AW: Child who doesn't sleep

[Trudy Kuesteiner]

Dear Rochelle,
Have you lookt at Sanicula for the child? Could be the rhigt remedy.
trudy

-----Ursprüngliche Nachricht-----
Von: rochelle [mailto:rochelle@ntlworld.com]
Gesendet: Freitag, 9. Juli 2004 16:57
An: minutus@yahoogroups.com
Betreff: [Minutus] Child who doesn't sleep
I found it difficult to prescribe for this child today so I present the
case I took as I would be interested to see what anyone else would come
up with!!
9th July 2004

Background – This 16 month old girl presented initially quiet and shy,
as a blond slim child of average height. She didn’t walk unaided but
held onto the furniture. She played with toys on her own but quickly got
bored and went to something else. She was quite inquisitive, wandering
around and pulling out books etc. She did not come to me when I opened
my arms out for her initially but at the end of the consultation she let
me hold her. She was friendly and brought things over to me. She didn’t
seem over clinging with her parents who were both at the consultation.
To me she looked like a healthy little girl albeit slow with walking and
not talking yet.
Presenting Complaint – not sleeping
She is put to bed at 7-8pm and will sleep for a couple of hours. She
wakes between 11 and midnight and then again at 4 or 5 a.m. She will
begin with muttering which if she is left it goes into a frenzy. Mum
does just soothe her head and doesn’t talk to her. They have tried
putting her to bed later and she still wakes. However she did sleep last
night from 2.30-6.30pm and seems more alert for it in that she ate
better this morning at breakfast. In the last month or so sometimes she
has woken every hour. The bedclothes are off but she feels warm. The
back of her head feels sweaty. Her head is sometimes at the wrong end of
the bed because she is so restless. The sleep problem has been erratic
but Mum is due to give birth to her second child next week.
Sometimes she doesn’t finish her bottle in the evening so is given one
when she wakes at 11. She will drink it all. Between 4 and 5 she is
ready to get up for the day. Occasionally she has passed a stool.
Mum doesn’t think she eats enough. She weighs 22lbs and when born was
6.9.
Teeth – at 4 months

Walking – not as yet but she crawled before she sat up.

Talking – not yet. I made out the word “door” which she pointed to as
she left the room.
Stool – goes every day – no problems
She appears to understand everything that is said to her.
She likes climbing and laughs if she is thrown up in the air. She
doesn’t appear to have a fear of the dark.
She now goes to nursery a couple of mornings a week. She waves goodbye
when she gets there. Before this mum couldn’t put her down. She will
play on her own.
She was a wanted child. Mum during the pregnancy had hyperemesis (severe
vomiting) and was hospitalised at 16 weeks. Towards the end of the
pregnancy she had HBP and was on beta blockers. She was induced because
of this on the due date. M was delivered by Venthouse. When pregnant mum
had lots of vivid dreams.
When she was born M had light therapy for jaundice which quickly cleared
up. She was breast fed for 3 weeks. She cried and didn’t settle between
feeds which is why Mum went onto a bottle. She cried a lot after the
birth and couldn’t be put down. However Mum said that she was crying a
lot and thinks that M sensed it.
In December she had vomiting and then diarrhoea for 2 weeks with a
fever. She developed a chesty cough and was wheezy. She had a
temperature and an ear infection for which she was given 1 dose of an
antibiotic but as it made the diarrhoea worse mum didn’t give her any
more. At this time her hands and arms were blue.
She likes sorting things and appears to be a tidy child. She shuts
cupboards when her dad opens them and will pick up bits from the carpet.
She loves getting things out of bags and putting them back in again. She
doesn’t seem too upset if she has a messy face and loves splashing
around in water.
She seems to prefer company.
She doesn’t make an undue fuss when she falls over.
Loves being tickled – Dad was stroking through her hair which she seemed
to enjoy.
Food – loves fruit particularly bananas. She likes juicy fruits as well.
She likes milk – possibly prefers it cold. She will eat eggs. Mum says
she is not good at trying new foods. She will eat a bit of veg like
broccoli and cauliflower. Sometimes she will eat chicken. She didn’t
appear to like ham when she was given it. He eats toast and dry cereal.
She had a bit of eczema after some baby rice at the back of her neck and
on her shoulders.
She doesn’t like it when Mum hugs dad or anyone else.
She doesn’t seem to like the heat or the cold. Likes being wrapped up.
Can be a bit stubborn but from what I saw was very easily distracted out
of it.
Mum describes her as a smiley child with a sense of humour.
Family History

Father has had asthma in the past

Grandparents, HBP, DVT One great grand mother had breast cancer at 60
but is now in her 90’s and fine!!

www.rochellemarsden.co.uk

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