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Render Unto Caesar The Things That Are Caesar's

A 6-year-old girl, named S, was brought to me by her mother. It was her teacher who referred the case for homeopathic consultation. The girl is poor in communication and school performance. She never mingles with others, but plays normally with her own brother and the kids in the neighborhood. She is often active at home, but becomes silent in public. She often gives answer by nodding the head or even by facial gestures. Her teachers used to get irritated from her poor communication. A counselor who visited their school did the IQ test, and it was normal. Her mother told me that she can’t pronounce certain words properly. When I tested, I noticed that ‘Saa’ is pronounced as ‘haa’, and ‘laa’ is pronounced as ‘yaa’. There is no history of any type of infection. There was no nasal obstruction and hearing problems.

When I examined the child, I could clearly rule out the conditions like Autism, Learning disorder, Adenoids, or any other type of retardation. The actual culprit was the frenulum of her tongue that resulted in Ankyloglossia, also known as tongue-tie. It is a congenital anomaly characterized by an abnormally short lingual frenulum, hence, the tip of the tongue cannot be protruded beyond the lower incisor teeth. When I asked her to protrude the tongue, she could do that, but the tip of the tongue was still inside the oral cavity. When she tried to protrude the tongue forcefully, I could notice a notch formed on the anterior part of the dorsum of tongue due to the pulling of the short frenulum. To pronounce ‘saa’ and ‘laa’, the tip of the tongue should touch the inner surface of the upper incisors, but it is not possible in cases having tongue-tie. Speech defects may not be present in all cases of tongue-tie, but, if present, it should be managed surgically by a simple procedure called frenulotomy.




This congenital defect can’t be managed with medicines; hence, I referred the case to a surgeon for his management. This girl is poor in communication mainly because of this defect. I also suggested them to consult me, if her communication problems and school performance do not improve even after correcting the defect. Definitely homeopathy can work wonderfully under such situations. Homeopathic medicines can reach the interior of the person that is beyond the reach of a surgeon’s scalpel. But, for purely surgical cases, surgeon’s scalpel is a must. The old saying, “Render unto Caesar the things that are Caesar's,” is really relevant.


Dr Muhammed Rafeeque, BHMS.

Family Homoeopathic Clinic


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Comment by Dr Muhammed Rafeeque on July 27, 2011 at 6:52am
Thanks for the appreciation.
Comment by DR. Sushil Bahl on July 27, 2011 at 5:59am

Dr Rafeeque,

                      My compliments for such an acute observation. Referring the case to the surgery was the best recourse.

Comment by Dr Muhammed Rafeeque on July 27, 2011 at 2:25am
Thanks for that suggestion. Actually I have reffered the case to a general surgeon. I will surely discuss with the local dentists when ever i get a new case.
Comment by Dr. Sayed Tahir Hassan on July 27, 2011 at 1:44am
Good case that u have shared with us!
Here I feel the dentist are more helpful then the surgeons. This needs a simple dissection under LA!

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