Failure to thrive (FTT) is a medical term used in both pediatric and adult human medicine. it covers poor physical growth of any cause and does not imply abnormal intellectual, social, or emotional development, although of course it can subsequently be a cause of such pathologies. As written in Organon section -3
‘’If the physician clearly perceives what is to be cured in disease, that is to say, in every individual case of the disease………’’.Here Hahnemann said ‘’perceive’’ instead of’’ see’’ to give more importance of the curative indication in each particular case of the disease here Hahnemann advice to physician that by using all sense we must perceive what is curative indication in each particular case of the disease is nothing but the totality of symptom .the disease is represented or expressed by the totality of the symptom to find out the totality we must know disease as whole i.e. the knowledge of disease in general & the knowledge of disease in particular. To cure the disease we must proceed from general to particular. KNOWLEDGE OF DISEASE IN GENERAL
Failure to thrive (FTT) is the result of inadequate usable calories necessary for a child’s metabolic and growth demands, and it manifests as physical growth that is significantly less than that of his or her peers, and it is often associated with poor developmental. Traditionally, FTT was considered either organic or nonorganic. Organic FTT is marked by an underlying medical condition; nonorganic or psychosocial FTT occurs in a child who is usually younger than age 5 yr and has no known medical condition that causes poor growth. EPIDEMIOLOGY
The prevalence of FTT depends on the risks within populations. From 5-10% of low-birth weight children and children living in poverty may have FTT. Infectious diseases, Family dysfunction, neonatal problems other than low birth weight, and maternal depression are also associated with FTT. ETIOLOGY
Hahnemann’s wisdom and foresight in recognizing the fact that disease lies not in the pathology alone it is not a first causes in any case. There is something deeper down in each case. Pathology may be a death process, but it was first a perverted life process, first a perverted physiology, a perverted function and function change preceded, and do precede, all pathology. In pathology the term pathognomonic symptom is used to express the keynote of a disease, but it does not represent fully the expression of the disease in a given case. The true pathognomonic symptoms of a given case are those that cover existing active miasm. The manifestations of disease depend up on working of dominating miasm, the mode of infection, accessory circumstances and maintaining cause.
ORGANIC FAILURE TO THRIVE
NEUROLOGIC- Cerebral palsy (PSEUDOPSORIC) Hypothalamic and other CNS tumors (SYCOTIC), Neuromuscular disorders (MULTIMIAMATIC WITH SYPHILITIC DOMINATE). RENAL-UTI (SYCOTIC) ,Renal failure(SYCOTIC+PSEUDOPSORIC.)
ENDOCRINE- Diabetes mellitus (PSEUDOPSORIC), Diabetes insipidus, Hypothyroidism/hyperthyroidism, Growth hormone deficiency( SYPHILITIC + SYCOTIC). GASTROINTESTINAL- Pyloric stenosis (PSEUDOPSORIC), Gastroesophageal reflux, Malabsorption syndromes(SYCOTIC), Celiac disease, Milk intolerance: lactose, protein( PSEUDOPSORIC), Inflammatory bowel disease( SYCOTIC),etc. CARDIAC- Cyanotic heart lesions (PSEUDOPSORIC WITH SYPHILITIC DOMINATE). PULMONARY/RESPIRATORY- Severe asthma, Adenoid/tonsillar hypertrophy(SYCOTIC), Cystic fibrosis; bronchiectasis, ect. INFECTIONS- Perinatal infection (TORCH), Occult/chronic infections, Parasitic infestation(PSEUDOPSORIC), Tuberculosis, HIV, ect. MISCELLANEOUS- Collagen-vascular disease, Malignancy(ALL MIASMS ESPECIALLY PSEUDOPSORIC AND SYCOTIC ELEMENTS COMBINED) ect. NON ORGANIC FAILURE TO THIVE
PSYCHOSOCIAL/BEHAVIORAL- Inadequate diet because of poverty/food insufficiency, errors in food preparation, Poor parenting skills (lack of...