What's causing the fever?

Dr. Venugopal Gouri
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Homoeo call At times, Urinary Tract Infections are to blame since they can take a toll even without symptoms

Out in the sunChildren playing for long hours without a break are prone to infections.Photo: R.V.Moorthy
Out in the sunChildren playing for long hours without a break are prone to infections.Photo: R.V.Moorthy

When infants and young children experience prolonged fever, other causes are investigated but urinary tract infections are overlooked since the children may not show any symptoms. The kidneys filter out wastes incessantly from the blood and need the hydration of water to pass it through the fine tubes called the ureters into the urinary bladder. From this reservoir, it is voided out as and when it reaches a certain amount through the urethra. Infective agents — bacteria, viruses and fungi — are flushed out from the system. But on certain occasions, they prevail over the immune system to cause an infection. The urinary tract infection can only limit itself to the outward voiding area to be called as urethritis and can spread into the bladder wall to cause cystitis.

The fine filter does not allow the contents of the urinary bladder back into the ureters and the kidneys, but in certain conditions when the child experiences anatomical disturbances, the contents of the bladder travel back into the kidney and is called pyelonephritis. Some children many experience burning after passing urine and others will have a problem with urination, despite feeling an urgency to urinate. . But very often, the child may not have any symptom but becomes listless, inactive and develop intermittent fever which might cause the body temperature to shoot up to 103-104 degree F. When the child has no other symptoms such as nasal symptoms, cough or some other gastrointestinal conditions, urinary tract infection is assessed for. The fever could be associated with chills and drain out the child.

A child busy at play and avoiding urination for long periods of time is more prone to such an infection. Young infants who are put on diapers can also develop this condition. A child who has a tendency for constipation would have the filled bowels pushing on to the bladder only to cause lesser urge for urination and an unvoided bladder for hours is an environment for bacteria to multiply.

In some children, the infection is caused by a congenital disturbance leading to vesicoureteric reflux.

Homoeopathic medicine has good remedies. Cantharis can reduce the burning sensation and difficulty experienced while passing urine when associated with fever. Children drinking lesser amounts of water when prone to infections are helped with Apis mel, Natrum mur etc. If constipation is associated with this problem, Nux vomica takes care of both the symptoms.

If the infection has become chronic and hides in the urinary bladder wall leading to thickening of the walls and the bacteria tends to multiply and cause bouts of fever over months, there are remedies like Causticum .

Dr. Venugopal Gouri

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