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CASE STUDY: Disturbed Sleep, Constipation & Speech Delay

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Are natural remedies effective for children’s sleep? Can constipation in children be resolved with homeopathy? The answer is yes!

Today’s case is about a beautiful two-year-old girl called Rhea, who came to me with sleep disturbance, constipation and speech delay. It’s a good case to show you how, in classical homeopathy, we don’t just treat a single symptom in isolation.

Rhea’s case is also a nice illustration of the process of healing. You can see how there is progress on all levels but some symptoms respond more quickly than others. This is because the homeopathic remedy merely acts as a trigger and the body has its own wisdom in deciding what will be balanced first.

Rhea’s Case: a Healing Process in Action

First Visit

Rhea’s mother brought her to see me mainly because Rhea was in the habit of waking frequently during the night. Typically, she would waken 4 or 5 times a night, often at 10.30 p.m. or 11.30 p.m. and then again at 2 a.m., 3 a.m. and 5 a.m. At 7.30 a.m., she was up for the day.

Rhea always woke up crying. Her mother described the crying as angry and sometimes hysterical. It was always hard to calm her because she didn’t seem to know what she wanted. Sometimes she would doze off in her parent’s bed, only to wake up 15 minutes later, wanting to go back to her cot. Sometimes a bottle of milk would calm her and help her to get back to sleep and sometimes the only thing that would distract her was to look at the pictures on her mother’s phone.

This pattern of disturbed sleep began suddenly one night when Rhea was 14 weeks old and had been going on now for almost 2 years. Needless to say, Rhea’s parents were worn out from it and Rhea herself was often tired and had low energy during the day.

Treating the Whole Person

In classical homeopathy, we usually treat a long-standing complaint with a “constitutional remedy”, which is chosen to suit the whole person. To find the best matching remedy to resolve Rhea’s sleep problem, I needed to understand more about her nature and any other complaints she had.

Other Features of Rhea’s Case

Constipation and Appetite

Rhea had had a tendency to constipation since birth and was taking Lactulose, 10 ml daily. Even with this medication, Rhea was only passing a stool once every 3 or 4 days. When she was due to have a bowel motion, she could be trying all day, sometimes crying with the effort. Sometimes, she would appear to be trying for several days before a stool would come.

Unsurprisingly, with this level of constipation, Rhea’s appetite was poor. She ate a reasonable breakfast, very little lunch and her interest in dinner varied.

Speech and Milestones

When she was about 9 months old, Rhea spoke her first words. She said “yeah”, “no”, “Daddy” and her brother’s name. Since then, she had not said any new words. She was on a waiting list to have her hearing checked.

Rhea sat up and got her first tooth at the usual times, around 6 months. She hardly crawled but developed a speedy bum shuffle. Rhea didn’t walk until she was 19 months old.

The “terrible twos” kicked in around 20 months when Rhea started to have tantrums if she couldn’t have what she wanted. These could last up to 15 minutes and it wasn’t always easy to distract her.

General Health

Rhea caught a lot of viruses. She had had 3 illnesses during the previous 3 months. She tended to get a high temperature, a blocked nose and a cough which was worse at night, when a fit of coughing could cause Rhea to vomit. She had only ever had one antibiotic, for a sore throat, when she was about 13 months old.


Rhea’s mother described how Rhea was especially afraid of animals. The family’s own dog had to be locked in the garage before Rhea would venture into the back garden. If she saw any cat or dog nearby when they were out, she ran to be picked up.

Rhea’s mother told me that she was quite adventurous in a playground and was happy to use the older children’s slides and swings. She also enjoyed running around outside with her older brother, with whom she got on very well.

The thing that would upset Rhea the most, apart from not getting her way, was if anybody was cross or gave out to her.


Rhea came into my room gently and quietly. She was calmly observant. Her face was pale with porcelain-perfect skin. Rhea explored the toys thoroughly, taking out many things but not settling with one toy for long. The only sound she made during the consultation was to whisper “yeah” in response to her mother’s questions. She also communicated by pointing. Although she was not speaking, I observed that Rhea’s comprehension was very good. She was very attentive to her mother and very willing to follow direction regarding particular toys and books in my office.

First Homeopathic remedy

In choosing Rhea’s constitutional remedy, the symptoms I considered most important were her constipation, frequent waking, susceptibility to frequent viruses, and her delay in speaking. I gave this remedy in an LM1 potency to be taken once a day.

First Follow-Up Visit

I saw Rhea and her mother again one month later.

“She’s a completely different child”

These were Rhea’s mother’s first words, as she began to tell me about Rhea’s reaction to the remedy.

Improved Sleep

Rhea was still waking, but now it was only once or twice a night, whereas before it had been 4 or 5 times. A couple of nights, she had slept right through.

The biggest difference was that she wasn’t crying anymore when she woke up. Instead, she was calling out “Mam?” or “Ba ba” to say that she wanted her bottle of milk. After 2 or 3 sucks, she was putting the bottle down and going back to sleep. Now that she was eating well during the day, Rhea’s mother was trying to break her bottle habit by progressively diluting it with water.

Other Improvements

Rhea’s mother said she was no longer straining for days to pass a stool. Within a few days of starting her remedy, the stool began to come without difficulty and Rhea was now having a stool every second day.

Rhea’s mother reported that her appetite was much better. She was now eating 3 full meals and a snack every day.

Rhea was now saying “Mam” and had said “bike” and “quack-quack” and “no way!” She was making more noises and “sounds that could evolve into words”. Her mother felt she was making more effort to get sounds out. I observed this during the consultation, when Rhea made “aaah” sounds to indicate that the baby doll she was playing with was lovable and cute.

Rhea was less fearful. She was now petting their dog, while holding her mother’s hand. At a recent trip to a children’s farm, she petted and fed the goats.

Rhea got her usual high temperature and cough during the month but her mother said she had recovered fully in 2 days. Normally, her snuffles and cough would last much longer.

More Energy, Happier

Rhea’s mother commented that Rhea was just so much happier in herself. At a funfair recently she wasn’t at all afraid and really enjoyed the rides.

“It’s lovely to see her enjoying herself more. She used to be tired and sluggish but now she has energy, is more active, runs instead of walks and is trying to keep up with her older brother.”
“I was just coming for help with her sleep but when I see how much she’s come on in every way, I’m so happy!”

Second Homeopathic Remedy

Having no unwanted side-effects, a homeopathic constitutional remedy can be given for as long as it continues to provide benefit.

Rhea was doing very well in every respect after only 4 weeks on her constitutional remedy. I decided to continue her homeopathic treatment with a further course of the same remedy, in LM2 potency.


Rhea’s constitutional health is basically strong, as seen in her ability to fight off viral illness without intervention and in her positive overall response to her first homeopathic remedy.

Based on similar cases I have seen, I expect that, with more time on this remedy, Rhea will recover completely from her tendency to constipation, going on to having an easy bowel movement daily. With more time on this remedy, she is likely to show increasing resistance against catching a viral illness every month.

We have already seen some progress in Rhea’s speech development and I expect that this should gather momentum over time. I expect that Rhea’s sleep will continue to improve until she is regularly sleeping through the night without interruption.

When these goals have been achieved, Rhea will not need to take her remedy continuously but may benefit from an occasional homeopathic boost from time to time, if her energy or confidence should start to flag.


My thanks to Rhea’s parents for giving me permission to write about her progress. Her name has been changed to protect her privacy and a stock photo has been used. All other details of the case are true.

Interested to Find Out More about Homeopathy for Your Child?

Sleep disturbance, constipation, frequent illness and infections, poor appetite – these are among the common reasons parents bring their children for homeopathy. Untreated, these problems can drag on for years. A constitutional homeopathic remedy, chosen to suit the child as a whole, works quickly, gently and permanently to resolve these problems, making life easier for your child and for the whole family. Click here to read more about children’s homeopathy. Read here about your first homeopathic consultation.

Follow Carmel O'Keeffe:

Classical Homeopath and CEASE Therapist

Carmel O'Keeffe is an experienced Classical Homeopath with specialist training in homeopathic detox. She offers homeopathy for all the family through 1:1 consultations, in person and online.

11 Responses

  1. Ann Monaghan
    | Reply

    What a beautiful case Carmel.

    • Carmel O'Keeffe
      | Reply

      Thanks, Ann. Yes, it’s a sweet case. It’s lovely when everything comes together easily! 🙂

  2. Ateeba
    | Reply

    Hey, amazing to see the results of homeopathy on speech delays. I am from Pakistan and so please tell me if I can consult u. I have a similar issue with my 2 year 9 month old baby. Doesn’t talk properly, babbles a lot but say a few clear words. Eating habit is not that good as well. Sleep issue was there when he was young, now it’s better but if he sleeps for even 10 mins…he gains energy to be up for the next 7/8 hours. Please please help.

    • Carmel O'Keeffe
      | Reply

      Hi Ateeba, thanks for your comment. I have sent you an email. If you don’t see it in your inbox, please check your spam folder. 🙂

    | Reply

    My daughter is 21 months she doesn’t speak properly say few words bt nt proper n meaningful n hr eating is also not very good she is a fuzzy eater otherwise rest is ok pls help me out for this speech delay issue

    • Carmel O'Keeffe
      | Reply

      Hi Pallavi, thanks for your comment. I have sent you an email. If you don’t see it in your inbox, please check your spam folder.

  4. Quratulain
    | Reply

    I have a 3years old boy. Very hyperactive, speech delay , sleep problems and having constipation issues .. i am in saudia arabia. Need help for him.

    • Carmel O'Keeffe
      | Reply

      Hi there! Thanks for your message. I’ve sent you an email.

  5. Uzma
    | Reply

    Hi there my 3 years boy have a similar problem of speech delay he speaks only 3 to 4 words have some sleeping dis orders along with constipation. He listen to every thing responds mmedaitely to wat i say. He remembers everything. My elder daughter also has same speech delpy roblem but she has recovered now completely.

  6. Jena
    | Reply

    I would love more information my 26 month old, has a speech delay and consitaption issues. Sleep has been better, but when she was a baby didn’t nap.

  7. Mayur Shingade
    | Reply

    Hello Mam, my daughter is 18 months old, didn’t start speech ( not even a single word) but understands what we say & point out with the fingers what she needs or what we ask for. She had her first tooth eruption also around 14 months started walking tooaround the same time.She also a constipation with very hard stools typically once a day disturbed sleep,had some eyelid infection for an insect bite. 2-3 times for which paediatrician gave steroids once for 3 days & antihistamines. Would require your advice, we stay in India. Also, had social anxiety as we didn’t take her out due to COVID, but now she is more excited to go outside & play with the peers, her social fear has started decreasing now.

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