​...And when should you use antibiotics and when not?

1. BOOST YOUR GUT IMMUNITY

Did you know that 80% of your immune system is found in your gut? Therefore if you do not treat your intestines with respect, they will let you down and you will have a rather miserable winter. Be conscious of what you eat. Eating a diet high in antioxidants (highly coloured fruit and veg), low carbohydrate (breads, cookies, starchy veg are all high in carbohydrates), lean clean protein (free range chicken, beef, eggs, lamb), high good fats (coconut products, nuts and seeds, good oils, small dark fishes, avos) and low in sugars. Sugar is a major enemy of your immune system and consuming a lot of sugar will compromise your immune system severely. Also take a probiotics periodically, one of good quality that is stored in the fridge. Contact your health practitioner to guide you in using the correct probiotic for your immune system.

1. Immune stimulators

Various medications are available to optimize your immune system. They are available in liquid, tablet or injectable form. Echinacea is probably the most important of these, but make sure that you use Echinacea Angustifolia and not Purpurea if you want the strongest and most effective stimulation. The former is available just from your health care practitioner and more cost effective that it’s weaker counterpart. Olive leaf extract is another immune stimulator as well as treatment for infections. A variety of homeopathic injectables are available to not only treat infections but also for prevention of viral diseases. Contact your homeopath for these products.

1. Vitamin D3

Deficiency of Vitamin D is linked to not only autoimmune diseases but also increases your susceptibility to infection. It is essential to optimize your Vitamin D levels, and especially in winter when sunlight is less and the synthesis of Vit D less, you need to ensure that you take the correct dosage of a good quality Vit D3. Your level should be checked by your practitioner and supplemented accordingly.

1. Stress

Elevated stress and corresponding increased levels of cortisol has a major effect on your immune system. A broken down constitution is a prime target for viruses and bacteria. Make sure that you try and limit your stress where possible, get good sleep and make an effort to do something relaxing for yourself everyday e.g. exercise, meditation, reading, drawing etc. If you still feel overwhelmed please contact us for adaptogens, herbal treatment to help your system cope with an elevated load of stress.
 
WHEN TO USE AN ANTIBIOTIC AND WHEN NOT
In order to understand this, an explanation of some terms are necessary.
A virus is smaller than a bacteria and is enclosed in a protective coating, so it is more difficult to kill. A virus need a living host to reproduce in, otherwise it cannot survive. In contrast a bacteria can reproduce and live on inanimate objects like doorknobs or be transferred via contaminated water or secretions. Viruses can only be carried in human secretions from one person to another.
The only way to kill a virus is via the body’s own innate immune system. Antibiotics only kill bacteria and have absolutely no effect on a virus.
 
Antibiotics will therefore be of no use in the following diseases:

• Influenza
• Most cases of bronchitis
• Most sore throats not caused by Strep
• Runny noses
• Most coughs
• Most ear infections
• Stomach flu

If you take antibiotics when you do not need them, they may not work when you really do. Taking antibiotics or giving antibiotics to your children unnecessarily will not make them feel better or cure the illness, but may have harmful side effects like nausea, diarrhoea and stomach pain. Antibiotics can also cause IBS, candidiasis as well as lowering your natural defence to invaders by killing all your protective good bacteria.
 
Please contact us with your questions as well as effective and safe treatment and prevention of winter diseases.
Keep well!!
Dr Marike de Klerk
​M.Tech Hom (UJ)
Registered Homeopath

By:  Dr. Chantell Groenewald (M. Tech Hom UJ)
          Homeopath​

After 10 months of anticipation, the day finally arrives. You get to hold your new-born baby for the first time. You are so overcome by emotion, so totally in love with this little being, you feel your heart might burst with happiness. You get to go home, and life with your little miracle begins. The first few days’ worth of awe and excitement starts to wear off, as you try to settle back into your life before your little one (life b.c. - before child). By now, the sleep deprivation starts to set in, and the rose-tinted glasses start to come off. You slowly start wondering, who in their right mind, would send a baby home with you...without supervisor!

You realize you have NO idea what you are doing, and the effects of the sleep deprivation takes an even further toll on you. By now, your hormones are flying the coop, you probably realise you are ill equipped for this parenting thing, you feel 100% overwhelmed, you pretty much want to give the baby back and feel like the worst parent in the world because of it.

You have barely taken a shower, nor managed to drink half a cup of ice cold coffee, eaten half a can of cold soup in divided efforts to get some food into your body. You look like death warmed up, you smell, you are covered in baby vomit and you have baby poop under your finger nails. The most basic task of going to the loo, making dinner, taking a shower, doing laundry and getting dressed, becomes a frantic scramble with zero outcome, because you can't put the baby down for two seconds, or they scream.

By the time your spouse gets home, you basically throw the baby at them, and run to take a wee, shower, anything, that does not involve holding a baby. Three seconds of peace and quiet. But alas, baby starts crying, and despite your spouses’ best efforts to help, baby ends up back in your arms half way through whatever you were trying to do. It finally boils down to you weeping with the baby. And that, is just the day. You start fearing night time, because that is when the screaming begins, and if you are lucky, you will get about two hours of interrupted sleep that night, finally sitting with baby on your chest, praying for morning to come.

To add further insult to injury, you feel like the worst parent ever, wrought with guilt, because you pretty much hate all of this, and you find yourself wishing you could have your old life back. Then on top of everything else, you have post-partum hormones, bouncing off the walls, pushing you over the edge.

It was only after I joined a mommies group, who spoke open and honestly, about what the first few months of motherhood felt like to them, that I started to realize, I was not alone. I am not a bad parent, it is normal to feel totally overwhelmed and ill equipped. Wanting to throw the baby out the window once or twice is normal too. No one tells you how hard it is going to be going in, or maybe they do, but you have zero frame of reference, so you are totally unable to compute the magnitude of what they are saying. The only way to know, really know what it feels like, is to live through it, and nothing and no one can prepare you for it, the only way out, is through.

Finding a group of like minded new mommies, all with the same fears and anxieties, the same doubts and worries, literally saved my life. But many women do not have the opportunity to be surrounded by a such a support network. I often see new mother's in my practice, with dark circles under their eyes, the desperate expression on their faces, the oily hair and pale faces. They try to act 'normal' for two first few minutes (because, surely they are supposed to love this, and any other feelings makes them feel ashamed), then baby starts crying, and I see their shoulders drop. 'Go ahead and feed them, I say'. And as they settle baby on the breast, I smile and say, 'what you are feeling is totally normal'. I can see the tiniest of flicker of hope, as I talk them through the first three months of life with a new born and what to expect, and they sob, because they thought they were awful for feeling totally overwhelmed. Although you love this little being with everything in you, you are not coping and that is okay.
 
Postpartum depression does not affect everyone, and there are many women that flourish during this time, everything seems easy and they are back in their nine-inch heels with perfect hair and make-up within two weeks…making you feel even more inadequate and like a total failure as a mother.  For the rest of us, non-nine-inch heels type of gals, with the reflux baby or the colic baby, let us take a closer look at baby blues and post-partum depression (PPD).
 
Baby Blues vs Post-Partum Depression
All of the above mentioned, can be totally normal, this phase, commonly referred to as Baby Blues, is part of the transitionary phase we go through the first couple of days to one or two weeks after baby is born. The signs and symptoms of baby blues include:

• Mood swings
• Sadness
• Irritability
• Feeling overwhelmed
• Crying
• Anxiety
• Trouble sleeping
• Reduced concentration
• Appetite problems

 
Baby Blues differs from PPD (Post-partum depression) in that the symptoms only lasts a few days to weeks after baby is born, and then improves as time goes by. You should feel better after a week or two, if however, you notice your symptoms worsening after the initial two-week period, you might be suffering from PPD
PPD is a serious mental disease and should be treated immediately by a health care professional. Signs and symptoms of PPD include the following:

• Feeling sad, hopeless and depressed
• Mood swings including intense anger and irritability
• Excessive crying
• Feelings of worthlessness, shame and or guilt
• Feeling overwhelmed
• Loss of interest in previously pleasurable activities
• Feeling inadequate or an overwhelming sense that you are not a good mother
• Indecision, diminished ability to think or concentrate
• Loss of or excessive appetite
• Severe anxiety and panic attacks
• Thoughts of harming yourself and or your baby.

 
All the above symptoms can be normal if experienced for only a brief period. We all feel irritable or sad sometimes, we all suffer from anxiety or feel overwhelmed at times; however, these feelings are fleeting. When your feelings of inadequacy, guilt, sadness etc remains excessive and for prolonged periods of time, it is time to seek urgent medical attention.
 
How can Homeopathy help for Baby Blues and Post- Partum Depression?
Homeopathy works based on ‘like cures like’. If a remedy can produce a symptom picture when administered to a healthy individual, then it should cure the same symptom picture in an unhealthy patient. There are several homeopathic remedies used to treat PPD. Each person is treated as an individual, therefor, after an extensive case taking is performed, your Homeopath will choose a remedy based on your individual needs and your specific symptom picture. Sepia 200 is one such remedy used to treat baby blues and PPD, with the following symptom picture:

• Excessive prostration, exhaustion and faintness in morning on waking
• Indifferent to those loved best
• Aversion to company yet dreads to be alone
• Very sad
• Weeps on telling stories
• Angry
• Sensitive, irritable and easily offended
• Anxious towards evening
• Fearful over trifles
• Poor memory, makes mistakes
• Irritability alternates with indifference
• Wants to commit suicide
• Intolerant to contradiction
• So nervous, she wants to hold on to something or to scream
• Irritability from excursion.

 
This is only one example of several homeopathic remedies, that might fit your symptom picture. Help is out there, and there is light at the end of the tunnel. Do not suffer in silence, if you suspect you might be suffering from PPD, please contact your health care professional to make an appointment as soon as possible. You are not alone, PPD effects 1/5 woman and is a debilitating condition, which is 100% treatable.
 
I will leave you with my five tips for mothers with a new born.

1. GET HELP! Ask your mother, your sister, your best friend, anyone who can take some time off, to help you out for a few days in the week. Even if it is only for an hour over lunch. Just to hold baby, so that you can take a nap, or take a bath, have a warm cup of coffee or something to eat.
2. Find what works for you and yours. With my first child, I tried to do everything by the book, including forcing her to sleep in her own cot, because I was petrified she might stop breathing during the night, so she had to sleep on the Angelcare baby monitor pad in her cot. I NEVER SLEPT. We were up with her every hour on the hour for 20-40 minutes. She had reflux, so she comfort-suckled at my breast, and as soon as I tried to put her down, she would cry. With my second daughter, I knew better, and after a week, we were co sleeping, and mom and baby actually got decent shut eye. No two children are alike. Find what works for you. There really is no right or wrong way of doing things.
3. Baby wearing. My baby wrap saved my life when my first daughter was 6 weeks old. I put her in the wrap, and she LOVED it. Being so close to mom, comforted her, and kept her semi upright while she was sleeping, which soothed the reflux. I had two hands to make coffee, make dinner, do laundry etc, while she peacefully slept against my chest. My go-to baby shower present became a baby wrap...only to find that my second daughter hated being in that wrap. Like I said, there is no mold and every child is different, but it is worth a try.
4. Ignore the "experts", the fanatics, the extreme pro-natural groups or the anti whatever else groups. Always trust your source, only an expert can have an opinion when it comes to the health and well-being of your new-born baby. I have a friend, who is a clinical psychologist. Whenever someone tries to give their opinion on varies subjects, she will always ask them, quite earnestly, "I am sorry, what exactly is your qualification". This is spot on, when it comes sensitive issues like sleep training or baby weaning, co sleeping or bottle feeding, otc remedies or homeopathic treatment for various ailments etc, you need to go to the source (paediatrician, clinical psychologist, homeopath, osteopath, educational psychologist etc). You cannot trust the opinion of individuals who proclaim to be experts in a specific field, but do not have the relevant qualifications. There are so many opinions out there, but try to trust your gut, which is very difficult to do when you are feeling anxious and overwhelmed. You, and only you, are what is best for your baby. No one can do a better job at looking after your little pip than you can. So, get a team behind you that you can trust, and make informed decisions.
5. Breastfeeding. I mention this specifically, because it is such a source of emotional turmoil for so many mothers. I am not going to say anything about this, except to share with you my own personal story. I did not produce enough milk to feed my daughter. I am very pro natural and pro breastfeeding, so I was online reading up on various pro natural fanatic groups. I was basically told, there is no such thing as "not producing enough milk", and that I should just keep feeding on demand. A very long story short, after 6 weeks of basically no sleep, I took my baby to the pead for her check-up, and guess what, she was under weight for her head circumference (not those random charts, this was a reading based on my own daughter and not the average weight charts with average weight gained that you might find at your nearest clinic sister, who might in turn convince you your baby is underweight, when in fact, they are perfectly fine). My paediatrician confirmed my worst fear, so, after crying my eyes out, I bought the formula, and asked my husband to feed her while I cried some more in the other room. She gobbled up that bottle, and we never looked back. So started my journey of co feeding my daughter, and it was not the end of the world like I thought it would be. This is one aspect of breastfeeding, but there are so many issues that might make your journey even more difficult, like cracked nipples and tongue ties, too much milk and mastitis, incorrect latch and lactose intolerance issues. Get the relevant information and make a choice based on what is best for you and your family, even if it does not fit the idealistic idea you had in your head.

I will leave you with the words of Linda Wooten, "Being a mother is learning about strengths you didn't know you had...and dealing with fears you didn't know existed."

 By:  Dr. Chantell Groenewald (M. Tech Hom UJ)
          Homeopath
 
Is your leaky gut causing you to be sick? The short answer...YES. So what is leaky gut syndrome, how did I get it, why is it causing illness and how can I treat it?
 
What is Leaky Gut Syndrome?
 
Hippocrates said: “Death begins in the gut”, and I quote him in almost all of my consultations. Leaky gut syndrome refers to intestinal hyperpermeability. Inside our gut, we have what we call, tight junctions, between the intestinal cells. These tight junctions play a very important role, in restricting gut permeability. That is to say, certain nutrients, vitamins and minerals, are selectively transported across our gut lining, while the tight junctions acts as ‘security doors’, preventing undigested food, toxic waste and bacteria from entering our blood stream. When these tight junctions become damaged, the ‘security gate’ flings wide open, and the ‘sewage’ that was meant to pass out of our system, leaks into our blood stream, causing massive amounts of inflammation.
 
Although science has yet to prove that leaky gut syndrome actually directly cause disease, it has found it to occur simultaneously with a whole host of diseases, which should give you some idea of how important gut health is in maintaining good health.
 
15 Signs that you may be suffering from Leaky Gut Syndrome:

• Food sensitivities, intolerances and allergies (chronic inflammation causes an increase in antibodies, which increases the chance of your body reacting to certain food antigens);
• Allergies
• Skin conditions like eczema, psoriasis, acne (skin- gut connection theory);
• Chronic diarrhea, constipation or bloating;
• Irritable bowel syndrome and irritable bowel disease;
• Nutritional deficiencies;
• Excessive fatigue or fibromyalgia;
• Obesity or difficulty loosing weight (in-spite of healthy eating habits);
• Carbohydrate and sugar cravings;
• Joint pain or arthritis;
• Autoimmune conditions (including hashimoto’s);
• Hormonal imbalances, estrogen dominance or PCOS (Poly cystic ovarian syndrome);
• Candida overgrowth
• Depression and anxiety (Intestinal hyperpermiability causes an inflammatory response that releases pro-inflammatory cytokines that are thought to induce depression);
• ADD or ADHD.

 
 
What causes Leaky Gut Syndrome?

• Poor diet;
• Medication: the use of certain medications such as non-steroidal anti inflammatory drugs, antibiotics and acid neutralizing drugs;
• Environmental toxins;
• Stress (High levels of the stress hormone cortisol, suppresses the immune system and allows an overgrowth of bad bacteria in our gut, which further destroys tight junctions);
• Age (natural ageing process) and
• Certain infectious diseases such as candida and small intestinal bacterial overgrowth.

 
How can you heal your gut?
 
Healing your gut is an integrative approach. Here are the crucial steps to healing your gut:

• Destroying bad bacteria using antimicrobial herbals as well as antimicrobial foods (herbals such as hydrastis tincture);
• Repairing the gut lining and healing the tight junctions (through restrictive diet, fasting and products such as slippery elm, which can help heal the gut lining);
• Preparing the gut to receive and promote the growth of good bacteria (prebiotics);
• Re-establishing the growth of healthy, gut friendly bacteria (using a very good probiotic);
• Removing foods that damage the gut, and replacing them with gut healthy foods (gut friendly diet); and
• Making use of digestive aids and enzymes for proper assimilation of food.

 
Sounds like a mouth full. It really is easier than you think. There are multiple gut cleansing programs available for you to follow, and various holistic health care practitioners that can assist you on this path towards wellness. Take the first step towards a healthier you, by simply removing the five most pro-inflammatory foods, from your diet, these include:

• Wheat and gluten containing foods
• Diary and diary containing foods
• Sugar and all artificial sugar substitutes
• Additives, preservatives and all processed foods

 
Try it, often, this is enough to have you feeling energised and healthier than before. The next step, would be a thorough gut cleanse and detox, as discussed above, which often resolves most ill effects from an unhealthy gut.
 
I will leave you with the words of Sherry A. Rogers: “The road to health is paved with good intestines”. 

It all starts with peri-menopause, the time period just before menopause hits you with its full force.

What symptoms can you expect? Hot flushes or night sweats, heart palpitations, painful intercourse as a result of vaginal dryness, vaginal itching and infections, headaches as well as mental symptoms like fatigue, irritability, moodiness, depression, sleep disturbances and mental fog.

Peri menopause can last 6 to 13 years, give or take 5 years and during that time guidance by a good holistic practitioner might just make a lifetime difference. Many women end up on synthetic hormonal replacement therapy, oral contraceptives or even have their uteruses removed due to menstrual irregularities.

A thorough work-up of your hormonal profile during this time will guide your doctor as to which hormones need to be supplemented and most of all which lifestyle changes are necessary to bring the balance back.

Menopause is marked by the permanent end of menstruation and fertility and is defined as occurring 12 months after your last menstrual cycle. The average age is 51, but could be anything between 45 and 60.

Symptoms of menopause are the same as may be experienced in the peri-menopause and may extend well into the menopause.

So much emphasis is placed on oestrogen deficiency during menopause but in actual fact symptoms during peri and menopause may be due to oestrogen deficiency, oestrogen dominance or progesterone deficiency.

Symptoms might be aches and pains, depression, tearfulness, fatigue, headaches, heart palpitations, hot flushes, metal fog, short term memory loss, incontinence, vaginal dryness, bone loss, sleep disorder.

Salivary tests are available in our  country now to ascertain which hormones should be addressed and can easily be ordered by your doctor. Once the problem has been identified different forms of treatment can be used. Herbals, homeopathics as well as bio-identical hormones can be used according to your needs.

“Change of life” should be a natural progression in a women’s life and not a cross that needs bearing. Consult with knowledgeable practitioner to guide you through this process.

​Dr Marike de Klerk
M.Tech Hom (UJ)
Registered Homeopath

​Our April newsletter covers the following events and news at the Naturopathic Health Care Centre:

• Connecting with your baby:  The Nervous System is the key to connect with your little one, building a healthy relationship.  Come and join Drickus Blom for this informative talk on 24 April 2018.
• Principles concerning the use of Homoeopathic medicine.
• Meeting/ Training/ Coaching room available
• Meet our team

​Read more:  Newsletter April 2018

YOUR PROBLEM MIGHT LIE IN ONE OF THESE ORGANS
 
1.  MOUTH
​The very first part of your digestion starts in your mouth. Contained within your saliva is digestive enzymes that start the breakdown of your food. It is therefore very important to chew your food properly so that the food can be broken down into smaller pieces, making digestion easier and also mixed thoroughly with your saliva. Larger pieces of food is excreted by the body whilst the smaller pieces can be absorbed easier and therefore insuring better nutrition. The secretion of saliva will also send a message to your stomach to start secreting acid in preparation for the food that it will be receiving soon. CHEW EACH MOUTHFULL AT LEAST 32 TIMES OR UNTILL TEXTURE IS LOST.
 
2.  STOMACH
The job of the stomach is to grind/churn food down to small pieces that can be absorbed easily. The stomach releases a very important stomach acid called hydrochloric acid that is important for the breakdown of protein. Protein is an important building block of all the structures and organs in the body. Your body cannot repair or maintain these organs without protein. Contrary to popular belief 90% of people suffering from heartburn, gas and indigestion has too little stomach acid AND NOT TOO MUCH. This is especially true of those over 40 as acid production decreases with age. Stomach acid also stimulates the pancreas, gallbladder and small intestines to secrete enzymes.

THESE ORGANS ALL WORK TOGETHER LIKE AN ORCHESTRA, IF ONE MEMBER IS MISSING THE SONG IS JUST NOT THE SAME. Improper digestion of protein creates toxins in the intestines that creates acidic blood. Bad bacteria, yeast and parasites present in food and water are killed by stomach acid which is an important prevention of infection and disease. These bacteria upset the delicate balance of the bacterial flora in the gut which lowers immunity, affects mood and cognition, contributes to weight gain and plays a role in chronic fatigue. Leaky gut is another very common result of low stomach acid. If you battle digesting meat (nausea or tiredness after consuming meat), heartburn after meals, bloating or gas, food sensitivities or allergies or symptoms of nutrient deficiency you might have low stomach acid and it is essential that you seek treatment from your doctor.

THE WORST THING YOU CAN DO FOR YOUR STOMACH IS TO USE ANTACIDS LIKE RENNIES OR TAKE A PROTON PUMP INHIBITOR LIKE PANTOLOC, LOSEC OR NEXIAM! THEY WILL LOWER YOUR ACID EVEN MORE!!
 
3.  GALLBLADDER
The gallbladder is a tiny sack situated below and behind the gallbladder. Although small it play as very important role in digestion. It holds the bile that is produced by the liver till it is needed for digesting fatty foods in the first part of the small intestines. If the liver is overloaded with too many toxins like from too much use of alcohol, hormones, drugs, junk food as well as being constipated can cause bile to become thickened which clogs up the gallbladder and can form gallstones.

This can cause indigestion and bloating after eating and even acute gallbladder attacks. Any of the following symptoms might be because of a gallbladder problem: - bitter taste in the mouth
                                       -bloating and nausea after eating a high fat meal
                                       -Chronic reoccurring pain behind right shoulder blade
Bile salts, one component of bile is essential in stimulating your bowels to work, so sufficient bile is necessary to prevent constipation So if you are suffering from any menstrual irregularities or female problems as well as male hormone imbalances, get your gallbladder sorted out!
 
4.  SMALL INTESTINES
The small intestines is a tube that carries food from the stomach to the colon. 90% of digestion and absorption of food occurs here, the remaining 10% in the stomach and large intestines. The main function of the intestines is absorption of nutrients and minerals from food. Millions of bacteria live in the small intestines, hopefully most of them good bacteria. It is therefore very important to make sure the environment is conducive for the good bacteria to grow. Things that can make the environment unfavourable is the use of antibiotics, stress, eating foods that cause allergy or sensitivity in the lining of the intestines, not having enough stomach acid therefore allowing bad bacteria to enter the intestines, a diet too high in carbohydrate providing “food “for the bad bacteria to eat. Symptoms of problems in your small intestines are:
- Gas
- Bloating
- Diarrhoea
- Abdominal pain and cramping
- Constipation
- Food intolerance to gluten, dairy and sugar
- a Diagnosis of irritable bowel disease
 
5.  LARGE INTESTINES
The major function of the large intestine is to absorb water from the remaining indigestible food and ELIMINATE THE WASTE FROM THE BODY via stools. No digestion or breakdown of nutrients take place here. It takes the colon 24 to 30 hours to complete the process. Bacteria in the large intestines, trillions of them, breaks down fibre from the food and produce large amounts of vitamins.

Probably the most important function of the large intestines is its function in producing antibodies. These antibodies protects the body against harmful pathogens. Many diseases can occur in the colon but cancer is the most feared of all.

​Constipation is probably the most important symptom to consider in colon health and it is vital to make sure that a sufficient bowel movement is had on a daily basis. It is important to eat a fibre rich diet full of fruits and vegetables that are coloured, containing lots of anti-oxidants. In addition to immune cells, some hormones are manufactured in the large intestines including serotonin, a hormone that is essential in good mental health and can cause depression if too low.
 
As you can see each organ plays a vital role and if there is not a balance between all the organs of digestion, you might experience symptoms and even disease in you intestinal tract. Your health practitioner will be able to assist you in optimizing your digestive function with lifestyle changes as well as medications.
 
​Dr Marike de Klerk
M.Tech Hom (UJ)
Registered Homeopath

By: Dr C Groenewald M.Tech Hom (UJ)

​After 10 months of anticipation, the day finally arrives. You get to hold your new-born baby for the first time. You are so overcome by emotion, so totally in love with this little being, you feel your heart might burst with happiness. You get to go home, and life with your little miracle begins. The first few days’ worth of awe and excitement starts to wear off, as you try to settle back into your life before your little one (life b.c. - before child). By now, the sleep deprivation starts to set in, and the rose-tinted glasses start to come off. You slowly start wondering, who in their right mind would send a baby home with you...without supervision!

You realise you have NO idea what you are doing, and the effects of the sleep deprivation takes an even further toll on you. By now, your hormones are flying the coop, you probably realise you are ill equipped for this parenting thing, you feel 100% overwhelmed…You pretty much want to give the baby back and feel like the worst parent in the world because of it.

You have barely taken a shower, nor managed to drink half a cup of ice cold coffee, eaten half a can of cold soup in divided efforts to get some food into your body. You look like death warmed up, you smell, you are covered in baby vomit and you have baby poop under your finger nails. The most basic task of going to the loo, making dinner, taking a shower, doing laundry and getting dressed, becomes a frantic scramble with zero outcome, because you can't put the baby down for two seconds out of fear he/she might start screaming.

By the time your spouse gets home, you basically throw the baby at them, and run to take a wee, shower - anything, that does not involve holding a baby. Three seconds of peace and quiet. But alas, baby starts crying, and despite your spouses’ best efforts to help, baby ends up back in your arms half way through whatever you were trying to do. It finally boils down to you weeping with the baby. And that, is just the day. You start fearing night time, because that is when the screaming begins, and if you are lucky, you will get about two hours of interrupted sleep that night, finally sitting with baby on your chest, praying for morning to come.

To add further insult to injury, you feel like the worst parent ever, wrought with guilt, because you pretty much hate all of this, and you find yourself wishing you could have your old life back. Then on top of everything else, you have post-partum hormones, bouncing off the walls, pushing you over the edge.

It was only after I joined a mommies group, who spoke openly and honestly about what the first few months of motherhood felt like to them that I started to realize - I was not alone. I am not a bad parent, it is normal to feel totally overwhelmed and ill equipped. Wanting to throw the baby out the window once or twice is normal too. No one tells you how hard it is going to be, or maybe they do, but you have zero frame of reference, so you are totally unable to compute the magnitude of what they are saying. The only way to know, really know, what it feels like, is to live through it, and nothing and no one can prepare you for it, the only way out, is through.

Finding a group of likeminded new mommies, all with the same fears and anxieties, the same doubts and worries, literally saved my life. But many women do not have the opportunity to be surrounded by a such a support network. I often see new mothers in my practice, and it is like war flashbacks. I see the dark circles under their eyes, the desperate expression on their faces, the oily hair and pale faces. They try to act 'normal' for the first two minutes (because, surely they are supposed to love this, and any other feelings makes them feel ashamed), then baby starts crying, and I see their shoulders drop. 'Go ahead and feed them, I say'. And as they settle baby on the breast, I smile and say, 'what you are feeling is totally normal'. I can see the tiniest flicker of hope, as I talk them through the first three months of 'hell' and what to expect, and they sob, because they thought they were awful for feeling totally overwhelmed. Although you love this little being with all your heart, you are not coping and that is ok.
 
Postpartum depression does not affect everyone, and there are many women that flourish during this time, everything seems easy and they are back in their nine-inch heels with perfect hair and make up within two weeks…making you feel even more inadequate and total failure as a mother.  For the rest of us, non-nine-inch heels type of gals, with the reflux baby or the colic baby, let us take a closer look at baby blues and post-partum depression (PPD).
 
Baby Blues vs Post-Partum Depression
All of the above mentioned, can be totally normal. This phase, commonly referred to as Baby Blues, is part of the transitionary phase we go through the first couple of days to one or two weeks after baby is born. The signs and symptoms of Baby Blues include:

• Mood swings
• Sadness
• Irritability
• Feeling overwhelmed
• Crying
• Anxiety
• Trouble sleeping
• Reduced concentration
• Appetite problems

 
 
Baby Blues differs from PPD (Post-partum depression) in that the symptoms only lasts a few days to weeks after baby is born, and then improves as time goes by. You should feel better after a week or two, if however, you notice your symptoms worsening after the initial two-week period, you might be suffering from PPD
PPD is a serious mental disease and should be treated immediately by a health care professional. Signs and symptoms of PPD include the following:

• Feeling sad, hopeless and depressed
• Mood swings including intense anger and irritability
• Excessive crying
• Feelings of worthlessness, shame and or guilt
• Feeling overwhelmed
• Loss of interest in previously pleasurable activities
• Feeling inadequate or an overwhelming sense that you are not a good mother
• Indecision, diminished ability to think or concentrate
• Loss of or excessive appetite
• Severe anxiety and panic attacks
• Thoughts of harming yourself and or your baby.

 
All the above symptoms can be normal if experienced for only a brief period. We all feel irritable or sad sometimes, we all suffer from anxiety or feel overwhelmed at times; however, these feelings are fleeting. When your feelings of inadequacy, guilt, sadness etc remains excessive and for prolonged periods of time, it is time to seek urgent medical attention.
 
How can Homeopathy help for Baby Blues and Post- Partum Depression?
Homeopathy works based on ‘like cures like’. If a remedy can produce a symptom picture when administered to a healthy individual, then it should cure the same symptom picture in an unhealthy patient. There are several homeopathic remedies used to treat PPD. Each person is treated as an individual, therefor, after an extensive case taking is performed. Your Homeopath will choose a remedy based on your individual needs and your specific symptom picture. Sepia 200 is one such remedy used to treat baby blues and PPD, with the following symptom picture:

• Excessive prostration, exhaustion and faintness in morning on waking
• Indifferent to those loved best
• Aversion to company yet dreads to be alone
• Very sad
• Weeps on telling stories
• Angry
• Sensitive, irritable and easily offended
• Anxious towards evening
• Fearful over trifles
• Poor memory, makes mistakes
• Irritability alternates with indifference
• Wants to commit suicide
• Intolerant to contradiction
• So nervous, she wants to hold on to something or to scream
• Irritability from excursion.

 
If you suspect you might be suffering from PPD, please contact your health care professional to make an appointment as soon as possible. You are not alone, PPD affects 1/5 woman and is a debilitating condition, which is 100% treatable. Do not suffer in silence.  

“Compassionate Moms” get together  -  Tomorrow, 6 March at 10am.  
 
is  a unique community service to new mothers, so you are empowered to confidently care for yourself and your baby, engaging with health care providers in our support network.  We are excited to offer a compassionate space where mothers can learn, share and make informed choices on health care, lifestyle and well-being.
 
There will be a professional facilitator each Tuesday to help with healthy lifestyle and diet, emotional support and advice on the numerous uncertainties that arise when a new baby is around.
 
Tomorrow, 6th March 2018 you are going to have the opportunity to discuss your questions and concerns with Doddie Boer: Birth Doula, Stress and Trauma release, Personal Growth & Stress Management, Child birth educator

 

• Place: Naturopathic Health Care Centre, 13 Hazelwood rd, Hazelwood
• Time: Tuesday, 6 March 2018. From 10h00 till 12h00
• Coffee and tea will be served.

Read all about what's new at the Naturopathic Health Care Centre in 2018.
• Mom & Baby socialization group
• About our doctors 
• Topic of the Month
• Room to let

Click here to read more:  Newsletter March 2018

Dearest patient,
 
Have you been diagnosed with hypothyroidism, low thyroid function or Hashimoto’s? Are you confused as to what you can do to treat it, how to reverse the condition and also why it happened to you in the first place?
 
Hypothyroidism has various possible causes making the treatment individualistic, but most importantly you first need to be able to determine whether your disease is autoimmune driven, Hashimoto’s disease, or not.
 
Statistics are currently estimating that around 6 out of 10 hypothyroid patients have an autoimmune reaction to their thyroids. What does this mean? The body makes antibodies or white cell soldiers to destroy the thyroid tissue. The mechanism is not 100% percent understood yet but is seems that the immune systems seems to think that thyroid cells resemble other body tissues e.g. gut lining, certain allergenic foods or even certain viruses or bacteria. The immune system will attack the thyroid gland over a period of a few years until it is eventually totally destroyed.
 
Maybe you can understand now that it is important to know whether you have Hashimoto’s so that the underlying cause can be addressed. Your GP will normally only test for TSH or T4 but it is of vital importance to test all the thyroid hormones to get a clear picture. These tests will include the following:

1. TSH
2. T4
3. T3
4. Thyroid antibodies, both Anti-TG as well as anti- TPO.
5. Reverse T3, not a standard test but very helpful to determine whether stress is the cause of your disease.

 
Once your testing has been done your doctor will be able to see clearly whether you have an autoimmunity or not.
If your TSH is high it means that your brain is sending signals to the thyroid to make more thyroid hormone since it is detecting there is not enough of this hormone circulating in the body for proper functioning.
T3 and T4 can give us a clue whether you have enough circulating hormones in your blood and if you have enough of T3 which is your more metabolically active hormone.
Thyroid antibodies with clearly show whether you have auto immunity in your thyroid.
Reverse T3 can be described as the brakes of the thyroid gland and T3 the fuel. This means that T3 will stimulate metabolism and reverse T3 will slow the metabolism. This can often happen during periods where the body is under stress, physically or mentally.
 
When blood tests do not indicate any auto immunity the thyroid might just be lacking building blocks to produce thyroid hormones and this can be supplemented to ensure optimal functioning.
 
Hashimoto’s disease can occur due to various causes. Some of these causes are:

1. Gut or digestive issues
2. Stress
3. Infections, viral or bacterial
4. Toxins
5. Food intolerances and allergies

 
The golden rule when it comes to your thyroid health is not to just assume that taking a thyroid replacement like Eltroxin will solve the problem. Work together with a practitioner to try and find the cause, treat it and reverse the auto immunity.
 
Your thyroid is integral for your body function and without thyroid hormones a person will not be able to survive. It dictates your breathing, heart rate, central and peripheral nervous system, body weight, muscle strength, menstrual cycle, body temperature, cholesterol levels and much more. Therefore, treat it with respect, cherish it and make sure that you have a happy thyroid!!
 
For any questions please contact
DR MARIKE DE KLERK
NATUROPATHIC HEALTH CENTRE
012 460  9216

Functional Medicine
By: Dr C Groenewald M.Tech Hom (UJ)
 
Holistic healing focuses on addressing the root cause of a disease and not only the symptom itself, using vitamins, minerals, nutritional medicine, diet, exercise and homoeopathy.
 
The body is an amazing organism, striving continuously towards homeostasis. When homeostasis is threatened, your body will find a way to notify you - in the form of ‘symptoms and signs’.
 
Each sign and symptom has a root cause, for example: if you drink a headache tablet for a headache, you are addressing the symptom only, leaving the underlying cause untreated.  Finding and addressing the cause, will lend itself to a permanent cure.
 
To further illustrate this point, let us look at weight gain, as an example:
 
Underlying causes of unchecked weight gain may include:

• Hypothyroidism;
• Diabetes;
• Insulin resistance;
• Certain medication;
• Female hormonal issues;
• Cortisol hypersecretion;
• Leaky gut;
• Food sensitivities.

 
Trying to correct the weight gain (a sign) with various diets and exercise programmes, will not resolve the underlying cause of the weight gain, and often patients may become very disheartened, when strict lifestyle changes yields little to no results. Find the cause, treat the cause and resolve the symptom.
 
 
Who can benefit from this approach? EVERYONE, including patients who
suffer from:

• Sinus and hay fever;
• Headache;
• Halitosis (bad breath);
• Unexplained weight gain or loss;
• Insomnia;
• Anxiety and depression;
• Unseemly facial and body hair;

• Severe PMS or painful periods;
• Amenorrhoea (lack of periods);
• Low libido;
• Constipation or chronic diarrhoea;
• Bloating and flatulence;
• Erectile dysfunction;
• Infertility;
• Low immunity and or recurrent infection;
• Asthma and allergies;
• Skin eruptions and itchy skin;
• Heartburn and reflux;
• Hot flushes and irritability;
• Low energy.

 
How do you start this journey? Contact us for an appointment which involves:
1.         A 1-hour consultation with a qualified healthcare practitioner;
2.         A complete medical history and health assessment;
3.         Follow up consultation to assess your blood work, set up a treatment plan and      nutritional plan;
4.         Monthly follow up as required.
 
“The highest ideal of cure is the speedy, gentle and enduring restoration of health by the most trustworthy and least harmful way.” -Samuel Hahnemann-

(By: Dr. Chantell Groenewald, M Tech (HOM) UJ).
 
Testosterone is a hormone, mainly produced in the testes in males, but also produced, in smaller amounts, in the ovaries and adrenal glands of females. Healthy levels of testosterone in females is vital for general wellbeing as well as optimal functioning of several physiological processes in the body, including:

• Healthy muscle tone;
• Mood and motivation;
• Bone density;
• Healthy libido; and
• Cognitive function.

 
 Causes of decreasing testosterone, include:

• Perimenopause;
• Menopause (50% decrease in testosterone);
• Total hysterectomy (including ovaries), as ovaries produce most of the testosterone in females (significant decline, leaving only the adrenal glands to produce marginal amounts of testosterone);
• Stress. DHAE, the precursor to testosterone, will be converted to cortisol and not testosterone, during peak stress periods;
• Certain drugs.

In women, a little bit of testosterone lends itself to an overall sense of wellbeing. Low levels of testosterone has been associated with:

• Heart attack;
• Alzheimer’s disease;
• Osteoporosis;
• Diminished sex drive;
• Low energy and motivation;
• Poor memory;
• Brittle hair; and
• Low muscle tone, to name a few.

Testis Compositum, a homeopathic preparation, is used to stimulate organ function for optimal testosterone levels in order to alleviate the unwanted symptoms associated with menopause. Testis Compositum is administered as part of a 6 week biopuncture course.

Biopuncture describes any therapeutic measure that uses homeopathic complexes (biotherapeutics) for injection into specific points or areas on the body. The name originated from combining bio-therapy with acu-puncture.

Biopuncture is a therapy using mostly plant-based ultra-low dilution product formulas which are injected into specific body regions to regulate bodily functions. Most of the injections are micro-injections with a very small needle just under the skin or into the muscle. Small doses of products are injected to stimulate or “wake up” the natural healing processes.

​Using Testis Compositum in specific body regions, has a ‘turbo effect’ in stimulating the bodily functions.
Contact us today, for any further questions regarding biopuncture and the use of Testis Compositum during menopause. 

The Naturopathic Health Care Centre provides a friendly environment where the whole family is taken care of.   The three registered homoeopaths together with the registered nursing sister are able to take care of a vast range of health issues.

Consult with one of our Homoeopathic Practitioners.  

• Our services include diagnosis and treatment of acute and chronic illnesses with emphasis on health promotion, disease prevention, health maintenance and education.   
  
• Coughs, colds, ear infections, tonsillitis, skin conditions, fever, diaper rash, childhood diseases, diarrhoea and vomiting are a few of the everyday ailments that we treat. 
  
• We also deal with other concerns like constant crying, temper tantrums, thumb sucking and bed wetting

Visit our Well Baby Clinic - Services provided by the sister:

• Growth & milestone assessments
  
• Breastfeeding / bottle-feeding advice and support
  
• Introduction of solids advice and support
  
• We give professional advice on: Baby colic and cramps, breast feeding, teething, potty training and sleep patterns

Regrettably we do not do allopathic vaccinations at the Centre, but you can talk to us about nosode treatment and immune boosting therapies.

Attend our Mom & Baby socialisation Workshop
Enjoy two hours of relaxed interaction with other mommies.  Tea, coffee and snacks are served while listening to an informative talk by Dr Chantell Groenewald or Sr Alida Idema.  
​
Mom & Baby groups are held on the last Tuesday morning of every month. We can accommodate up to 20 moms, therefore please phone the reception to book your spot.  Visit our website for the dates and times.

With winter now finally at our doorsteps and colds and flu imminent, we should take inventory of what medicines we have in our first aid kits when those first symptoms appear.

Herbal medicines has the powerful action of a normal over the counter pharmaceutical drug but without the chemical ingredients. It is also therefore important to be mindful that some of our herbals do have special precautions and counter indications. When you purchase a herbal product, study the insert for safety indications or chat to our registered nurse when you come in to buy it from our health store. If you are still unsure, contact your homeopath for more clarity.

Herbal are also complex in their action and because they are in a “foodstate”, they are accepted more readily by the body and their actions are multiple. 

Here is a list of the top three herbals that you can keep at home. Start to use these as soon as symptoms start appearing.

1.    ECHINACEA 
Echinacea is always the first herbal to take in the event of a cold or a flu. There are two species, angustifolia, which is the stronger, and purpura being the weaker alternative.

Echinacea is well documented to raise the immunity, having anti- viral and anti- bacterial actions, as well as being anti- inflammatory. Studies have proven Echinacea safe for use during pregnancy and lactation.

The dosage for an adult is 100 drops per day in divided doses. Hourly dosage seems to be most effective in acute illness. The use of Echinacea in babies in children has been documented as safe from 5kgs.  Dosage would be 15 – 50 drops per day in divided dosage with increase in weight in the child.

Just keep in mind that the preparations are often in an alcohol base and it might be advisable to add some boiling water to the drops and give the cooled down mix.

2.    OLIVE LEAF EXTRACT
Olive leaf extract boosts immunity as well as destroying bacteria like E Coli as well as Candida species.  The active ingredient also interferes with the production of viruses and enters the cell to block replication.

Unlike antibiotics that causes antibiotic resistance, olive leaf is safe and effective for long term use. The leaf also has an antioxidant effect, documented to be stronger than Vitamin C and E.  

This herb may be used during pregnancy and lactation, dosage for adults being 75 drops daily in divided dosages. Hourly administering is advisable. Olive leaf can be used in babies from 5kgs, a dosage of 15 drops per day in divided dosages.

3.    PELARGONIUM SIDOIDES
Pelargonium can reduce the duration of the common cold and treat symptoms like fever, fatigue, cough, bronchitis, mucous in chest and postnasal drip.

It has anti-effective properties fighting viruses and bacteria as well as stimulating the immune system. Pelargonium is specific for the treatment of acute bronchitis by increasing the body’s natural healing rate and treating the symptoms.

The most well- known product containing Pelargonium is PENTAGEN from Natura. Dosage for an adult is 100 drops daily in divided dosages, 60 drops for children between 6 and 12 and 30 drops for children under 6 years of age. Safety during pregnancy and lactation is not known and should therefore be only taken short term. 

All of these products are stocked in our in-practice health store, so you are welcome to come in anytime during office hours to purchase or just chat to us about these products.  

By Dr. C Groenewald
M.TECH HOM (UJ)
​
It is that time of the year again, the congested, stuffy, coughy, miserable season. Colds and flu is miserable, but it is so important to building a strong immune system. When you are exposed to a virus, your body responds by forming antibodies to that specific virus (antibody- antigen reaction). So next time when you are exposed to the same virus, your body has the necessary ammunition to nip it in the butt. 

A healthy individual with a strong immune system, should be able to beat a cold in 3-7 days, and flu within 5-14 days. This is so often not the case, and I often see patients who have been suffering for more than 3 months. THREE months??? Why does this happen?

•    Low immunity or immune compromised individuals
•    Repeated use of antibiotics
•    Use of corticosteroids
•    Adrenal burnout with consequent low immune function
•    Lack of sleep
•    Poor diet
•    Leaky gut syndrome
•    Vitamin and mineral deficiency
•    Previous infections
•    Low thyroid function
•    Lack of exercise

What is the difference between a Cold vs Flu?

Common signs and symptoms of the FLU include: 
•    KEY: Flu develops rapidly, feels like you have been hit by a bus.
•    Fever over 100 F (38 C)
•    Aching muscles, especially in your back, arms and legs
•    Chills and sweats
•    Headache
•    Dry cough
•    Fatigue and weakness
•    Nasal congestion

The common COLD is a viral infection (more than a 100 viruses can cause the common cold) of your upper respiratory tract — your nose and throat.
 Symptoms include:
•    KEY: cold usually develops more slowly, fever is not common.
•    Runny nose,
•    Sore throat,
•    Watery eyes,
•    Sneezing and congestion
•    Possible mild cough due to post nasal drip.
•    Feeling like you ill, but not that ill to not perform normal duties

So how are you going to beat it this year? This does not mean you will not get sick, remember, you want to get a mild form of the cold and flu, to build up your immune system. It is normal and important to get a cold and flu at least 4 times per year…what is NOT normal is to be sick for weeks on end, with secondary bacterial infections and often 3 courses of antibiotics later, still feel like death warmed up. So let us help you get you dose as mildly as possible, so we can have you up and running again in no time. 

TOP TEN TIPS FOR BEATING COLDS AND FLU

1.    VITAMIN C
Your first line of defence. There is amazing and exciting research demonstrating the effects of high doses Vitamin C in enhancing the immune function, and reducing the severity of colds and flu by up to 25%.  
2.    Ecchinatia
This herbal tincture has both immune boosting, antiviral and antibacterial properties. 
3.    Aconite 1 M
A homeopathic ‘prophylactic’ preparation, to be taken 1x per week during high risk season. At the first sign of colds and flu, you can stop a cold in its tracts, by giving Aconite 2 hourly. 
4.    Multivitamin 
Especially Vitamin A, C and E, zinc and selenium. These vitamins are essential in maintaining a healthy immune system. Also enquire with your homeopath regarding Vitamin B12 and B complex immune boosting injections during the flu season. 
5.    Diet 
No surprises here. A healthy balanced diet with plenty of vegetables, omega rich foods and foods rich in pre and probiotics, is the way to health this winter. Consider making freshly pressed carrot, ginger and apple juice to drink each morning, as this will have amazing immune boosting effects. Soups prepared with homemade bone broth, which does wonders for a healthy gut, and as we know, a healthy gut equals a healthy immune system.  Stay away from foods that can destroy the gut lining, 70% of your immune system resides in your gut. Foods like sugar, wheat and dairy, often have adverse effects on the integrity of the gut lining, so try and steer clear. 
6.    Exercise
High intensity exercise is bad! Low intensity exercise is good. Why? High intensity exercise produced high volumes of cortisol secretion, which supresses immune function. So try doing light – moderate intensity training, yoga, Pilates and weight training, to keep you strong and healthy. 
7.    Relaxation
As mentioned above. High levels of cortisol, supresses your immune system. Increased cortisol production from your adrenal glands, is as a result of increased levels of stress. Cortisol forms part of the ‘fight and flight’ cascade, and although it can do wonders for our safety short term, long term exposure to high levels of cortisol, can have detrimental health effects. So chill. Meditate. Yoga. Sound therapy. Take a much-needed holiday. Long walks with a loved one. Whatever it takes to manage your stress. There are also numerous herbs that your homeopath can prescribe, that can help nourish your adrenal glands and balance your cortisol. 
8.    Sleep
6-8 hours of good quality sleep is crucial for a normal functioning immune system. 
9.    Drinking enough water
250ml of water per 10kg of body weight, to support the digestive and renal systems. 
10.    Immune boosters
Ask your homeopath about immune boosting biopuncture injections. This is especially useful for individuals who are prone severe colds and flu during winter. 

By Dr. C Groenewald

Oh, the joys of baby poop. Since becoming a mommy, you went from being a normal, intelligent, strong woman, to a slightly neurotic, poop obsessed, sleep deprived nutty woman (with one or two instances of finding baby poop under your finger nail an hour after changing the last diaper). Nothing sends chills down a new mother’s spine than changing a diaper, and seeing something you are sure cannot be normal.  Whether it be the color, smell, consistency, too many or too few diapers per day - nothing can send you into a frenzy, like your new-borns’ poop. 

So, let me put your mind at ease. When it comes to your little darling’s poop, ‘normal’ is relative. One poop diaper in ten days, or ten poop diapers in one day is perfectly normal, if that is what is normal for your baby.

Frequency, or lack thereof, should remain constant. A sudden change in their bowel habits, is a better sign of gastric discomfort.  Furthermore, when it comes to color, it is as varied as the 11 national languages of South Africa. From tarry black meconium (baby’s first poop) to shades of yellow in exclusively breastfed babies to tones of brown once you start introducing solids.

There are a few color guides available online, for your peace of mind. The only three colors that should worry you are:
•    red stained poop (unless there was beetroot in last night’s dinner);
•    black stools (except the first meconium poop diaper the first few days after baby is born); 
•    and pale or grey stools
All of which should also be reported to your child’s primary health care physician as soon as possible. 

Now, let us talk about consistency. Parents often report that their new born is constipated based on the frequency of the stools. As mentioned above, frequency is very varied in babies and some babies can have only one poop diaper per week, which is normal for them. Rather than focusing on frequency, if it remains constant, note the consistency of the poop. Healthy bowel movements in a baby 0-6 months (minimum), is not formed (i.e. not solid). Parents often confuse this with diarrhoea. A normal healthy bowel movement, is a ‘mushy’ consistency. Diarrhoea is often accompanied with an increase in frequency, as well as a very watery discharge containing little to no solids, that often ‘explodes’ out of the diaper. Formed stools, hard, dry or pebble shaped stools, are signs of constipation. 

Now that we have cleared all this up, let us focus on constipation, and what you can do to alleviate your babies discomfort. 

Here are my top ten tips for treating constipation:

1.    Any change in diet will affect baby’s digestion, so take it easy. 
This remark is twofold. Firstly, remember that what you eat, affects your milk production, which in turn can affect baby’s digestion and bowel movements. Secondly, introducing anything into baby’s diet, other than breast milk, will affect their gut flora, and in turn their bowel habits. This is especially true when introducing formula, changing from one formula to another, or introducing solids. When at all possible, try to introduce any new formula or food, gradually (See top ten tips when introducing solids), to allow the gut some time to adjust to the transition. 

2.    Formula vs breast milk. 
When choosing a formula, discuss your baby’s specific needs with your primary health care physician. I found that hypoallergenic and anti-colic formulas, are softer on the gut, while AR (anti reflux) tend to cause constipation due to the thickness of the formula. When preparing the formula, always ensure that the formula is prepared correctly as per instructions on the formula container. Too much formula powder vs water can aggravate constipation, while too little milk powder prepared with too much water, can dilute the nutrients and cause serious health problems. 

As for Breast milk, ensuring baby drinks both the thin fore milk, as well as the thick, nutrient rich after milk, is essential. To ensure baby gets enough of both, make sure he/she spends enough time on one breast, before moving on to the next breast. 

3.    Choose a probiotic to support the gut. 
Probiotics are often useful when there is a disruption in gut flora, which can cause or aggravate constipation. Choosing a probiotic especially formulated for baby’s immature gut, can assist in correcting any imbalance, and aid in alleviating constipation. 

4.    Water. 
Healthy breastfed and formula fed babies, do not require any additional water in their diet. It is recommended to start offering baby water only from 6 months of age. When it comes to constipation, grandparents are fast to convince you to give your infant water, however, both formula (when prepared according to the labelled instructions), as well as breast milk, contain enough water to keep baby hydrated. Adding additional water to their diet, can lead to dilution of nutrients which can have adverse health effects. Please speak to your baby’s primary health care physician regarding the introduction of water before 6 months of age to alleviate constipation, as every child is different and each case should be considered individually. 

5.    Prune Juice. 
Introducing pure, unsweetened prune juice (like Safari prune juice available from Dischem), from 6 months of age, is a great way to stimulate bowel movements. You can dilute it 1 part prune juice to 3 parts water, and offer it to your baby in a sippy cup. Prunes contain both insoluble fibre, as well as the natural laxative sorbitol. 

6.    Fibre rich foods.
When introducing solids at 6 months of age, it is important to introduce food groups in accordance with the anti-allergic food list (see list here). These foods are not processed, and naturally high in fibre. Steamed prunes are very effective in treating constipation, however, if your baby does not like the taste, try making the following: 
Frozen prune popsicles. 
They are easy to make and kids love them. I use the baby food range ‘Squish”, prune flavour available from all major retailers. Simply squeeze the contents into a popsicle mould, freeze and enjoy. They contain pure prune puree only, no added sugar or preservatives. 

7.    Baby Massage.
Stimulating baby massage works wonders on gut motility. After bathing baby, ensure baby is comfortable and the room is warm enough. You can use some soothing chamomile oil, or edible oil like coconut oil or olive oil. Warm the oil by rubbing your hands together. Ask baby’s permission before you start, “Is it ok if mommy massages your tummy now?”. Place your fingertips (or palm of your hand), below baby’s belly button, then applying firm but gentle pressure, massage baby’s tummy in a circular clock wise motion. 

8.     Reflexology. 
There are various Youtube clips that illustrate the various techniques you can use to massage baby’s feet to alleviate constipation. Alternatively, you can visit a reflexologist, who can show you how to treat baby at home. 

9.    Chiropractics.
Mal alignment of the spine, can contribute to poor nerve conduction to baby’s gut. Correcting this malalignment, stimulates healthy nerve conduction and blood flow to the gastro intestinal tract, including the small and large intestines, which lends itself to a healthy functioning bowel. 

10.    Homeopathy. 
In Homeopathy, we use a system of medicine - ‘likes cures likes’- to treat all ailments, including constipation. There are many homeopathic over the counter products (OTC), that incorporate the most common remedies used in constipation. These may or may not contain the specific remedy for your child’s constipation ‘picture’. Finding the perfect similimum for your baby, is cardinal to homeopathic success, so if you have tried OTC products, and they have failed, book an appointment with your homeopath. 

​
​What an wonderful time in baby's development, his or her first meal. Up to now, it’s been boobies and bottles only. This is an exciting time, but also a very crucial time in baby’s development. Up to now, baby’s immature gut has only been exposed to one thing, breastmilk (if you are lucky). This perfect little gut, has the perfect culture of beneficial bacteria, lending itself to a healthy gut and healthy immune system. 70% of our immune system cells reside in the gut, hence, a healthy gut equals healthy baby. So, when introducing solids, it is very important, to minimally  disturb this environment, and here is how you can do that: 

​Enjoy this exciting time in your baby’s life. It is fun, it is messy, and it is necessary. Don’t be afraid to try new things, and experiment with baking yummy treats using healthy ingredient. Keep an eye on our website, for healthy treat ideas and recipes for baby and toddler.  

​By Dr. C Groenewald

​By Dr. C Groenewald

Let’s talk about intimacy…

Do you have a healthy sex life? What is a ‘healthy’ sex life? How many times a week/month is ‘normal’? What affects sex drive and libido? 

Sex, a topic sure to raise many opinions, questions, fears and uncertainties: questions you may or may not not feel comfortable to raise with your primary health care physician, your spouse or even your friends.

As South Africans, we have come a long way since the reserved ways of our parents/grandparents, but I still find that sex is a difficult subject for many men and women. Join us, for the next few weeks, where I will discuss weekly topic, based on the most frequently asked questions in my consulting rooms. We will be focussing on libido and sex drive; hormones affecting the latter; common causes and contributing factors to anorgasmia; the working mom and all the stress running a house hold entails; anxiety and depression; and lastly, pregnancy and hormones postpartum. 

This week, let us focus on libido and sex drive, as well as the hormones that fuel this drive. 

1.    Hormones, and the role they play in libido. 
A controversial topic, sex drive seems to be the most common complaint in woman suffering from sexual arousal disorder, long believed to be fuelled by our sex hormones, so before we go on, let us take a closer look at the hormones that play a role in female health:

• Oestrogen: Produced by the ovaries and to a smaller degree, by the adrenal glands (endocrine glands situated on top of our kidneys) and adipose tissue (fat cells). Responsible for the pre-ovulatory thickening of the uterine wall (endometrium), in preparation for implantation of a fertilized egg, as well as growth and development of our secondary female sexual characteristics, including breasts development, armpit hair, regulation of the menstrual cycle and reproductive system. Oestrogen also plays a role in vaginal wall thickness and lubrication, prevention of bone loss and cholesterol levels. 
• Progesterone: Produced by the corpus luteum (remnants of the ovarian follicle, which produces and releases the egg), levels rise during the second part of the menstrual cycle, and is responsible for preparing the body for pregnancy, as well as maintaining the early stages of pregnancy. 
• Luteinising Hormone (LH): Produced by the anterior pituitary gland, the LH is required to stimulate the ovarian follicles, to secrete oestradiol. A surge in LH, causes the ovarian follicle to tear and release the ripe egg. 
• Follicle stimulating hormone (FSH): Also released by the anterior pituitary gland, the FSH is responsible for the growth of the ovarian follicle, as well as secretion of oestrogen. 
• Testosterone and androstenedione, the male sex hormones, are also secreted in small amounts, in women, by our ovaries. Although primarily believed to be male hormones, these hormones not only play an important role in female hormonal regulation, but also the functioning of many organs.

Female Sexual Arousal Disorder (FSAD) is defined as a lack of response to sexual stimulation, either from a subjective (mental and emotional) or physical (swelling of labia and clitoris, vaginal discharge, swelling of breasts etc) arousal point of view. 
Libido is NOT equal to physical arousal. Libido is a subjective desire, or passion for sex. Woman with little to no libido, can still be aroused physically by genital stimulation and have enjoyable sex and orgasms. 
Genital Arousal Disorder (GAD), differs in that women are unable to become aroused physically, in spite of mental and or emotional arousal. They are unable to have an orgasm, and sex is often painful. 
Woman often blame their ‘hormones’ for a lack of sex drive and libido, when in fact, there is little to no research to substantiate this. Dr. Michel Jermec, has done extensive research in this field, interestingly identifying Luteinising Hormone as a key component in libido in women. His work suggests, that high levels of LH make woman ‘horny’, while low levels make woman more apathetic to sex. This could explain, why some women are much more easily aroused during certain phases of their cycle, than others, as LH hormone surges before ovulation.   

Physical arousal disorder, is much more likely to be hormone driven, considering the role of oestrogen in maintaining vaginal wall thickness, increasing blood flow to the genitals and lubrication. While the role of testosterone is still under discussion, it seems to play a role in the arousal of the clitoris and labia, and ultimately orgasm. That being said, there are other causes for genital arousal disorder and includes, but not limited to:
•    Anxiety, Depression and Stress
•    Effects of certain medications
•    History of sexual abuse
•    Strict religious upbringing 
•    Menopause
•    Cystitis and Vaginitis
•    Relationship with partner
•    Self Esteem and Body Image
FSAD, mental, emotional and physical, commonly, has no clear cut cause, that one can pinpoint and treat. It is a multifaceted disease, and should be treated as such. There are many contributing factors, which overlap, and can contribute to the overall lack of libido and sexual drive. Treatment should be aimed at addressing these factors, and not just symptomatic treatment. 

To identify probable causes and contributing factors of FSAD, the following assessments may be useful: 

• Overall health, including a physical examination as well as blood tests to access hormonal levels, liver function, cortisol levels, full blood count etc.; 
• Menstrual cycle, menopause, post birth and breastfeeding; 
• The Holmes-Rahe Life Stress Inventory to assess levels of stress and possible depression; 
• Constitutional prescribing; 
• Diet and lifestyle assessment; 
• Medical history and current medications; to name a view. 

To give an example of such constitutional prescribing, consider the following remedy and the overall mental, emotional and physical pictures, as related to FSAD:
Sepia 
    Apathetic
    Indifference to those best loved
    Very sad
    Weeps
    Aversion to company, yet dreads to be alone
    Aversion to husband
    Irritability from exertion
    Loves thunderstorms
    Anxiety
    Anger from contradiction
    Sensitive to music and noise
    Constipation during pregnancy
    Tendency to miscarriage 5th – 7th month
    Urine thick and foul smelling, urging to urinate, burning during urination
    Bearing down sensation, as if everything would escape through vulva
    Prolapse of uterus
    Aversion to sex, or complaints after
    Dryness of vagina and vulva
    Menses either late and scanty or early and profuse 

​Some homoeopathic remedies are made from plant material, but also from other sources like minerals, chemicals, insects, and organ tissue.  The difference is in the method of preparing these remedies.  It is diluted and potentised and it is never administered to a patient in its original form.

Homoeopathic training in South Africa involves a five-year full time course at one of two universities, namely University of Johannesburg and Durban University of Technology.  The training aims to prepare the student to become a primary health care professional in a clinical setting. Dr Samuel Hahnemann, the Founder was a German scientist.

Homoeopathic products are prepared in a laboratory, according to Good Manufacturing Principles (GMP) and is regulated by the Medicines Control Council.  

Over the years numerous clinical studies were done on humans and animals in order to improve the efficacy and the safety of the products.

Some religions hijacked homoeopathy and propagate it as part of their healing meganism. The truth is that homoeopathy was founded in in 1791 in Meissen, Sakse and only in 1820 when it spread over the continents, some religions began to find it very attractive.

Homoeopathy is best for chronic conditions because the heeling is long term, but if prescribed accurately in acute situations, you will experience rapid results.

Homoeopathic treatment is used with great success in babies, infants, dogs, horses and even lions.  Decide for yourself.

Homoeopathy has its limitations. No system of medicines can cure all diseases because there are so many unknown factors involved.

It sometimes happens with skin disorders, but in less than 5% of cases will there be an aggravation.  

Not true.  Your health care practitioner will not take you off your conventional medicine, but will advise you to leave a gap of about 20 – 30 minutes between administering the different remedies.

​Sources:
1.    www.askdrshaw.com
2.    www.hsa.co.za
3.    www.hpathy.com

​

Reflux refers to the ‘spit up’ or vomiting, after a baby has fed. The reflux is a combination of milk, and stomach acid, which pushes back up from the stomach, into the oesophagus (food pipe). This is commonly referred to as GER (Gastro oesophageal reflux).
In some instances, the milk/acid mixture, will not reach the babies mouth, or baby will swallow the reflux, in which case, there is little to no vomit or spit up, this is called ‘silent reflux’.
GER is normal in most babies, as the oesophageal sphincter and babies immature gut, needs time to mature. Most babies have no ill effects from reflux, and will outgrow it by 1 year of age. 

Frequent and severe reflux, GERD (Gastro oesophageal reflux disease), can cause ill effects in some babies, affecting their sleep, mood, feeds and weight gain.  Symptoms (and when to consult a doctor) include:

•    Fussy baby, crying during or after feeds
•    Frequent reflux and or vomiting (not with silent reflux)
•    Difficulty sleeping, especially when lying down
•    Frequent hiccough and/or cough
•    Failure to thrive
•    Cramps, gas and colic
•    Sour breath or burps
•    Refusing breast or bottle
•    Arching of back
•    Blood 
•    Brining up green, yellow or dark brown vomit (that looks like ground coffee)

1.    Homeopathy:
Homeopathy refers to a system of medicine, that uses ultra dilutions of substances, to treat illnesses. A prescription is based on ‘likes cures likes’, so if a substance can cause a specific symptom picture in a large dose, then it can heal it in an ultra diluted form. So each baby and each symptom picture is unique. 

Homeopathic single remedies that are often used in the treatment of GORD include:
•    Hyocymus 200: Reflux associated with hiccoughs.
•    Asafoetida 200: Reflux linked with induction, epidural or forceps.
•    Lobelia inflate 200: Reflux linked to family smoking. 
•    Lycopodium 200: Winy babies with a lot of gas. Worse between 3 pm- 5 pm. 
•  Aethusa cynapium 200: Family history of lactose intolerance. Baby regurgitates everything, often projectile vomiting after every feed. 

Homeopathic Complexes Include: 
•    Magen, Sedaped and Cesranol from Natura
•    Sister Lillian’s NausiCare
•    Gastric plus 30 C from Pegasus.

2.    Chiropractic Treatment:
Chiropractics is a system of medicine, focussed on the wellbeing of the individual, placing special attention on the neuromuscular system, and treatment is focussed on manual adjustments of the spine. 

A chiropractor can identify areas of subluxation of the spine (malalignment), which is especially true in C section or forceps births. By manually adjusting these areas, the nerves existing in this area, can function optimally. In the instance of the digestive tract, nerve flow correction to the digestive tract, can enhance digestive function. 

3.    Cranio-Sacral Therapy (CST):
Refers to correcting any imbalances in the craniosacral system, which includes the membranes and cerebrospinal fluid that surrounds and protects the brain and spinal cord. Imbalances in this system, can cause sensory, motor and or neurological disabilities. For this reason, the health of the digestive tract, can be enhanced through CST.

4.    Position during feeds:
It is important to feed your baby in an upright position, to prevent the back flow of milk and stomach acid from the stomach into the oesophagus. After a feed, you should keep your baby in an upright position for at least 20 – 30 minutes. Also, try and burp baby every 2-3 minutes during a feed. 

5.    Sleeping position:
When lying baby down for a nap, consider keeping baby elevated, using an anti-reflux wedge, found at Baby City and other major retailers. This will help prevent the back flow due to gravity

6.    Breast Milk:
Breast is best. If you are breast feeding, try to ensure, that baby only feeds on one breast at a time. This is to ensure, baby does not only finish the watery foremilk, but also reaches the full fat creamier hindmilk. Smaller feeds will also help prevent excessive reflux. 

7.    Formula:
There are various formulas out there, that can aid in alleviating acid reflux in babies. These include the thicker anti regurgitation formulas (AR), such as NAN and Novalc AR (there are many more brands, consult your homeopath or paediatrician, to choose the formula best indicated for your baby). Also, in the case of a lactose intolerance, there are hypoallergenic, extensively hydrolysed (HA) formulas, which may also alleviate reflux in lactose intolerant babies. 

8.    Mothers diet:
It is important for mom, to eliminate any foods that might aggravate the acid reflux in baby. First and foremost, diary, gluten, coffee and sugar in any form. From here, if the reflux does not improve, mom can consider an elimination diet, restricting her diet to only good sources of protein (not diary or nuts), vegetables (non cruciferous and non gaseous causing veggies only) and non-glutinous grains. After there is an improvement, she can start reintroducing one food group at a time. If there is no aggravation, another food may be introduced every three days. Dairy, sugar and gluten however, are best avoided in the long run. 

9.    Probiotics:
A good probiotic is essential. Ask your homeopath or paediatrician for a trusted brand. A good probiotic, loaded prebiotics (the food probiotics need to grow) can help restore the gut flora, aiding in the regulation of stomach acid production. You can add this to your own diet, and to babies bottle every day. 

10.     Tissue Salts:
Never underestimate the value of tissue salts, in the treatment of gastric disturbances in babies. Nat Phos tissue salt, is an acid regulator. The most commonly used anti spasmodic tissue salt, Mag Phos, can be given on its own, or in combination with other tissue salts, which can serve as a colic mixture. These tissue salts include, Mag Phos, Ferrum Phos, Calc Phos, Nat Mur, Nat Phos and Nat Sulph. You can combine the above mentioned tissue salts in even ratios, and pulverise using a blender or two large spoons. Use less than 1/8th of a teaspoon before and after feeds. You can either apply the powder to the tip of baby’s tongue, or you can use a drop of cooled boiled water, to form a paste, then apply to the tip of baby’s tongue. Mom is also welcome, to use this mixture, as baby will get the tissue salts in moms breastmilk. 

There are no easy answers, in the treatment of GER or GERD. Mostly, it is variations of a combination of therapies, supplements dietary and lifestyle advice, which can ultimately offer some relief for you and baby. Please always take your baby to a homeopath or paediatrician, if you see signs of dehydration, malnutrition, failure to meet milestones, if baby is not gaining weight, inconsolable crying, baby that refuses to feed and blood (bright or dark coloured blood that looks like coffee grounds) in babies vomit or stool. 

Mommies. You are amazing, and you are doing an amazing job. No one ever warned you how difficult it is, to be a first time mom, and a reflux baby certainly adds to the sleep deprivation. You are not alone, you are every mom out there, either they have been there, or they are currently there. Always ask for help if you are not coping. It does not make you a bad mother, it makes you human. You are ultimately, what is best for baby, so if you are not ok, baby is not ok. So take a time out. Get dad to babysit, or ask your mom to come over so you can have a nap (and let her bring dinner too… the dairy free, gluten free, sugar free, non cruciferous vegetables type). This too shall pass, and then you have something to hold your kids to, for the rest of their lives.

1. http://www.mayoclinic.org/diseases-conditions/infant-acid-reflux/home/ovc-20157639
2. http://www.parents.com/baby/care/gas/best-remedies-for-gas-reflux/
3. http://www.babycentre.co.uk/a567208/reflux
4. http://www.sisterlilian.co.za/sensitive-parenting-blog/baby/231-gastric-reflux-in-babies-what-you-need-to-know
5. http://www.pegasuskits.com/the-bluebox-kit
6. http://www.craniosacral-therapy-healing.com/faq-what-is-craniosacral-therapy-and-where-does-it-come-from.html
7. http://www.llli.org/faq/foremilk.html

There are lots of things that you as a parent can do and change at home to help  your baby or toddler's skin conditions heal quicker.
Please vie our chart below.  if you have any questions, please give us a call.

by Dr. Alicia Smit 
Homoeopath 
Special Interest:  Dermatology / Skin disorders

Concerned about a rash that's appeared on your baby's skin? “Oh no what's that?" you may ask. One day your baby's skin is clear and smooth but the next day there's an unknown rash, swelling or discharge on the skin.

The human skin acts as a defensive barrier against all sorts of elements, from bacteria to sun, but it takes about 2 years from birth for that epidermis to get up to speed and function effectively.
When it comes to your baby’s skin you can depend on one thing: It's guaranteed to erupt into a rash during the first year. Not surprisingly, the number of infants experiencing skin disorders is rising and over 30% of unscheduled visits to the paediatrician’s office are caused by skin problems.
The growing reality for many parents, however, is learning to help their children handle irritating skin disorders. Although many parents have found ways to temporarily suppress symptoms, many have now become determined to resolve their child’s skin condition altogether. Eliminating a skin condition takes a great deal more effort than suppressing the symptoms, but the reward is once again seeing that perfect, baby soft skin on your child.
 
With infant skin care, the saying is "less is more." 

1. Resist the urge to bathe your baby frequently. Too-frequent bathing -- more than three times per week during the first year of life -- removes the natural oils that protect baby's skin. That may leave baby's skin vulnerable and dry.
2. Don't use Scented baby products in the early months. This can irritate your baby's delicate skin.
3. Wash baby's clothing before it's worn. Use only baby laundry detergents that are fragrance- and dye free. Wash baby clothes, bedding, and blankets separately from the family's laundry.

Of course, no baby escapes the most common skin issue--nappy rash. The diaper area is warm and moist, while adding irritating poop or urine and you've got the perfect environment for breakouts.
A yeast nappy rash can also happen if your baby is taking antibiotics as they kill the good bacteria that normally keep the yeast in check.
Yeast is a fungus that lives on your skin and in the intestines, and when you have a warm, moist environment like in the nappy area, it can cause a bit of a rash. The rash will begin as tiny red spots that multiply and mass into a solid red blotch which may include pus-filled bumps.

• Keep a nappy rash under control by changing your baby often and letting their naked bottom air out occasionally. Cotton nappies are also a better alternative during acute stages of a nappy rash.
• Wash the diaper area with plain water. If the rash is severe, use a squirt bottle to cleanse without rubbing.
• Use a soft clean cloth, not baby wipes. The perfume or alcohol in some wipes can further irritate and dry baby's skin.
• Disinfect the area with calendula tincture or calendula soap, make sure to dry the area completely before putting on another nappy.
• You can apply colloidal silver gel mixed with a few drop of liquid probiotics to the affected area.
• If you don’t have any products in range, you can always boil a cup of oats and while letting it cool, collect the gel layer accumulated on top of the oats and apply it to your baby’s bum. Works every time!

Milia normally appear a couple of days or weeks after birth since the oil glands on your baby's face is still developing.  
Approximately 40% of infants develop milia.
Milia are tiny, white spots that may appear usually across your baby’s nose, cheeks, chin, forehead, or around the eyes.
Milia looks raised, but if you touch them, they will feel smooth and flat.
Your baby's milia spots should clear up on their own within a month or six weeks.

Molluscum contagiosum is a viral infection that causes a mild skin rash. It is spread by direct contact with the lesion of an infected person/baby or by contact with a contaminated object.
​
If infected with the virus, your baby is most likely to get these spots on the belly, chest, around the bottom and genital area or on the inside of joints (such as on his inner elbows and behind his knees).
Molluscum contagiosum looks like shiny pink pearls with a dimple in the middle or a pus-filled centre. They can range in size from 1mm to 10mm across and can continue to grow over several weeks, there are rarely more than 20 spots on the body.

Don’t worry it usually clears up within 18 months without treatment. If the lesions are itching, bleeding, or making your baby uncomfortable make an appointment with your Homeopath. 

Eczema can appear anywhere on a baby's body starting around 3 or 4 months, though it's not usually found in the diaper area. Up to 20 percent of babies will develop this very itchy rash. 
The rash has dry, itchy, red, and cracked areas of skin, which can sometimes ooze fluid and bleed.
Eczema usually occurs in flare-ups, your baby's skin may have red and itchy patches of skin most of the time, but during flare-ups these areas worsen and may need more intensive treatment.

• Try once-a-week bathing and make bath time short while using lukewarm water.
• Keep your baby's nails trimmed to prevent them from scratching at the rash.
• Limit your use of baby scented skin products.
• Messy feedings and drool can further irritate sensitive skin.
• For treatment consult your homoeopathic practitioner where remedies such as the following might be prescribed:

1. ARSENICUM ALBUM: Intense itching. Turns to burning when scratches till raw; when burning stops, itching returns. Skin dry as paper. Flaking. Pussy. Small vesicles. Eczema worst on uncovered parts or areas. Chilly, weakness. Sips cold water. Restless. Anxious, worried about health, death, security, picky, miserly.
2. GRAPHITES: Red itching pimples; oozing of honey like liquid, which crusts over. Infects and scars easily, heals slowly. Overweight, sweaty, constipated. Scalp. Hairline, behind ears, genitals, back of hands, palms, skin folds. Thickened skin.
3. SULPHUR:     Moist, weeping eruptions, foul odor. Intensely itchy; scratches till it bleeds, causing burning. Skin bleeds easily. Dry, scaly, cracked areas. Unhealthy skin, pimples, easily infected. Burning hot feet at night. Hair margins, face, areas of perspiration, feet, bends of elbows, knee. Intellectual dreamer. Lethargic, unmotivated.

• In severe cases if they don't respond to treatment, the Homeopath might recommend allergy testing to rule out triggers.

It is very important to try and avoid applying corticosteroid creams as far as possible. 

If pus-filled pimples along with whiteheads and blackheads, surrounded by reddish skin appears after the first few months, it's called infantile acne.  The pimples are likely to appear on your baby's cheeks, but may also appear on his forehead, chin, and back.

Your baby's acne can become more pronounced when he is hot or fussy, or if his skin is irritated by saliva, milk residue, or fabric that's rough or that's been washed in strong detergent. Baby acne will go away on its own without treatment. 

The first symptoms of chickenpox can mimic any condition. It starts off with a fever, nausea, headaches, muscle aches and a loss of appetite, which can last for two weeks before the rash appears.
A chickenpox rash starts as little red spots that develop tiny fluid-filled blisters in a few hours. They will show on your baby's face and then spread to her body appearing in groups.
Chickenpox is a very contagious disease, caused by the varicella-zoster virus and mainly affects children. They will be infectious until the blisters dry out — about a week — and are covered in scabs.
It will go away on its own, but you can help to relieve your baby’s symptoms.

• Keep their fingernails short to minimize skin damage from scratching and the associated complications of bacterial superinfection.
• NB!!  Parents should not use aspirin for fever control, because the development of Reye syndrome is associated with salicylate administration in children with chickenpox.
• Remember Chickenpox is a virus, so your baby won’t respond to antibiotics.
• Give your baby plenty of fluids to prevent him getting dehydrated. Offer him extra breast or bottle feeds. If he is formula-fed or on solids, he can have water too.
• To soothe your baby’s itchy spots, you can use calamine lotion.
• If your baby has chickenpox, keep him away from pregnant women who have not had chickenpox before as it can cause problems for an unborn baby.
• Homeopathic remedies to consider:

1. ACONITUM: This remedy should be considered at the initial stages of chickenpox when there is fever, restlessness, and increased thirst.
2. APIS: Children who have itching and stinging pox that is worse from heat and in warm rooms and better from cold and in cool rooms should be given this remedy.
3. BELLADONNA: Chickenpox with severe headache, flushed face, hot skin, and drowsiness with the inability to sleep well should be treated with this medicine.
4. RHUS TOX: This is the most common remedy for chickenpox. These children experience intense itching, especially at night and from scratching. They are very restless.

​If your baby has cradle cap, it will look like a very bad case of dandruff. It is common in newborns, and can show up as a red area on your baby's scalp, covered with greasy, yellow, scaly patches. The condition isn't painful or itchy. Over time the scales can start to become flaky so they rub off easily, just like dandruff, but often with bits of your baby's hair attached.
 
Cradle cap can cover the whole of your baby's scalp. It can also appear on your baby's face and neck, and around her nappy area, armpits, and nose.
 
The cause of cradle cap is not known. One contributing factor may be hormones that pass from the mother to the baby before birth. These hormones can cause too much production of oil (sebum) in the oil glands and hair follicles. Cradle cap usually clears up on its own in a few months.Cradle cap isn't contagious, and it's not caused by poor hygiene.

• You can treat your baby's cradle cap at home by washing her hair regularly and using a soft brush to loosen the flake.
• Rub almond oil or coconut oil into your baby's scalp. If you want, you can leave the oil on overnight, and then brush off the softened flakes in the morning. Clean the remaining oil off by shampooing with mild baby shampoo.
• It is tempting to pick at the scaly patches on your baby's head, but try not to. Picking at it can leave sore patches that could become infected.
• If your baby's cradle cap starts to look red and swollen, take her to your Homeopathic practitioner. This could mean it is infected.
• Homoeopathic remedies to consider:

1. CALCAREA CARB- The eruption is covered with thick scabs, with yellow pus underneath. The stools are white like chalk and the child has cold damp feet.
2. DULCAMARA-Thick, brown herpetic crusts on the face, forehead, temples and chin, with reddish borders, bleeding when scratched.
3. GRAHITES- The eruption exudes a sticky fluid. It appears mostly on the chin and behind ears, unhealthy skin, very little injury causes suppuration.
   
4. LYCOPODIUM- The eruption suppurates and had a bad smell. Thick crusts form having deep cracks on the skin underneath.

Hand, foot and mouth disease is a mild illness caused by one group of the coxsackie viruses. It gets its name from the little small, blister-like sores that develop on the hands and feet, and in the mouth.
The blisters in the mouth can be very painful and your baby may not want to drink or eat, accompanied with a mild fever for a day or two and a general unwell feeling.

Hand, foot and mouth disease is very contagious and easily passes from person to person. It usually takes between three to five days for symptoms to appear once your baby is infected. Hand, foot and mouth disease will be uncomfortable for your baby, but rest assured that it’s not a serious illness.
You’ll probably want to call your Homeopath, to check and confirm that it is hand, foot and mouth disease.

• Hand, foot and mouth disease can’t be treated with antibiotics because it’s a virus.
• Also watch out for signs of dehydration, especially if your baby won’t eat or drink and has fewer wet nappies than usual, call your Homeopath.
• Baby teething gel (Pure Beginnings, soothing teething gel) may also relieve your baby’s pain in his mouth. Rub some gel on his gums, tongue and the insides of his cheeks where you can see sores.
• Spraying Colloidal Silver into your baby’s mouth might also relieve the pain.
• Homeopathic remedies to consider:

1. MERC SOL: Mouth sores can be very severe, and the person is very sensitive to hot and cold; may have a fever before getting the blisters and may alternate between getting too hot with perspiration and becoming chilled at night; becoming too hot or too cold makes the person worse in general.
2. ANT TART: Chill stage of fever: gooseflesh and icy cold skin; heat stage of fever: clings to those around and wants to be carried; does not want to be touched or looked at; thirstless despite the dry parched tongue.
3. BORAX:  Refuses to talk during fever; desire for cold drinks and cold food during fever; great heat and dryness of mouth with white ulcers (aphthae).

Measles is caused by the rubeola virus, the signs and symptoms appear 10 to 14 days after exposure to the virus. Appearance of events:

1. If your baby has measles, the first symptoms of measles can include a runny nose, a fever of 38C, sore and red swollen eyes (conjunctivitis), dry coughing and white spots in the mouth (Koplik spots).
2. Three or four days after these symptoms appear, you will notice red spots behind your baby’s ears and on his face and neck.
3. As the rash appears, his fever may rise. The spots will spread over his body and develop a bumpy texture. The rash may be itchy, and will last for about five days.
4. As it fades, it will turn a brownish colour and leave your baby’s skin dry and flaky.

Measles can be serious and even fatal for small children. While death rates have been falling worldwide as more children receive the measles vaccine, the disease still kills more than 100,000 people a year, most under the age of 5.
However, occasionally measles can cause other problems such as: diarrhoea, vomiting, an ear infection, an eye infection, febrile convulsions and laryngitis.
Pulsatilla 1M and Morbillinum 200CH are used as homoeopathic prevention for measles instead of the MMR vaccine. If your baby has measles, consult with your Homeopathic practitioner immediately. Depending on your child’s personal case the Homeopath will decide on which homoeopathic remedies to give.

1. EUPHRASIA: Inflammation of the mucous membrane of eyes and nose. Sneezing with bland discharge from the nose and acrid discharges from the eyes It turns measles in to simple form, bringing out the eruptions controls the fever and relieves the cough.

• To relive the coughing, place a bowl of warm water or a humidifier in the room to make it more humid, you can add eucalyptus oil.
• Lots of resting and fluid intake is required.
• Avoid sunlight as measles damages eye tissues. The room should have subdued light, so as to not further cause damage to the eyes.
• You can make Calendula tea for you baby, it heals from the inside out. 

Milder Measles – only lasts three days.
 
German Measles is a contagious viral infection best known by its distinctive red rash. German Measles is caused by a different virus than measles, and is neither as infectious nor usually as severe as measles.

Mild fever, Headache, stuffy or runny nose, inflamed red eyes and enlarged tender lymph nodes at the base of the skull the back of the neck and behind the ears. 
​The rash is a fine pink rash that begins on the face and quickly spreads to the trunk and then the arms and legs, disappearing in the same sequence.

• GELSEMIUM: When the patient is drowsy and indifferent. Face ouffed and flushed. No thirst. Pulse full and soft but slow.
• BELLADONNA: If Aconitum fails, there is sore throat, headache, cough and swollen face give this remedy
• Preventative homeopathic treatment involves RUBEOLINUM.
• ACONITUM:  In the beginning, on appearance of the catarrhal symptoms, the patient demands water at night though he has seldom done so in the past. He is chilly and restless.

Dr. Alicia Smit
For more information or to make an appointment with Dr. Smit, please contact us on 012 460 9216

REFERENCES:
Richard P. j. b. Weller, J. A. A. Hunter, Mark V. Dahl; Clinical Dermatology 2008; 81.
http://www.babycentre.co.uk/l1038755/childhood-rashes-skin-conditions-and-infections-photos
http://www.webmd.com/parenting/baby/baby-skin-10/skin-care-tips
http://www.motherandchildhealth.com/baby-toddler-health/relieve-childhood-skin-conditions-naturally/

Hoeveel werkende ma’s, wat hul babas en kleutertjies daagliks by dagmoeders moet gaan aflaai, loop hulle nie op die een of ander dag vas teen die “verset” van so ‘n betrokke klein mensie nie?  Oor die jare het daar eintlik min verander om hierdie situasie vir ‘n mamma beter te maak. 

Hier volg ‘n gesprek tussen my en my kleuter van destyds:
Ek:      “Gaan jy môre weer lekker by tannie Christa speel?”
Kind:   (Kopskuddend) “Hmm Umm.”
Ek:      “Ja toe, man.”
Kind:   “Ek klaar by tannie Kista peel het, tannie Kista nou genoeg gehad het.”
Ek:      “Nou wil jy môre terug na die babaskool toe gaan?”
Kind:   “Hmm Umm.”
Ek:      “Nou waarheen wil jy môre gaan?”
Kind:   “Tug na jou toe, Mamma.”
 
Ek het ‘n paar kenners onder wie ‘n maatskaplike werkster, ‘n opvoedkundige, ‘n sielkundige en ‘n kleuterskoolonderwyseres met die volgende vrae genader:

• Is daar ‘n meer of minder ideale tyd om terug te gaan?
• Hoe kompenseer ‘n ouer op ‘n gesonde manier?
• Waarmee sus ‘n ma haar skuldige gewete?
• Hoe skadelik is dit vir kinders om so min ouerkontak te hê, veral voorskoolse kindertjies?

 
Wanneer kan ‘n ma weer gaan werk?
Daar is nie ‘n ideale tyd om terug te gaan werktoe nie.  Dit is ‘n persoonlike besluit wat oorweeg moet word na aanleiding van die volgende:

1. Moeder en baba se gesondheid                                                                                                     Daar is baie aanpassings om te maak gedurende die eerste paar maande.  ‘n Moeder wat natuurlik geboorte geskenk het herstel gewoonlik vinniger as ‘n ma wat ‘n keisersnit ondergaan het.
2. Die kind se behoeftes en ontwikkelling. Vanaf geboorte tot ses maande: Beskou die eerste drie maande as die “vierde trimester” van swangerskap en dop elke moontlike steen om sodat jy by jou baba kan wees gedurende hierdie tydperk.  Alhoewel “bonding” alreeds plaasvind gedurende die swangerskap, word dit juis nou bevestig.  Dit is ook gedurende hierdie tydperk wat baba se voedingsbehoeftes baie veranderlik is en die meeste aandag verg.   Nege tot vier-en-twintig maande: Baie kenners meen dat die tydperk die belangrikste tyd is vir identifikasie met die primere versorger en manifesteer die vrees om ‘n ouer, veral die moeder, te verloor baie sterk. Drie jaar en ouer: Dit is belangrik dat daar sosiale blootstelling gegee word, maar daar is steeds die behoefte aan emosionele veiligheid en geborgenheid. Wanneer ‘n kind skool toe gaan, is die kritieke vormingsjare agter die rug.
3. Finansiele oorwegings: Vir die meeste moeders weeg hierdie ongelukkig die swaarste, want vir baie is daar geen ander opsie as om te moet gaan werk nie. Jy kan egter probeer om beheer te neem oor die situasie en met jou werkgewer onderhandel vir ‘n deeltydse pos, meer aanvaarbare ure of van die huis af werk.
4. Emosionele oorwegings: Die meeste jong moeders is ongemaklik daarmee dat iemand anders bedags vir hulle instaan. Vir ander is dit egter ‘n uitkoms uit ‘n lang eensame dag.  Baie vroue bou aan ‘n loopbaan en kan moeilik leef sonder die vervulling wat ‘n loopbaan meebring.
5. Logistieke oorwegings: Daar is die keuse tussen ‘n dagsorg fasiliteit en ‘n “nanny”. Moontlik is daar ‘n ouma of ‘n ander famililid beskikbaar wat kan uithelp.  Deesdae is daar ook die moontlikheid dat pappa ‘n rukkie kan uithelp met die tuisversorging vir die eerste paar maande.

Kan ek aanhou borsvoed ?
Ja, jy kan.  Maar moet dit nie alleen prober doen nie.  Daar is baie mammas wat suksesvol borsvoed, uitmelk en voltyds werk.  Maar dit is nie vir almal maklik nie.

• Belê in ‘n goeie elektriese borspomp.
• Versamel borsmelk en vries, begin vroegtydig.
• Pomp gereeld om melkproduksie te stimuleer. 
• Melk uit en vries wat ookal jy kan, moenie ‘n spesifieke hoeveelheid teiken nie, dit sal jou gespanne laat voel. Spanning is die slegste ding vir melkproduksie.
• Probeer natuurlike maniere om melkproduksie te verhoog. Voorbeelde is Fenugreek en Brouers gis.   Moenie langer as twee weke gebruik nie.
• Drink baie water.  Dit gebeur dikwels dat ‘n nuwe mamma vergeet om genoeg vloeistowwe in te neem.
• Sluit aan by ondersteuningsgroepe soos La Leche League, “Exclusive pumpers”-faceboek groep of gaan vind uit by jou plaaslike gesondheidskliniek wat beskikbaar is in jou omgewing.

​So here you are a very concerned mommy with a drooling baby.  Your baby is not well for a while now and on and off she has a funny poo nappy, some fever bouts and at times she is just so niggly with no apparent cause.  Everybody seems to put the blame for all these symptoms on teething.  How can all of this be caused by teething while it is going on for months now and still no toothy?
 
WHAT IS TEETHING

• When a tooth nears completion of its journey into the dental cavity
• This journey starts early during fetal development.
• Most babies get their first tooth by six months
• Thereafter it is usually one tooth per month
• By 2 – 3yrs they will have all twenty.

 
WHAT ARE THE SYMPTOMS?
Teething symptoms vary and can range from severe to nothing at all. Most children will experience at least one of the following symptoms as their teeth prepare to make its way through their gums:

• trouble falling asleep
• fussiness
• drooling
• runny nose
• rash around the chin or mouth
• red cheeks
• swollen gums
• biting
• an increased need to suck
• rejection of breast or bottle
• congestion

            70% OF BABIES GET TEETH ACCORDING TO THIS GUIDELINE:
 

6 months: lower central incisors – cutting teeth
7 months: upper central incisors 
7.5 months: lower lateral incisors
9 months: upper lateral incisors
12 months: lower first molars (bicuspids) – grinding and chewing teeth
14 months: upper first molars
16 months: lower canines (cuspids)
18 months: upper canines
20 months: lower second molars
24 months: upper second molar

MYTH
There is no such thing as a new tooth cutting its way through bone and flesh.  What actually happens is that remodeling of the tissue takes place and a pathway for the tooth emerges.  The belief that tension on the gums played a prominent role in teething symptomatology was widespread. As a result, surgically cutting the gums in order to open up a path for the emerging tooth was a common procedure until the late 19th and early 20th century in developed countries. In some less developed regions around the world, the gums of infants were still frequently sliced open and the teeth removed.
 
DEBATE
What about fever and teething?  Studies have shown that teething causes, at most, a mild temperature elevation. If your infant has a true fever (above 100.4F or 38 Celsius) it is unlikely to be caused by teething, especially if it continues for a number of days.
The same question applies to diarrhea and teething. Again, the available data doesn’t support teething as a cause of true diarrhea. If your child has a diarrheal illness, it is most likely to be caused by a virus.
In my experience as a mother and a nursing sister I can tell that those who had babies and experienced the feeling of total confusion and helplessness when that baby presents with all these so called teething-symptoms will confirm that the symptoms mentioned above are definitely very challenging during the teething phase. 
 
SO WHY IS THIS IMPORTANT?
Because you might miss something serious while blaming it on teething.  Tonsillitis, otitis and bladder infections are common conditions that present itself during the teething phase.
 
WHAT CAN BRING RELIEF?

• Massaging and gently apply pressure with clean finger.
• Apply coldness (teething toys, cold boiled carrot, chilled cloth)
• Soft chewing ring
• Homoeopathic teething pulver

 
WHAT NOT TO DO

• Don’t worry if there is no tooth by 12mnths age
• Don’t blame high fever and lasting diarrhea on teething
• Don’t give frozen stuff to cool the gums
• Don’t apply benzocaine preparations

 
THE HOMOEOPATHIC APPROACH
A homoeopathic remedy is a diluted substance that is known to cause the symptoms you are wanting to cure.  There are more than 600 remedies to choose from.
A homoeopath is well trained in matching the patient accurately to the correct remedy.

There are a number of remedies and OTC formulae
Today we are going to focus on two: Chamomilla and Pulsatilla
 
Chamomilla

• It is a daisy-like flower plant, growing low on the ground and smells like fresh apples.
• Greek: Chamos= ground; Melos= apple
• The plant is hardy and has a pleasant smell, but contains a bitter tasting plant sap used in insect repellents
• It grows wild in many parts of England​
• In the middle ages it was purposely planted in green walks going through gardens for the fragrance it gives out when trembled on.
• From there the little poem: Like a chamomile bed, the more it is trodden, the more it will spread.
• If planted in areas where there are other plants that are sick and droopy, they will recover.

 
People who need chamomilla

• Persistent, energetic, they don’t give up.
• No 1 remedy for irritable child with low pain tolerance
• Baby pulls its legs up and cries no matter what you do.
• They are snappy, throw temper tantrums of frustration.
• They want immediate relief, intolerant
• Ask for things and then refuses it
• One red hot cheek, one pale  cool cheek

​

​

Pulsatilla

• It is a flowering plant, belonging to the buttercup family (Anemone)
• Common names: Windflower, Pasqueflower because it blooms during Easter.
• It gives lilac coloured, bell shaped flowers
• The whole plant is covered in soft down
• It grows in clusters in dry, calcium rich soil
• The delicate stem bends in the wind.

 
People who need Pulsatilla

• They do not want to be alone.
• The child seldom complaints of thirst
• Flexible and adaptable to their environment.
• Likes open air
• Very easily emotional and moody at times
• The sick child is clingy and cranky and wants to be picked up all the time.

OTC’S ON THE MARKET
Luckily there are some of these homoeopathic companies who made it easy for the laymen and women. The ideal remedy will probably be in the complex, but until you can get to a practitioner who is able to choose the remedy more accurately, the OTC will do it for you. 
Cesranol – This is for a high need baby who will respond positively to any chamomilla based remedy. This remedy is especially useful if the baby has loose stools while teething. 
Sedaped – Has an anti-inflammatory action and works on the nervous system.
If teething is accompanied by cramping and loss of appetite, give tissue salt no 8 Mag phos in addition.
If teething starts later than 10 months, give Calc phos, tissue salt no 2.
CONCLUSION
The teething phase with all its challenges is a normal part of your baby’s development.  Try and do what you can to bring relieve to your baby and find support from family and friends to help you cope during this time.  But on the other hand keep in mind that this is a phase that will pass and do not feel that you should be able to have a perfect solution at all times.
 
RESOURCES
https://elixirs.com/products.cfm?productcode=S71
https://www.botanical.com/botanical/mgmh/c/chammo49.html
http://www.justthefactsbaby
https://www.homeopathic.com/Articles/Introduction_to_Homeopathy
http://homeopathytoday.net/homeopathy/homeopathy-for-children/item/44-homeopathic-tips-for-soothing-painful-teething
My Two Hats:Thoughts on health and wellness from Teething: Myths, Facts, Do’s and Don’ts

– BY SISTER ALIDA – NATUROPATHIC HEALTH CARE CENTRE.