Do you have fever phobia?

If you child has a temperature and you'd like guidance click here

All parents can relate to the primal fear felt upon discovering a small child has a fever. Your heart drops and there’s lead in your belly. Fevers are frightening for all parents. Your child is ill and it’s terrifying

Fever may be indicative of a sinister illness, and especially in a young baby needs a medical diagnosis by a doctor. All babies under 3 months old with fever need to see a doctor for a professional diagnosis.

Most likely though, the fever is not sinister, and after the infection has run it’s course, maybe a day or two later, all will be well again.

It’s very common to treat fever with paracetamol or ibuprofen. However fever is your bodies way of fighting off infection. A higher body temperature activates immune cells and provides an inhospitable environment for invading pathogens. Treating your child’s fever may prolong the infection and even lead to chronic and recurring symptoms.

The majority of feverish illnesses do not present a serious threat however treating all fevers with paracetamol may be aborting important natural healing processes.

Modern studies are correlating paracetamol use with high incidences of chronic sinus problems, phlegm,  swollen glands, ear infection and allergic eczema, especially in children.

Could the use of paracetamol to bring down fever result in infections that don’t clear up completely leading to ongoing problems?

Evie was about three or four weeks old when she had her first fever. I think just on 38 deg C was as bad as it got, so it was only slight, but enough that I was highly concerned. We went off to the doctor. Andy came with me. I believed the fever was fighting the infection, my husband was unsure and concerned. I asked the GP  if we should let the fever to fight the illness rather then give panadol to bring the fever down. He told me that it’s better to make the child comfortable and not proven that giving panadol prolongs the illness.

His comment was misleading.

There’s plenty of data  that indicates fever is beneficial for illness. 

I understand the popularity of panadol. Giving panadol makes you feel like you’re doing something.

It’s such a relief to see the temp come back down again. It makes you feel like they’re getting better. That the nightmare is over. But it’s not true, it’s an illusion. The panadol was making everyone feel better, but it wasn’t fixing the illness. It was a bandaid.

My 10 month old son woke up with his second fever  in the space of a week .The Tuesday before he’s had an overnight fever that seemed to be ok in the morning. Some slight gastro issues but otherwise good.

Now it was Sunday morning and his temp was up at 39.5 again. He was miserable. As is the advice if your child is miserable give panadol I gave him some panadol. Every 4 - 6 hours thereafter his temp would shoot back up. My husband and I were, of course, concerned.

Although he wasn’t always miserable we continued to give panadol. Under the pain relief John John would charge around the floor playing, cooing and exploring like he was invincible. Like he wasn’t sick. Then the panadol would ware off and his fever would climb back up again. He needed rest, rest he wasn’t getting under the influence of the paracetamol. After 24 hours I decided to let the fever run. He wasn’t getting better, we needed to try something else.

I sat there with him in my arms, he was breastfeeding, uncomfortable but coping. Lying still. He was healing.  I was checking his temp every minute or so. 39.5  39.7 39.4 My husband couldn’t bare it however and fearful that the fever itself was somehow damaging insisted on another dose of panadol. And so on. Andy was ringing around talking to family members. They were all deadset that the fever MUST COME DOWN. They had fever phobia.

"Fever phobia is the name given by medical experts to parents' misconceptions about fever in their children. Among them, many parents incorrectly believe that fever is a disease rather than a medical sign, that even low fevers are harmful, and that any temperature even briefly or slightly above the oversimplified "normal" number marked on a thermometer is a clinically significant fever (1). They are also afraid of harmless side effects like febrile convulsions and dramatically overestimate the likelihood of permanent damage from typical fevers.

The underlying problem, according to professor of pediatrics Barton D. Schmitt, is "as parents we tend to suspect that our children’s brains may melt.”

Febrile convulsions are fits that occur in about 1 in 30 children with a high temp. In nearly all cases these convulsions aren’t damaging and have no long-term effects. The convulsions are usually over within two minutes. If the fits continue for over five minutes there is some cause for concern. A child’s temperature needs to reach 42 before the heat becomes damaging.

Here are some of the findings indicating fever is beneficial for illness.

The higher the temp on admittance to hospital with bacterial infection the lower the death rate.

This indicates that by bringing the temperature down the immune system is compromised in doing it’s job.

And this further information explained by Dr Paul Young, fever researcher

Treating a Fever

• increases death rates from infections in animals

• worsens nasal symptoms in children with colds

• prolongs blisters in children with chickenpox

• blunts the immune response triggered in children in response to vaccinations.”

Most feverish illnesses are not dangerous however it's common to treat all fever with paracetamol. 

By bringing down the fever we could be halting our natural healing processes.

Modern studies are correlating paracetamol use with high incidences of chronic sinus problems, phlegm,  swollen glands, ear infection and allergic eczema, especially in children.

Could the use of paracetamol to bring down fever result in infections that don’t clear up 100% and lead to these long-term problems?

By letting the fever run it’s course you’re giving the immune system the best chance at a quick resolution.

What to do when your child has a temperature?

First of all we need to rule out a dangerous infection such as Meningitis or Pneumonia. See a doctor and get a diagnosis. All children under 3 months old must see a doctor if they have a fever. - Anything above 37.3.

After a medical diagnosis has ruled out a serious infection the fever can be managed or even nurtured.

For the fever itself to do any damage the childs temperature needs to reach 42 deg celsius. This is very rare.

Some background info:

At the beginning of a fever blood is directed away from peripheral organs and to the centre of the body and muscles begin to shiver in order to raise heat. The patient feels cold and seeks out warmth, further enabling the fever to rise.

When the temperature is rising the patient feels cold

When the body temp rises to a new level of stability, the symptoms of chill lesson. The circulation to the periphery opens up, the patient begins to sweat, clothing and coverings are thrown off. The patient feels hot as the temperature falls

The fever has broken

In a baby under 6 months old plenty of breastfeeding and cuddles are all they need.

For older children.

Bedrest. Cuddles. nurturing.

Plenty of fluids.

A diaphoretic tea may help the child feel more comfortable once the fever has broken.

Any or all of these herbs can be prepared into a tea at home

Peppermint leaves

Elder flower

Yarrow

Chamomile

For a baby a tsp of each in a tea strainer and pour hot water over the top into a cup. Allow to cool and then allow the child to sip. For an older child the tea can be steeped for a bit longer.

The peppermint and chamomile can be found in the supermarket. Elderflower and Yarrow can be sourced from a dried herb supplier.

Theres one in the Fremantle markets.

Just use peppermint and chamomile if the yarrow and elderflower are unavailable.

Create and infuse with healing intention.

For John John I made a weak tea of peppermint by pouring hot water through a tea strainer filled with peppermint leaves. He seemed to like it.

Another Consideration: Raising a Fever 

 It may be beneficial to help the body raise a fever to fight off infection. So in the onset of illness, certain heat raising immune stimulating herbs may be called for to aid in recovery. Ginger, garlic and cinnamon, a tsp of each stirred into a tea and allowed to sit for 5 or 10 minutes, and then sipped by the patient.

Prepare them by popping them into bed, a minimal fresh diet and plenty of fluids.

Helpful Links and Resources:

http://www.health.vic.gov.au/edfactsheets/downloads/fever-in-children.pdf

http://www.abc.net.au/health/talkinghealth/factbuster/stories/2012/07/31/3557498.htm

Crocetti M, Moghbeli N, Serwint J; Moghbeli; Serwint (June 2001). "Fever phobia revisited: have parental misconceptions about fever changed in 20 years?". Pediatrics. 107 (6): 1241–6. doi:10.1542/peds.107.6.1241. PMID 11389237.

Klass, Perri (10 January 2011). "Lifting a Veil of Fear to See a Few Benefits of Fever". The New York Times. Archived from the original on 29 September 2015.

http://www.health.vic.gov.au/edfactsheets/downloads/fever-in-children.pdf

Tea: Chill out and stop worrying / sleep peacefully

When worry and anxiety takes a hold this soothing concoction will calm your nerves. It's also wonderful for aiding the onset of sleep. A good pinch of lavender

A good pinch of chamomile flowers

A good pinch of lemon balm (I used fresh but dry is also available)

Steep for 5 - 10 minutes in hot but not boiling water. Strain and stir with the intention of calm. Inhale the aroma, sip gently.

Frankincense comes in herbal form too!

Anyone who is into essential oils loves their frankincense. Did you know frankincense is derived from the Boswellia tree and is also available to take as a herbal tincture or in dried tablet form?

Boswellia serrata  is a wonderful anti-inflammatory treatment for arthritis, improved asthma symptoms in 70% of trial participants and is beneficial in Inflammatory Bowel Disease. Several trials also show promising results for enhancing brain function after significant brain injury  and reducing swelling on the brain after radiotherapy treatment for tumors.

The beneficial effect of Boswellia in treating brain inflammation suggests another possible benefit in conditions such as depression, obsessive compulsive disorder, impulse control disorders, autism, Alzheimers disease and schizophrenia. More research is required in this area.

The wonderful Boswellia is available in herbal tincture and in dried tablet form from a accredited naturopath/herbalist near you.

What's causing your Irritable Bowel Syndrome (IBS)?

I want  to talk about some of my least favorite things. Stomach pain, flatulence, bloating, the runs, and constipation. Does this sound like you?

Irritable bowel syndrome is a really common, in fact it's the most common condition I see as a naturopath. However there's no simple solution. Everyone is different and what’s causing your trouble may not be the same as your friend.

Numerous theories abound as to what may be causing your digestive upset. I’m going to cover the most researched hypotheses right here.

Excessive Stress

Your brain is in communication with your digestive system via a few different pathways in your nervous system.

The parasympathetic nervous system is known as ‘the rest and digest’ nervous system. This is switched on when you feel relaxed and there is no danger. Conversely the sympathetic nervous system is your ‘fight and fright.’ When you’re feeling stressed this will be switched on.

When you’re in stress mode, your body switches on your brain and muscles and turns off your digestive system. This is because digesting the food you just ate is the last thing you need to be doing when you’re in danger. No you need to be running away and figuring out how to outsmart the threat.

If you’re chronically stressed, this has an ongoing negative impact on your gut, where food in not digested properly causing pain and discomfort. You’ll also be missing out on the nutrients in your food because you won’t be absorbing them properly.

Altered Serotonin Signalling

You may have heard of this neurotransmitter that often has feelings such as happiness and joy attributed to its actions. Did you know much of your bodies serotonin is actually manufactured in the gut? 95% of body stores are found in the digestive system. Serotonin has a major action on your gut motility – that is how well your digestive system passes food from one end to the other.

Researchers have found an excessive level of serotonin is likely to cause diarrhoea whereas too little tends to cause constipation.

Visceral Hypersensitivity

Do you have an awareness of your digestive function? People with IBS tend to have a painful awareness of the stomach, small intestines and large intestines. Increased hypersensitivity has been associated with lower levels of serotonin.

Infection

After a severe bout of gastroenteritis the upset to your happy commune of gut bacteria may be enough to completely through the balance out of whack and IBS symptoms ensue. The harsher the infection, the more likely you will develop post-infection IBS. Other risk factors include depression, being female, longer duration of illness and fever.

Alterations in Gut Flora

Gut flora is commonly altered in incidences of IBS. This can be caused by antibiotic use, poor diet, the contraceptive pill, stress, and anti-inflammatory drugs.

Alterations in gut flora can eventually lead to overgrowth of the wrong kinds of gut bugs leading to poor immune defence and less production of short chain fatty acids. These short chain acids help water absorption and also feed the good bacteria. They are crucial to good gut health.

Bacteria who are good in one place can be bad in another. Sometimes they start colonising in places they shouldn’t, such as your small intestine. Small intestine bacterial overgrowth (SIBO) is found in 50% of IBS cases.

Possible causes for SIBO include gastrointestinal surgery, proton pump inhibitors (medications for indigestion such as Omneprazole), immune insufficiency and malnutrition.

SIBO has been associated with medical conditions such as depression, acromegaly, diverticulitis and interstitial cystitis, cystic fibrosis and fibromyalgia.

Food Hypersensitivity and Intolerance

Do your symptoms get worse after you eat certain foods? Some food intolerances may be because you lack an enzyme required to break the food down. For example you may lack lactase required to break down lactose, a milk sugar found in dairy. Others might be because your body can’t transport that kind of food molecule effectively. Basically in some way shape or form, your body is just not equipped to deal with that food.

When you do eat one of these foods you can’t handle, your intestinal wall becomes inflamed. This inflammation causes further sensitivity and creates even more intolerance.  Food you were able to eat as a teenager is suddenly making you feel very under the weather.

The good news is, you may be able to recover from most of your intolerances once the daddy of all intolerances (milk, fruit, wheat, soy whatever it is for you) is removed from your diet).

If you regularly suffer digestive discomfort I’m sure you might have an idea or two about what might be contributing to your symptoms, especially after reading the above. Once we figure out the source of your discomfort we can go about treating you as quickly and as effectively as possible.

Naturopaths are great at treating gut problems. We have an arsenal of gut soothing herbs, intestinal wall repairing nutrients, and can offer support and direction in your dietary choices. You don’t have to live your life afraid to go out in case you suffer a flare up/make a lot of smelly gas/feel bloated and disgusting.

If you’re a Perth local  please make an appointment here I’d love to help you.

I wish you peaceful meals

References

Sheppach W, 1994, GUT an International Journal of Gastroentology and Hepatology Effects of Short Chain Fatty Acids on Gut Morphology and Function.

Hectman L 2012, Clinical Naturopathic Medicine, Churchill Livingstone Elsevier

Gorgeous photo credit to artist Camila Carlow, isn't it amazing? A floral digestive system. I love x

Wild edible plants in your garden. The Sow Thistle.

I love the term wildcrafting, don't you? It's so earthy and free. It means to harvest produce that grows wild, be it for food, medicine, or beauty. Wildcrafting is going into the wild and taking what is naturally available. There’s something so gorgeously real, primitive and abundant about getting what you need from the earth. There’s no exchange of paper money, or disconnectedly swiping a piece of plastic card through a machine.

What you need is just there waiting for you in the sun, freely available and ready for the taking.

Last year I planted some mustard lettuce in my vegie bed. It fed me well and eventually it’s life circle completed, I let it go to seed, it seeded. Everywhere. And then it died.

This year I have mustard lettuce growing up through the lawn and in cracks of my brick paving, It’s adorable and tasty and full natural goodness. And so so convenient too. I love pulling lettuce out of my lawn, giving it a wash and putting it in my lunch.

I have another weed growing ambitiously all over, and I had a sneaking suspicion was the medicinal dandelion species we use in herbal medicine as a liver cleanser and digestive tonic, but couldn’t be sure.

I looked it up and although my weed and the medicinal dandelion had very similar leaves and flowers, their sizes varied hugely. This was definitely a different plant.

The Taraxacum officinalis (botanical speak for Dandelion) seems to hang out low to the ground, whereas my ‘dandelions’ were towering up to over a meter high.

I had get to the bottom of this.

I pulled off a baby leaf of my mystery weed and gave it a little chew. Hmmm, a little spiky around the edges, slightly bitter but definatley palatable. Tastes like healthy greens, not poison. This was a good start.

So here comes the part where most would get on google, but I decided to meditate on my weeds first, to see what my intuition could tell me. I had a guided meditation waiting on my computer specifically for connecting with nature and this was the perfect time to use it.

 I asked the plant what it could do for me.

Sitting in the garden, sun flowing over my face, headphones in my ear’s and computer by my side. I clear my chakras under the guidance of the beautiful Karina Ladet. I put my hands around a particular healthy specimen of this mystery ‘dandelion’ and felt a cleansing tingling feeling throughout my body. My blood felt clean flowing and light filled. My mouth moved towards a leaf and made a chewing motion, my bodies way of showing me it’s ok to eat this plant, and if fact I should eat it. I sat with my hands on the leaf for a little longer, I then decided to chew off a bit of leaf as if were an ape in the jungle, tearing the end of the leaf with my teeth, straight from the plant. It was a wild moment of connection with my inner animal, followed by a self-directed laugh at my gorilla-like behavior.

Giggly and amused, my guided meditation ends leaving me with a giant warm and open heart. I got the message that this plant is super healthy and definitely edible but the scientist in me wants some solid proof.  Inside I identified my mystery weed as the Sow Thistle aka Sochus oleraceus, thanks to the wonderful guide to Edible Weeds and Foraging in Perth by Charles Otway (see reference below). Some sources report that this baby has a whopping 1500mg of calcium per 100g and 45mg of iron.  It’s also high in potassium, phosphorus, magnesium and a good source of vitamin C. Not to mention the phytochemicals the flavones, stilbenes, polyphenols and glycosides that exhibit anti-inflammatory, anti-tumour and all round good stuff properties.

Charles Otway thinks Sow Thistle tastes better when it’s still quite young, before it shoots up and flowers. I tried a mature flowered sow thistle though and I thought it was still good.

It’s very name ‘oleraceus’ is latin for good eating.

In short, you can safely pick (wildcraft) the leaves from these plants and nutritiously mix them through your salad, through your scrambled eggs, put on your pizza, use absolutely anywhere you use greens FOR FREE!

Traditionally more mature plants are boiled or steamed, but young leaves are good raw. I do recommend mixing the leaves up with other greens, rather then eating a bowl of sow thistle all by itself, simply because like all things, you can have too much.

Wild Plant Medicine

A New Zealender by the name of Mawalagedera (2009) wrote a thesis about the antioxidant value of this plant, and makes a point that the a particular New Zealand Maori population has less incidence of colorectal cancer dispite being in a very high risk group for the disease. She writes that sow thistle is a staple in the diet along with sweet potatoes, silverbeet and watercress. Perhaps these foods are offering the protective factor?

She also writes the more mature plants have a higher antioxidant value.

A 2013 study reports sow thistle is may be an effective option for treating Diabetes because the high antioxidant value protects the liver, kidneys and blood plasma from damage caused by high blood sugar.

Wildcraft away. I know what’s going in my salad.

SENSIBLE SALLY SAYS: Make sure you wildcraft from places that you know havn’t been sprayed or wee’d on. And always wash wash wash. 

References:

Mofor Teugwa^1*, Pascaline Chouadeu Mejiato¹, Denis Zofou³, Bruno Tugnoua Tchinda¹ and Fabrice Fekam Boyom²  BMC Complimentary and Alternative Medicine 2013,Antioxidant and antidiabetic profiles of two African medicinal plants: Picralima nitida (Apocynaceae) and Sonchus oleraceus (Asteraceae) 2013, 13:175  doi:10.1186/1472-6882-13-175

Sundara Mudiyanselage Maheshini Rangika Mawalagedera 2014, Antioxidant Activities of Sonchus oleraceus L.

Otway, Charles (undated) Edible Weeds, Common Plants and Foraging Around Perth, www.terraperma.com.au

Karina Ladet www.karinaladet.com

So what's a naturopath anyway?

Are you a little shady on what a naturopath actually does? My mother never took me to see an alternative healthcare practitioner of any sort. If I hadn’t become so fascinated in nutrition I may never have found out. Now I’m super passionate about naturopathic medicine as a well rounded, affordable and effective health care with real value for everyone in our community. To put it simply, a naturopath uses herbal and nutritional science to get you healthy, and ideally, Super healthy. We see you for about an hour or maybe two, depending on the practitioner. We have a good long chat, we look at your blood, we put you on a fancy machine and give you a health scan. We look into your eyes with our iridology torch, We’ll talk about your diet, your lifestyle, and then we discuss nutritional, herbal solutions that are chosen based on your individuality to help you and your body gently heal and reach optimum health.

So does herbal medicine actually work?

Yes herbal medicine absolutely works and is a wonderful tool for helping the body to heal. There are thousands of studies proving herbal medicines are effective in many different conditions. Plant medicine is 100% natural and organic, just like you are. Our bodies have a natural affinity for naturally occurring compounds, be they nutritional or medicinal. Just think about how good you feel after a vitality giving green juice compared to an artificially coloured, flavoured and sugared up refreshment. Your body can assimilate the goodness in an earth created product much easier.

Naturopaths and Doctors

Modern naturopathy combines evidence based science and modern testing techniques with traditional knowledge and health care.  Naturopaths help you heal and repair back to a level of optimum health.

Your naturopath may refer you back to your doctor for testing and diagnosis of a suspected condition. Once diagnosed, we will work with you and your doctor to give you the best well rounded health care possible.

Gentle nurturing to help your body heal itself

Naturopaths are trained to help you with any medical condition, and treat based on the whole person, rather then individual symptoms. Naturopaths great for dealing with chronic conditions such as allergies and auto-immune disease. The aim of naturopathic medicine is to get to the source of the problem and heal you from the inside out.

Case Study: Sally has eczema on her hand

Sally goes to her GP with eczema who prescribes her a corticosteroid cream, a potent anti-inflammatory to make the symptoms go away. It works quickly and her skin clears. However once she stops using that cream Sally’s eczema comes back. She is frustrated and feels like she’s going round in circles. Sally doesn’t want to use the cream long term because she knows continual use of topical steroids thins the skin, weakens the bodies innate ability to heal, and also may interrupt her natural hormonal balance.

Whole Body Healing

Sally see’s her naturopath and is prescribed a herbal anti-inflammatory cream to protect the inflamed skin and lessen symptoms, without any side effects. Her naturopath takes a full health and diet check, and identifies possible lifestyle factors that may be contributing to her skin condition. Together Sally and her naturopath eliminate irritants from the diet, and treat Sally’s digestive system and detoxification pathways. After 6 weeks the eczema has healed on its own, and after 12 weeks Sally is able to reintroduce some of the irritant foods with no re-occurrence of symptoms. Sally also has lost a little weight, is sleeping better and has more energy

Naturopaths have Science Degrees

It takes four years study in a full time science degree to graduate as a degree qualified naturopath.

Time to talk:

A consult with your naturopath takes an hour initially, and an average of 30 – 50 minutes for each consult thereafter. These long consults are an opportunity to really explore your health and lifestyle thoroughly and identify ways and means to improve your experience of living. Your health is important and often the value of having someone to really listen to you rather then rush you out the door can be priceless. The act of talking and being heard is often quite healing in itself. A naturopath gives you the benefit of being heard by a scientifically trained expert in herbal and nutritional medicine, who can really give you solid strategies for achieving your health goals.

Are you feeling a little more informed now? Can you see the benefits of seeing a naturopath? I’d love to hear your thoughts in the comments below.

Tell me your naturopath story, or put down any concerns or questions you might have regarding seeing a naturopath and I’ll do my best to nut it out with you.

Healthily Yours

Libby