The information provided in this blog is personal opinion and may not be construed as a substitute for professional veterinary care.
Showing posts with label Case Studies. Show all posts
Showing posts with label Case Studies. Show all posts

Sunday, March 27, 2011

Homeopathy for Reactions to Vaccines

I'm often asked if I think it's a good idea for a dog to be given a homeopathic remedy prior to being vaccinated, with the intent of preventing any kind of reaction. Personally, I believe it's difficult to know what remedy might be effective in this regard, unless:

a)    A constitutional remedy has already been established for that particular dog, i.e. has proven to help with ongoing symptoms the dog has exhibited in the past. In this case, it can be a good idea to give that specific remedy a day or two before the vaccine in order to boost the dog’s immune system overall. 

b)   The dog has reacted to a vaccine in the past. In this case, I would be inclined to give the dog the remedy that normally would be used to that specific reaction before the vaccine is given.

Many people automatically give the remedy Thuja after a vaccination, but it's not the only remedy indicated for vaccine reactions. Silica is also a very important remedy in this regard. However, it's important to remember that treating a reaction to vaccines is no different from treating anything else with homeopathy - the best remedy to give is the one that matches the symptom picture the dog is displaying. 

Taking etiology into account (i.e. the factors which predispose the dog toward a certain disorder) is always a part of proper casetaking. If we look up Generals, vaccination after in the Complete Repertory, 41 remedies are listed. Looking at the most prominent of these, and disregarding those that are more specific to vaccines that are NOT received by dogs - like smallpox - we are left with: Ant Tart, Apis, Arsenicum, Belladonna, Malandrinum, Medorrhinum, Merc Sol, MezereumPsorinum, Silica, Sulphur, Thuja, Tuberculinum. So, as you can see, it's not exactly a cut and dried choice based on etiology alone. The choice of remedy should be based on the symptom picture, which can manifest anywhere between several hours and several months  - or even several years - after vaccination. 

That said, the vaccine reactions that dogs commonly experience often indicate Thuja or Silica. Some of these symptoms include:
  • Generals, convulsions, vaccination after: Silica, Thuja
  • Mentals, anxiety, vaccination after: Thuja
  • Eye, inflammation, vaccination after: Thuja
  • Stomach, nausea, vaccination after: Silica
  • Rectum, diarrhea, vaccination after: Silica, Thuja
  • Respiration, asthmatic, vaccination after: Thuja
  • Cough, vaccination after: Thuja
  • Extremities, paralysis, lower limbs, vaccination after: Thuja
  • Extremities, swelling general, upper limbs, vaccination after: Silica, Sulphur, Thuja (in dogs, this generally corresponds to a lump at the injection site)
  • Skin, eczema, vaccination after: Mezereum (thick, hard scabs), Sulphur (red, itchy eruptions)
When treating reactions to a rabies vaccine, Belladonna and Lyssin (also known as Hydrophobinum) should be considered. Belladonna can be indicated if the dog suddenly develops a high fever, especially if he/she has glassy eyes with dilated pupils. This is also a remedy to consider if the dog develops aggressive or compulsive behaviour (e.g. turning in circles repeatedly), or seizure activity.  

Lyssin (also known as Hydrophobinum) is the first remedy to think of if the dog develops a fear of water (which can manifest as refusing to drink) or is agitated by the sound of running water.

It may be a good idea to have Apis on hand, in case the dog exhibits facial swelling, or if there is any other indication that the dog is having an allergic reaction to the vaccine (e.g. swelling of the airways that impedes breathing).  Never be in hurry to leave the vet after your dog has been given a vaccine, as a severe reaction requiring emergency medical attention is always a possibility.

Depending on where you live, vaccinating your dogs may be mandated by law. For more information on vaccination and the law in Ontario, use the link below.


Monday, February 21, 2011

Belladonna in the Treatment of Focal Seizures

Last Friday night, as we were heading upstairs to go to bed, my golden retriever Indy stopped short on the landing. He would not continue up the stairs, he would not go back down. After standing there for a few minutes, he sat down and began to tremble. This often indicates that a seizure is imminent, but I couldn't be sure - his seizures are sudden but not that sudden, and are usually preceded by a period of ataxia (i.e. the inability to coordinate voluntary muscle movements, resulting in unsteady movement or staggering gait). So I sat down on the stairs beside him and tried to figure out what was going on.

Before I go any further, some background on Indy. He will be 14 years old on April 8, 2011 and has been experiencing focal seizures since the age of 5 as a result of being infected with Lyme disease. In July of 2009, at the age of 12, he was diagnosed with chronic lymphocytic leukemia (which manifested as an extremely high white blood cell count accompanied by enlarged mandibular and prescapular lymph nodes).

Fast forward to the other night... I couldn't be sure if Indy was having a seizure or not. It had not been long since his last one, only a few weeks, but in recent months his seizure activity had increased from approximately every 3 months to once a month or so, which I assumed was tied to the progression of the cancer. But I couldn't rule out some kind of pain he might have been experiencing - perhaps abdominal, as he was also passing a considerable amount of offensive gas as he stood on the landing, which was unusual for him. And when he finally lay down, he curled up into himself facing away from me, which was also unusual for the type of seizure activity he tended to experience. This is always the dilemma when treating animals - they can't just tell you where it hurts and what it feels like, which are key pieces of information in the selection of homeopathic remedies.

As I sat beside him, rubbing his paw, the tears starting to flow, I wondered if Indy was ready to cross the bridge. It had been almost 20 months since his diagnosis, and I had not expected him to be here more than 4 or 5. Although he had been relatively symptom free in that time, in the last few months he had lost a significant amount of weight, and a fair bit of muscular mass, despite a hearty appetite. It has also been my experience that dogs treated with homeopathy can have good quality of life right up until the end, which can come very suddenly and may not require intervention. This is what went through my mind as I considered what remedy, if any, to give him.

Once I was sure he could not attempt to get up and fall down the steps, I went downstairs to get my vial of Belladonna 1M. Over the years, I had found that if I gave him a dose of Belladonna 1M as soon as a seizure was starting, the seizure was almost always less severe and would pass more quickly (see Key Takeaways below). I was not sure Indy was having a seizure - as a matter of fact, I doubted it. But the sudden onset fit the Belladonna symptom picture and I had nothing more to go on except the gas I mentioned previously. Had the gas been followed by collapse, gasping for air and blue mucuous membranes, I might have grabbed a vial of Carbo Veg 200c. But that was not the case, he was lying there very quietly.

Shortly after I administered the 3 pellets of the Belladonna, Indy fell asleep and I continued my vigil beside him on the staircase. I have to admit thinking that as difficult as it would be to lose him, I could only hope that the end, when it came, would be this peaceful. But this was not to be the end, not yet, as he awoke with a start. I fished in my pocket for the bedtime treat he usually receives when he gets to the top of the stairs and up he went.

Key Takeaways:

When you don't have enough symptoms to take a case, try the last remedy that was used successfully to treat whatever the dog had been experiencing. The last remedy I had given Indy was Belladonna 1M, to treat a focal seizure.

If a dog falls into a deep, restful sleep soon after a remedy is given, it is often a sign that the remedy is doing some good.

Belladonna is only one of many remedies that can be used to treat chronic focal seizures. In Indy's case, Belladonna was an appropriate choice because:
  • He appeared to experience some sort of seizure aura in his front legs. He would often come over to me and lift up his front paw as if it felt funny. In the early days, I used to think he had hurt his paw, but then the ataxia would set in and I would realize a seizure was imminent.
  • He usually exhibited ataxia as the seizure began.
  • At full onset, his seizures were tonic (rigid tail and back legs) in nature.
  • When a seizure was over, the symptoms departed as quickly as they began, with no residual symptoms.
We can repertorize these four symptoms as follows:
  • Extremeties, convulsions, spasms epileptic aura upper limbs
  • Extremeties, ataxia
  • Generals, convulsions spasms tonic
  • Generals, sudden manifestations coming and going
Based on these symptoms, the top three remedy choices are Belladonna, Sulphur and Calc Carb. Belladonna is sometimes considered the acute remedy for chronic cases that respond to Calc Carb. This is true in Indy's case - I used Calc Carb to reduce the seizures to as few as once a year for several years. Calc Carb has also worked well to reduce the size of his lymph nodes subsequent to his diagosis of cancer.