Keeping Kids Healthy. Dr. Emily Maiella Naturopathic Physician 432 Greenfield Rd Montague MA 01351 413.230.4462. With pediatric patients. Herbal Safety Types of Herbal Preparations Compliance Issues Dosing Specific for Children Childhood Illnesses Parental satisfaction.
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Dr. Emily Maiella
432 Greenfield Rd
Montague MA 01351
Types of Herbal Preparations
Dosing Specific for Children
Be prepared. Have medicines on hand.
Basic Prevention, try to have the whole family on the following….
Research backs it up!
DESIGN:From December 2008 through March 2009 a randomized, double-blind, placebo-controlled trial comparing vitamin D(3) supplements (1200 IU/d) with placebo in schoolchildren. The primary outcome was the incidence of influenza A, diagnosed with influenza antigen testing with a nasopharyngeal swab specimen.
In a study published in the journal Nature Immunology, researchers from the University of Copenhagen found that when a variety of white blood cells known as a T-cell comes across a pathogen (virus, bacteria, tumor, fungus) in the bloodstream, it extends a receptor in search of vitamin D. If the WBC encounters the vitamin, the T cell becomes "activated." If there is not enough vitamin D in the blood, the cell remains passive and no immune response occurs.
The body produces vitamin D upon exposure to sunlight. It can also be found in eggs, fatty fish, fortified milk and in supplement form. Once activated, (by vitamin D) a T-cell transforms into one of two kinds of cells. One type seeks out and destroys all traces of the infectious agent, while the other records information about the pathogen and transmits it to other parts of the immune system. These latter ("helper") cells help the immune system respond quickly should infection with a similar pathogen occur at a later date.
Side note: all of the other conditions which Vitamin D is extremely helpful for:
Colon and breast cancer prevention
Auto-immune conditions of all types
The aim of this study was to investigate whether the consumption of Lactobacillus gasseri, Bifidobacterium longum, B. bifidum, during at least 3 months influences the severity of symptoms and the incidence and duration of the common cold.
METHODS:A study was performed over at least 3 months during winter/spring periods. 479 healthy adults (aged 18-67) were supplemented daily with vitamins and minerals with or without the probiotic bacteria. Cellular immune parameters were evaluated in a randomly drawn subgroup of 122 volunteers before and after 14 days of supplementation. During common cold episodes, the participants recorded symptoms daily. Stool samples were collected before and after 14 days of probiotic supplementation to quantify fecal Lactobacilli and Bifidobacteria using qRT-PCR.
From the very first breath you take, you're exposed to probiotics.
On the way through the birth canal during a vaginal deliver, a newborn gets dosed with bacteria from their mother’s birth canal. This event starts colonization in the infant's gastrointestinal (GI) tract of 'good' bacteria. N
New research now shows many caesarean-section infants have less-than-optimal health after birth. This is most likely because they are not exposed to the mother's healthy bacteria in the birth canal which would then serve to populate its own GI tract.
As you mature, you're faced with many threats to the beneficial bacteria in your gut... from chlorinated drinking water... to overly-processed foods.The 'good' bacteria in your gastrointestinal system can only provide you with optimum health if the proper balance of different types of bacteria is maintained in your gut.
This is where probiotics can have a profound effect... not just on your GI health, but on your overall health as well.
probiotics increase the number of IgA-secreting cells, which migrate from the Peyers patches to distant mucosal sites such as the respiratory glands. This is where the gut and respiratory tracts interface.
the mucosal barrier also makes up our mouth, throat, eyes, the upper part of our lungs, nasal cavity, the urethra in men and women, and the vagina in women. So those external surfaces are also covered in secretory IgA.
probiotics and eczema, allergies and asthma
Most common serious acute respiratory illness in infants and young children
Can manifest with mild cold-like symptoms
Can also be severely acute and can include coughing, quick/short breaths (fast breathing greater than 50 breaths per minute), labored breathing and lack of oxygen. Infants- want to sit up (more fussy laying down b/c they can’t catch breath).
Thyme and Eucalyptus essential oil rubbed on chest and under nose. Gaia herbs makes a really nice chest rub, formulated by Dr. Mary Bove
Wet or dry cough formulations with antivirals
-Wet/warming sock treatment (for warming sock treatment, go to my website for print out)
1234 children and adolescents (623 boys and 611 girls) ages 2-17 with acute bronchitis and productive cough
Non-interventional post-marketing surveillance study
Treatment days: 0, 4 and 10
Acute bronchitis with productive cough in children and adolescents can be treated safely and effectively with the thyme and ivy syrup. A ten-day treatment using age-appropriate dosages led to a clear improvement in the symptoms or cure with very good tolerability.
Marzian O. “Treatment of acute bronchitis in children and adolescents. Non- interventional postmarketing surveillance study confirms the benefit and safety of a syrup made of extracts from thyme and ivy leaves” MMW Fortschr Med (2007 Jun 28) 149(27-28 Suppl):69-74
Treatment of acute infectious viral or bacterial diseases of the respiratory, urinary and GI systems.
Bitter tonic, immune stimulant, anthelmintic, antihepatotoxin, cholagogue and anti-inflammatory.
It can be used for colds, influenza, sore throats, Lyme disease, hepatitis and other viral infections. In India it is considered superior to quinine for malaria.
It is also used for infestations of intestinal parasites such as Giardia, Blastosistus hominis and Dientaoeba fragilis.
Krawitz C, Mraheil MA, Stein M, et al, Inhibitory activity of a standardized elderberry liquid extract against clinically-relevant human respiratory bacterial pathogens and influenza A and B viruses. In: BMC Complement Altern Med (2011) 11:16
Pain and or discomfort in or around the ear. An earache develops when the tissue lining the middle ear or eustacian tube swells.
Immature Eustachian tube (the tube that connects the middle ear to the throat). In infants and young children this tube is much shorter and is angled. It is therefore much easier for bacteria to migrate from the nose and throat up into the middle ear space. As the child grows this tube becomes more vertical, so germs have to travel "up hill" to reach the middle ear. This is one-reason children "outgrow" ear infections.
Inflammation of the middle ear with the development of a bacterial infection. Immune response to this infection causes a collection of fluid in the middle ear space or a rupture of the tympanic membrane due to the fluid build-up.
Earache may be due to acute ear infection (otitis media), water or fluid in the ear (swimmers ear/ otitis externa) or inflammation/ blockage of the eustacian tube due to allergies, associated respiratory infections (eg. colds), travel (air or to higher altitudes) and sometimes accompanies teething and physiological obstructions.
Ear pain or discomfort, with or without respiratory symptoms
Drainage from ear if tympanic membrane bursts
Sleeplessness (ear pressure increases while lying down)
Change in eating habits
Change in hearing
Refusal to nurse on side that hurts, pain worse when lying down.
More frequent in the winter
Teething- assoc. with fluid production
consumption of cows milk in early childhood
feeding position (bottles while lying down)
smoking in household
fetal alcohol exposure
genetic predisposition (eg. Children with Downs Syndrome)
Family predisposition decrease in IgG2 or IgA
prior episodes of otitis media
poor nutritional status
early introduction of solid foods
Underlying viral infections (RSV or Influenza),
Underlying food or environmental allergies
Association with pacifier use
Have your child seen immediately if……
Keep child in upright position (when sleeping prop up on pillows.
Use heat to help bring circulation and soothe the area.
Warm onion treatment: cut onion in half or in very slick slice. Bake for 15 minutes or microwave for about 2 (until steaming) Wrap onion in gauze or clean cloth (should feel warm but not too hot!) Apply to ear area until relief is felt. Repeat as necessary.
Warm olive oil infused lavender essential oil or commercially prepared eardrops infused with garlic and mullein.
(Never place anything in ear if a ruptured or perforated eardrum is suspected)
Keep child well-hydrated and decrease sugar intake
Give immune support teas made with herbs such as lemon balm, echinacea, chamomile, garlic, and astragalus.
Zinc, Vitamin C, Essential fatty acids (omega 3 and 6)
If antibiotics are used or have been used in the past supplement with probiotics to help restore normal gut flora.
Encourage breast feeding
Avoid cow milk dairy in the preschool population
Treat/avoid known food sensitivities
Treat/avoid environmental allergens
Careful dental hygiene especially when a tooth is lost
Ear lavage to remove impacted cerumen (wax)
Cod liver oil (tsp.)-to decrease ear wax and prevent formation
Bioflavonoids and a multi vitamin with zinc
Vaccination: HIB- has brought number of fx’s down, including conjunctival infections.
Vit C-50mg X age in years given every 2 hours during illness.
Herbs: glycerite or tincture tolerated: echinacea, astragalus, sambucus, thyme (if baby under a year of age and still nursing, treat through mom). You can use Glycerites in the ear directly, as they pull water from the middle ear, thereby decreasing pressure.
Warm Garlic-mullein oil based drops daily before bed. 3-5 drops per ear for 3 days. Tx with both ears put in cotton ball and lie down soon. 4 cloves of garlic mashed into olive oil make it at home. Some oil will come out. Rinse with H2O2 in the morning to visualize ear drum. Do not put in drops when rupture is diagnosed or suspected.
Baby Tylenol PRN-best if don’t have to. Add a drop of aconite tincture to the ear oil and that cuts pain right away.
Ear drops for pain relief: allium, calendula, hypericum, verbascum, lavender, vitamin E in an oil base.
Thyme and eucalyptus oil rubbed behind the ears.
Tilt up head of med or mattress
Onion ear muffs prn (as needed) for pain and antimicrobial treatment when TM ruptured-draws out pain and inflammation.
Cranio-sacral therapy with mobilization of the temporal bone
Warming socks-use it in all kids, wet socks.
Contrast hydrotherapy over ear.
Warm applications to ear including hair dryer
Continue treatment for 24 hours after child stops complaining of pain
If not better in 48-78 hours, adjust treatment
Return to doctors office after resolution to visualize membrane-make sure they are better
Children with frequent recurrent AOM or chronic effusion should have their hearing assessed to prevent language delay-3 months of continuous effusion have hearing tested.
Marchisio P, Esposito S, Bianchini S, et al. Effectiveness of a propolis and zinc solution in preventing acute otitis media in children with a history of recurrent acute otitis media. Int J Immunopathol Pharmacol (2010 Apr-Jun) 23(2):567-75
Marchisio P, et al. Int J Immunopathol Pharmacol (2010) 23(2):567-75
A preventive effect of the product containing echinacea, propolis, and vitamin C on the incidence of respiratory tract infections was observed.
(Cohen HA Varsano I Kahan E Sarrell EM Uziel Y.,: Arch Pediatr Adolesc Med (2004 Mar) 158(3):217-21
Probitocs, REALLY one of the most important tonic medicines for children.
Astragalus, helps to build SIgA
High phyto-phenols, helps to build the microbiota.
Astragalus, slippery elm, marshmallow
Chronic cycle with child, if can get to take andrographis, that’s really great.
Viral, bacterial or allergic
discharge: viral or allergic
swelling and redness of the lids: bacterial
if chronic, consider food allergy or allergy to dust, chemicals or pollen
Bright red conjunctiva
Discharge, watery, stringy or purulent with matting of the lashes
Itching and stinging
Foreign body sensation
Preauricular (in front of ears) lymph nodes may be painful or swollen
Sore throat and fever associated with adenovirus
Herpetic vesicles (did mom or dad touch a Herpes lesion and touch the baby)
Conjunctival papillomas (warts) associated with HPV
Systemic treatment with erythromycin for infections caused by Chlamydia.
Breast milk lavage. It is powerful medicine.
Compress with black tea bags or Stellaria (chickweed)
Lavage with Chamomile, Hydrastis or Calendula. Wiping from inside to outside, with a clean cotton ball every time. Use a few drops in the eye or lavage.
Dental caries (tooth decay) is caused by a specific group of cariogenic bacteria, like Streptococcus mutans, which convert dietary sugars into acids that dissolve the mineral in tooth structure.
Another significant contributing factor is the imbalanced flora in the mouth (and to some extent the gut)
This occurs when carbohydrates (or sugars) break up into sugars and bacteria act on it. Watch out for those teething biscuits and other carby snacks!
Look into gut flora and try probiotic mouth rinses.
the main bacteria responsible for caries is Streptococcus mutans and the favorable environmental bacterial growth is acidic
dental plaque (made of polysaccharides, bacteria and salivary glycoproteins) accelerate the development of caries by acid production as well as by resisting the buffering and remineralization attempts of the saliva
sugary foods are implicated in causing caries (they lead to an acidic oral milieu) esp. if they are sticky (ie fruit leathers, dried mangos, prunes, raisons…)
Taste nice and traditionally used in pediatric medicine.
Not only an incredible anti-viral (one of our best…)
Study with dental caries and tooth decay caused by strep mutans
(Glycyrrhizol A), an active compound of licorice roots, has strong antimicrobial activity against cariogenic bacteria
Two pilot human studies indicate that a brief application of these lollipops (twice a day for 10 days/21 days) led to a marked reduction of cariogenic bacteria in the oral cavity among most human subjects tested.
Licorice herbal lollipop could be a novel tool to promote oral health through functional foods and these sugar-free lollipops are safe and their antimicrobial activity is stable
SM numbers were reduced for 22 days after the last lollipop
A combination of valerian and lemon balm is effective in the treatment of restlessness and nervous-sleep time problems
918 children, 12 years
Children were evaluated for therapeutic efficacy and tolerability.
Distinct and convincing reduction in severity was found for all symptoms in the investigators' and parents' ratings.
In conclusion, the preparation was effective in the treatment of younger children with restlessness and dyssomnia and it was very well tolerated.
Lemon balm helps to activate the parasympathetic, and relaxes the muscles, BUT it really helps to center the mind. Combine with gotu kola for mind-centering. Lemon balm can be used to calm and stimulate, good for acute and chronic situations. School aged-anxiety.
(Muller SF, Klement S, Phytomedicine (2006 Jun) 13(6):383-7)
Lemon balm tea can also be given to infants with irritable digestive tracts, and consequently the sleep disturbances that come along with that discomfort. Can be expressed thru breast milk and/or given to the infant. Brew 1/2 of tea, with 1 tsp if herb. Brew for 3 minutes and not more. Nice punch for kids.