Hahnemann Ki Aawaz Posted on 14 – 03 – 2013
Marasmus in child and its Homoeopathic TreatmentMarasmus is a form of severe malnutrition due to inadequate protein and calories leading to energy deficiency. Malnutrition means inadequate food intake. There is a gap between food intake and requirement. This is mainly seen in India because of poverty, overcrowd, improper child care, inadequate feeding during illness. Occurrence increases prior to age 1.
SIGN & SYMPTOMS:Malnutrition associated with Marasmus leads to extensive tissue and muscle wasting, as well as variable oedema. Other common Symptoms include :
” Children are often fretful, irritable, emaciated and voraciously hungry.
” Dry skin
” Loose skin folds hanging over the buttocks and armpit.”
There is also drastic loss of adipose tissue (body fat) from normal areas of fat deposits like buttocks and thighs.
” Body weight may be reduced to less than 80% of the average weight that corresponds to the height
CAUSES Marasmus is caused by a severe deficiency of nearly all nutrients, especially protein and carbohydrates.
1. INFECTIONS.-Infections causes severe and prolonged marasmus especially infections such as Gastroenteritis ,congenital syphilis, etc
2. INNATE STRUCTURAL ABNORMALITIES-Congenital heart diseases, pyloric stenosis.
3. PREMATURITY AND DISEASES IN NEONATAL PERIOD-This lead to poor sucking by infant.
4. BREAST FEEDING WITHOUT ENOUGH SUPPLEMENTARY FEEDING.
PREVENTION 1. Breast feeding until the age of 2 years is best energy source for infants.
2. Prevention of infectious diseases by improving environmental cleanliness and personal hygiene.
4. By following proper family planning programme to have proper spacing between child births.
5. Monitoring of infants on regular basis every month in endemic regions of malnutrition.
1. AbrotanumMarasmus of children with marked emaciation, especially of legs. Skin is flabby ,hangs loose in folds.
2. Baryta Carbonica Scrofulous, dwarfish children who do not grow, abdomen swollen; frequent attacks of colic; face bloated, general emaciation. Children both physically and mentally weak.
3. Calcarea Phosphorica For person anaemic and dark complexioned, dark hair and eyes ,thin spare subjects ,instead of fat .Children emaciated ,unable to stand, slow in learning to walk, sunken ,flabby abdomen.
4. Hepar Sulphur For torpid lymphatic constitutions; person with light complexion, slow to act, muscle soft and flabby.
5. Iodum Person of scrofulous diathesis, with dark or black hair and eyes, a low cachetic condition, with profound debility and great emaciation. Ravenous hunger; eats freely and well ; yet loses flesh all the time.
6. Natrum Muriaticum For the anaemic and cachetic person. Great emaciation; losing flesh while living well; throat and neck of children emaciate rapidly during summer complaint.
7. Sanicula Emaciation progressive; child looks old, dirty, greasy and brownish; skin about neck wrinkled, hangs in folds.
8. Sarsaparilla In children, enlarged abdomen; dry, flabby skin. Great emaciation; skin shrivelled or lies in folds.MANAGMENTManagement of moderate marasmus can be performed on an outpatient basis, but severe marasmus or marasmus complicated by a life-threatening condition generally requires inpatient treatment. In these cases, management is divided into an initial intensive phase followed by a consolidation phase (rehabilitation), preparing for outpatient follow-up management. The WHO has developed guidelines to help improve the quality of hospital care for malnourished children and has prioritized the widespread implementation of these guidelines.
Dr. Yogesh SahdevState
President (Delhi) – Youth Homoeopathic Association
Arogya Homoeo Clinic, Rohini East, New Delhi