, barley, vegetable soup), green corn, sago soup, 100 grams potatoes, 100 grams tender vegetables, such as spinach, mashed peas, mashed carrots, mashed artichokes, asparagus tips strained, 20 grams easily digestable rice, 50 grams preserved fruit; or, no soup, but, instead meat, vegetables, apple sauce, dishes made from milk or flour, such as noodles, fruit, ? quart cream. 4 P.M. —Light tea or milk, with malt or cocoa added, two crackers, ½ quart milk. 6 P.M. —20 grams meat (hot or cold roast meat), raw meat or 10 grams Graham
bread, 10 grams butter, milk chocolate, Graham bread, butter, honey. 8 P.M. —1 cup soup with 10 grams butter and one yolk, barley, oats, etc., eggs or meat, vegetables, preserved fruits, Graham bread, butter, mild cream cheese. 9.30 P.M. —¼ quart milk, with a spoonful of malt extract, ? quart cream. As a special breakfast, for a thin patient, the following drink is recommended: To a cup of unskimmed hot milk add one yolk and one spoonful of pure bee-honey. This must be taken in the morning on an empty stomach for several weeks.
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Low back pain is a usual symptom among the modern civilised people.It affects mainly the middle aged and young adults of both sexes.People who work on the chair with out exercise and those who carry heavy loads regularly are prone to get this complaint.We can hardly find a person who has not suffered from back pain atleast once in life.The causes of low backpain ranges from simple reasons like muscular strain to cancer of spine and hence backache should not be ignored.The pain is felt in lumbar and sacral region and may radiate to nearby sites.
The following are some causes for backache.
1) Backache due to diseases in the back.
2) Backache due to gynaecological problems.
3) Backache due to problems in other parts of the body.
1) Backache due to diseases in the back:–
a) Injuries :-
1) Compression fracture of the vertebral column.
2) Rupture of intervertebral discs.
3) Injuries to ligaments and muscles of back.
4) Lumbosacral strain.
5) Intervertebral joint injuries.
6) Fracture of processes of vertebra.
b) Functional backache due to imbalance:-
1) During pregnancy.
2) Pot belly.
3) Diseases of the hip joint.
4) Curvature in the spine due to congenital defect.
5) Short leg in one side.
c) Backache due to inflammatory conditions:-
1) Infection of the bone due to bacteria.
2) Tuberculosis of the spine.
3) Arthritis.
4) Brucellosis.
5) Lumbago or fibrositis.
6) Inflamation of the muscles.
7) Anchylosing spondylitis.
d) Backache due to degenerative diseases in the back.
1) Osteoarthritis.
2) Osteoporosis in old people.
3) Degenaration of the intervertebral disc.
e) Tumour in the spine:–
1) Primory tumour of the bones in the spine.
2) Metastatic tumours from other sites like prostate,lungs,kidneys,intestine ect.
2) Backache due to gynaecological problems:-
a) After childbirth.
b) After gynaecological operations.
c) Prolapse of the uterus.
d) Pelvic inflammatory diseases.
e) Cancerous lesions of the pelvic organs.
f) Endometriosis.
3) Backache due to problems in other parts of the body.
a) Renal stones.
b) Ureteric stone.
c) Cancer of prostate.
d) Pancreatitis.
e) Biliary stones.
f) Peptic ulcer.
g) Inflammations of pelvic organs.
h) Occlusion of aorta and illiac arteries.
Investigation of a case of backache:-
1) Complete blood count.
2) Routine urine examination.
3) Ultrasonography of the abdomen and pelvis.
4) X-ray of the lumbar and sacral region.
5) MRI of the spine.
5) CT scan of abdomen and pelvic region.
6) Examination of rectum,prostate,genito urinary organs.
Treatment of back ache:-
1) Removing the cause for backache.
2) Symptomatic treatement.
2) Back exercises.
3) Traction.
3) Yoga.
5) Surgery.
7) Homoeopathy.
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If constipation is due to nervousness or sluggishness of the bowels, the best means to overcome the trouble is mixed coarse food, using various mineral waters, and little meat, but plenty of vegetables, especially sauerkraut, cabbage, comfrey, cauliflower, pumpkin, tomatoes, cucumbers, various salads and fruits, jellies.
Among beverages sour milk, buttermilk, kefir No. I and II, yoghurt, various new wines, fruit juices, different mineral waters, such as Apollinaris, Karlsbad waters, Hunyady; coarse bread, such as Graham, avoiding fine white bread. In extremely chronic cases use my Laxagen Tea in case of emergency.
Dech-Manna-Compositions : Gelatinogen , Plasmogen , Mucogen, Eubiogen. Physical : Abdominal packs, with vinegar and water. Acute—warm. Chronic—cold.
XI. DEGENERATION OF THE CARTILAGINOUS TISSUE. Cartilage in the human body is the material which must cover the end of each bone so as to prevent its destruction by friction. It is the important part in all joints. It is obvious that any degeneration of this particular tissue will cause friction, which is combined with severe pains, called Ankylosis, Gout.
The degeneration is usually a consequence of improper proportion of the various food ingredients consumed, omitting the material necessary for the construction of the cartilage, which, being in use, is constantly used up rapidly. Regeneration of the blood, by assisting it in its important task of feeding the cartilaginous tissues, and regulation of the diet are the only two possible remedies for this form of disease, of such frequent occurrence, the alleged cure for which attracts thousands to bathing resorts, where they derive not the slightest real benefit.
The variety of gout called arthritis (deforming gout), is the most pronounced and dangerous phase of this form of disease.
Therapy. Diet : The diet is exactly the same as prescribed for rheumatism and gout under V, Degeneration of the Muscular Tissue. Dech-Manna-Compositions : Cartilogen , Plasmogen , Gelatinogen, Eubiogen.
Physical : Partial packs, salt and radium, massage, oxygenator bath, half bath radium and salt.
In case of arthritis, also special packs according to the directions of the Doctor. It is impossible to give a diet for arthritic patients, peculiarities of this disease being largely individual.
XII. DEGENERATION OF THE BODY TISSUE IN GENERAL.
By “body tissue in general” is understood the body with the total sum of its cells— especially the red blood corpuscles—and their various aggregations. Consequently a special composition of nutritive salts, under the name of Eubiogen, has been composed, which is the most perfect duplication of all the chemical elements of the entire body in the correct proportion.
Eubiogen, therefore, is prescribed as a secondary Dech-Manna-Composition, to be taken with all other compositions. But it also acts independently as the best means of preventing degeneration, and in this capacity should not be missing in the diet of adults as well as of children. The cost thus incurred would be recouped many times over through its prevention of disease.
Eubiogen takes a leading position in reference to the following complicated forms of disease, in the treatment of which it becomes the most important factor among the nutritive compositions: Ataxia, Basedow’s Disease, Diabetes Mellitus, Obesity, Bright’s Disease, Arterio-Sclerosis.
I am prepared to explain to patients, this curative method and the reasons for its application; but these complicated diseases, while based on the same degenerations of blood, and consequently of the tissue and organs, as all others, offer impressions which, from the point of view of the conscientious physician, cannot be presented with but a few bare words of explanation.
Nor does the space at my disposal permit me to go into the matter with due thoroughness.
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