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Nocturnal Childhood Asthma

Asthma
Devika SanthoshGender: FemaleAge: 5 years (Pediatric) Chronicity: 2 years

Presenting Complaints & History

  • Spasmodic cough waking the child at midnight
  • Whistling sound (wheezing) during expiration
  • Vomiting of mucus during severe coughing spells
  • Cold extremities during asthma episodes

Clinical Assessment

A 5-year-old girl from coastal Vadanapilly presenting with nocturnal asthma. Aggravated by damp sea winds and night-time humidity. Her parents had to rush her to the local clinic for nebulization multiple times during monsoons.

Diagnostic Investigations: Absolute Eosinophil Count: 710 cells/mcL.

Homeopathic Therapeutics & Management

Ipecacuanha was chosen for spasmodic cough with wheezing and accumulation of mucus leading to gagging, while Natrum Sulphuricum resolved damp-weather respiratory susceptibility.

Selected Constitutional Remedies: Ipecacuanha and Natrum Sulphuricum

Lifestyle & Nutritional Support

Keep bedroom dry and warm; avoid coastal wind exposure late in the evening; give warm water to drink when coughing starts.

Clinical Outcome

Follow-up Period: 1 year
  • Nebulization emergency visits reduced to zero within 1 month
  • Night cough resolved completely by Month 3
  • AEC dropped to 280 cells/mcL at Month 6 checkup
  • Remained healthy through the monsoon season at 12 months
Medically reviewed by Dr. Navaneeth K. Unni
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