Home › Forums › Feeding Issues › General Feeding Issues › Eosinophillic Disorders/Food reactions
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May 16, 2006 at 8:25 pm #8157
Anonymous
InactiveI’m going to read your post now too, Thais – sounds interesting. BTW,
new Ped today told me about something called fiberjuice to help her
constipation – will post separately about that tonight or early
tomorrow.Tracy – how is Ian feeling?
May 16, 2006 at 9:10 pm #8165Anonymous
InactiveI really hate being negative ( I truly am a positive/optimistic person, I swear) but just awful. Hacking and screaming and crying on and off all day but feedings are a nightmare. I crumbled and gave him squash because he was hungry. Good news-went down great (better than bottles) bad news-seemed to aggravate things. Totally confused! Why are solids that he was tolerating now worse after this darn oatmeal trial that’s been over 5 days ago now. He was eating it fine. Is it possible for a reaction to develop weeks later?
New developments-switching to zegerid tomorrow. Just in case of dge or solutab lactose. BUT she’ll only let us do 20mg! ARGHH. I know she’ll let us go higher after initial trial but she’ll make us suffer first. Dr. wanted Ian to stay in hospital night before endo because he’s not eating much and last time we had vein issues but I refused. I can’t help it but I think the hospital traumatized him just as much as pincushion moment. I’m going to get 20oz in him if I have to feed him every hour. Dr. also still swears it’s not EE but apfed.org and cinncinati hosptital ( I called today) SWEAR that it absolutely can rear it’s ulgy head after you start solids. He has so many symptoms of it that I want to give myself a)piece of mind or b)start treating him. I just hate this poor Ian is miserable. It’s kind of cruel-the longer we know our babies-each single day-I think I couldn’t love him more-and then I wake up and love him even more. Each day I grow more attached and the pain just tears me up. I may be a crazy paranoid mother but it’s such a basic instinct to fight and find answers for him. But I don’t have to tell you guys this!
Whew! This board is becoming my journal. As always, apologies for the rant. What I really want to know, is how did everything go today!?? Hope you liked him. Was he helpful? Did he have any ideas on Marisa and why she’s not eating? Will you go back?? I’m sure you’re exhausted so just let me know where you post tomorrow. Eating better today?
Typical Karen-poor daughter’s not feeling well, she’s commuting to Staten Island to help her out, and she asks about Ian first! You’re too sweet!
Tracy
May 16, 2006 at 9:21 pm #8169Anonymous
InactiveOh Tracy – I’m so sorry to hear that Ian is in such pain and can’t eat.
From what I’ve heard, there can be delayed reactions though (same as
with milk proteins).Glad Dr. M switched you to Zegerid – but that dose does sound low. I
just don’t understand why she insists on doing it this way. Agh. I know
Dr. M is good but I’d take the word of Apfed and Cincy first since they
are such experts in EE. I hope and pray it’s not that but it’s still
good to look into.M seems to be doing well – not herself yet but better than I’ve seen
her in days. Ped thinks main issue is she has my virus and is teething
– and constipation too. Will try to post more tonight – but might be
tomorrow – DH and I are tired and want to watch the American Idol we
Tivo’d. I’ll likely post an update in the Feeding section.Talk soon.
May 16, 2006 at 10:21 pm #8184Anonymous
InactiveIt’s so hard, isn’t it? Elijah was/is teething, got a cough and clear
runny nose, red checks, stopped reglan and got a new jumper for him to
play in. He also had just started Prilosec Suspension.His acid reflux got worse and all these things we were new. So I put
away the bouncer (he absolutely loves it) his nose runs occaisionally
and he had dark circles under his eyes and I thought perhaps he was
just having an allergic reaction to spring pollens . It lasted longer
than a virus would and the pollen has been down with all this rain. He
is better now, but he is mouth breathing even though it doesn’t seem to
have a stuffed up nose.Then mom gave him the reglan again and tylenol for teething pain along
with teething gel and gripe water. Or maybe the Prilosec started to
work?Who knows, we changed to prevacid solutabs without any regression and he’s been doing pretty good.
He is still waking up in the middle of the night or early morning,
usually to eat and falls back to sleep but sometimes it’s bad because
the acid comes up and he cries.My video camara is not working correctly or I would tape him when he is
having problems (I pray he has no more and this will wind down.) I can
take a small vidoe tape woth my digital camera though the video is not
as good as a real video camera.Could you video tape (useing a tripod) a day in he life of your
daugters misery and how she reacts to food or bottles? Take a whole day
using amny tapes and put together a video of all of her pain for the
12/24 hours.Tape each 3 or so hours that she screams while you try to comfort her,
They say a picture is worth a thousand words.
Elijah was absolutely perfect at the pedi sick call we went to after
one heck of a weekend. He had been coughing and rubbing his ears,
whining, moaning, refluxing, had Sandifers symptoms for days and we get
there and he is quiet and the perfect gentleman when the pedi listened
to his airways and then he had to sit still so she could pull a piece
of wax out of her ear. He did not whine once.I am sure she thinks we are nuts
May 16, 2006 at 10:58 pm #8187Anonymous
InactiveIf food exposure is causing EE, one would expect that there would still be elevated eosinophil counts on histological exam for up to weeks after exposure ends. Even if the eosinophils themselves have “left the scene of the crime”, there are often histological changes with EE that persist. I forget where I read this- I’ll look. I think the window in which EE would show up on endoscopy may be longer than you think.
Some months ago I discussed this topic with Claire’s allergist at length… Assuming that an endoscopy is positive for EE, as an alternative to oral steriods, Claire’s allergist suggested stopping all solids (Neocate/Elecare only) for at least 3 months, repeating the endoscopy and only resuming solids when the endoscopy is negative and symptoms are gone. Then, introduce a single ingredient at a time, wait several weeks to see if symptoms return, and so on.
Oral steroids blunt the abnormal cellular response, but are not curative. Unlike PPIs, which have a fairly benign side effect profile, steroids are a big deal.
I hope the endoscopy and other testing goes well. Hang in there!
May 17, 2006 at 7:33 am #8188Anonymous
InactiveThanks Karen. Do you think that’s possible why he’s having problems with solids he was tolerating? Meaning eosinophil levels are high from oatmeal trial so any solid would bother him? The cells would attack them? Also, 3 months? Ian had an endo at 4.5 months old just on elecare that came back clear. Was he really saying every time you have a food that reacts you have to go back 3 months? I’m just panicking a little with that as Ian eats them well and formula not. Is he saying Ian will be in pain for months? Is he an expert in this disorder? My GI appears to be lacking some info.
Did you get tested for this before and after Claire started solids? Or did your solids trials go fine??
Also would be curious if anyone here (non EE related) ever had a food trial that went bad and then had to start fresh (old foods started to aggravate kind of thing). DH and I are prepared for the worst right now but there’s a part of me that’s hoping Ian’s digestive tract is just irritated so anything will bother him now (including elecare).
THANKS!
Tracy
May 18, 2006 at 10:17 pm #8323Anonymous
InactiveClaire’s endoscopy at 7 months was before starting any solids. There weren’t any signs of EE. We started a very gradual introduction of solids at 9 months… rice cereal only for about 4 weeks, then orange veggies (at a rate of one new food every three weeks or so). At around 12-13 months, when she was up to about 6-7 different foods, she started vomitting (not spit-up, but throwing up entire feeds)intermittently and acting like she was having pain after eating solids. These “new” symptoms sort of snuck up on us gradually so we weren’t exactly sure what she was reacting to. That is when I had the discussion with the allergist about EE. We decided to “back track” to the point in the food trials where we knew she wasn’t having problems (analogous to cutting out the oatmeal with Ian). Even then, it was about 3-4 weeks before the vomitting/pain improved. During that interval, it seemed as if she was “reacting” to foods that she previously tolerated just fine. More likely, we were just seeing the persistent/prolonged effects from the prior exposure to allergic (for lack of a better word) triggers.
Our game plan at this point is “watchful waiting.” She hasn’t had a repeat endoscopy yet (just too many other medical issues that seem more urgent for her), but both GI and allergist agree that if a very restricted diet with slow slow slow introduction of new foods keeps symptoms to a minimum, then that is the way to go. We introduce a new food only about once every 3-4 weeks at this point! She still vomits some, and grows slowly- so who knows? Maybe our strategy isn’t so good.
I don’t know if it qualifies them as experts, but both Claire’s allergist and GI have treated many kids with eosinophic disorders.
May 19, 2006 at 9:23 am #8332Anonymous
InactiveThanks Karen. How’s Claire doing these days? How many foods is she eating now? Does your Doctor think it’s EE or is he reserving judgement? You said she has some other medical issues-is she alright? I’ll be thinking of you. …Does she seem happy overall and developing well?
It’s so frustrating (and I know everyone feels this way)!. We had a great day yesterday. He woke up hacking and had a tough morning feed but allergist told us to continue solids so we gave him banana. He was so excited-ate it up and was wonderful all day with minor screeching/coughing at bottles but ate well-28oz with lots of breaks. Then we gave him his squash at 5pm – just a tablespoon but it had been a couple of days- and ooooo baby! Coughing, screeching, fussy, crying, etc. We’re not sure where that came from as he was fine on it. We fed him his bottle at 7 and he finished great and was a happy little bugger and slept wonderfully. So confusing. We’re thinking maybe we should give him a smaller teaspoon of the squash to get his body used to it again? Although banana was fine at usual amount. Perhaps it was because it was on an empty stomach (he hadn’t had a bottle for 2.5 hours earlier)? Acid/and or he was hungry? Teething? Today he’s so grumpy and coughing is back full force and bottle was really hard for him. But he’s shoving his hand in his mouth biting like crazy. So is that from the tiny squash or teething reflux? I can’t wait to have the endo and rule out the darn EE!! At least we’ll know because he’s on some solids now. We can then stop everything and restart if it’s positive. I swear it’s the roller coaster that will kill you.
Tracy
May 19, 2006 at 2:49 pm #8360Anonymous
InactiveTracy- Thanks for asking about Claire. She is up to about a dozen different foods now, all table foods! She failed trials of eggs/wheat/beef and is at least 4 months away from attempting dairy and soy. About 2/3 of her calories are from Neocate Jr. (sippy cups!) still. Developmentally, its a mixed bag… she is saying tons of words and even using some short sentences, but she isn’t walking yet. I see her progressing in that direction a little more every week though. Medically, she’s still dealing with reflux and DGE plus what appears to be easy fatiguability and lately, this occasional strange trembling/tremor of her jaw and arms. The neurologist suspects she may have a mitochondrial disorder (probably worst case scenario) or just several unrelated “fluke” symptoms that will turn out, in the end, to be nothing to worry about (best case scenario).
The allergist does suspect EE, the GI doc is reserving judgment. My own “glass half full” opinion is that she probably does not. After all, what are the odds that one kid could have some many unrelated medical issues?
On a happier note, 16 months is an absolutely delightful age. Claire is a really happy, affectionate, playful girl. She loves to read books, play babies, take off her clothes (
), and imitate anything her big sister does. I hope Ian does okay with the endoscopy. I’d try mixing just a smidge of squash into the bananas and see how he does. Maybe he is just unhappy with squash. After all those yummy bananas, maybe he just finds the squash disappointing now.
May 19, 2006 at 3:12 pm #8365Anonymous
InactiveOh wonderful-sounds like she’s doing really well Karen! It warms my heart to hear she’s a happy little girl. My nephew didn’t walk until he was almost two. Just didn’t want to! And he has no allergies, reflux, etc. I’m sure she’ll outgrow the other issues since she’s moving along nicely. Wonderful!
Ian actually loves squash that’s the crime. Hates Elecare. I think he may like it more than bananas too (but he likes those as well). I’m trying myself to look at it positively and think maybe squash on an empty stomach caused him cramps. Sometimes I wonder if the screeching/coughing has become a ‘new thing” . A new skill. It’s scary but kind of funny too-makes this scrunched up face and turns beat red for a second or two and then nice and pale as usual. Also throws up his fists.
Tracy
May 20, 2006 at 12:32 am #8422Anonymous
InactiveTracy – have you tried adding banana to the Elecare? It might be enough flavour for him to like it? Just a thought.
Ian is just so confusing! Im sure the doctors are going to work it out soon – it must be related to food somehow. I would give the squash a break for a little while and then start really slowly again. Teething really makes things difficult too, its always something isnt it!
May 23, 2006 at 6:57 am #8484Anonymous
InactiveGood luck with the endo today Tracy – let us know how it goes. Will be thinking of you – hugs to you and Ian.
May 23, 2006 at 7:01 am #8485Anonymous
InactiveThanks Karen. We’re so not looking forward to it!
And just to make us feel really bad-Ian had a great day yesterday! We loaded him up with solids to see if it would show up the disorder on the endo and we added oatmeal back in for 2 days. He had sweet potato, squash, oatmeal, banana, and he ate 32OZ of formula! Great laughing temperment so who the heck knows! We’re still going through with it because it could be random and we’ll be able to rule EE out once and for all and get our life backs! Allergies seem like nothing after throughly researching that nasty disease.
Hope Marisa stayed on her winning streak!!
Tracy
May 23, 2006 at 7:15 am #8486Anonymous
InactiveDoesn’t that always happen? Marisa always feels better the day before
or of a doctor appointment and we doubt ourselves. But I’m SO glad he
had a great day and had so much food! Maybe he’s just a really hungry
boy and maybe he had the same virus as M had. Any case, it’s definitely
good to rule out EE and go from there. I’ll look for an update and of
course email me anytime.M is still eating like a horse and playing a lot which is great. Waking
up crazy early but happy so I’ll take it and nap a lot myself!May 23, 2006 at 8:03 am #8490Anonymous
InactiveTracy – good luck!
EE is really almost always an allergic reaction (white cells) so if he has been exposed to anything it will come up.
I am praying he does nto have it because steroids are a bit scarier than any PPI and having to redo all the solids trial will be painful i am sure. Hopefully it was just a phase
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