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What are we dealing with here? At a total loss and DD3 is totally unmanagable...where to go next

post #1 of 16
Thread Starter 

My DD3 is 19 months old.  At a young age she was diagnosed with eosinophilic gastrointestinal disease.  Basically, her immune system sees protein chains of any size as a pathogen and attacks in the GI tract.  We went through the food elimination until I was eating 3 foods, no improvement, reflux meds, antispasmotics, various natural routes, specialists, traveling out of state, etc.  From 4 weeks forward she screamed 16-20 hr a day.  Only slept in 20-30 min blocks and would wake screaming. No sleeping position, sling/carrier, a single of many many meds, chiro, anything, nothing helped.  Biopsies diagnosed the disorder and because BM contains the protein chains that were causing her GI to degrade, chronic pain, vomiting, etc, we moved her to a prescription amino acid formula which made all of the difference.  It took us to about 13 months to get to this point, at which point she was behind because we had spent a year holding her while she screamed in pain.  Her older sister has the same condition, but I BF her through 2.5yr and she didn't start going terribly down hill until then. 

 

Fast forward, through an odd turn of events, food trials, other things, our GI team now thinks there is something NON GI causing her issues.  Mainly because the path it is following now is not what it should be.  It never goes into remission, but can be controlled, but she has seemed INCREDIBLY reactive again, we scoped again, and her GI tract and biopsies were clean and perfect.  So her symptoms now are not GI caused.  Our out of state GI team has recommended seeing neuro, infectious disease, rheumo, etc, etc.  All that said....she is 19 months, has caught up developmentally totally, gross and fine motor far exceed her age, she is close to on track verbally, comprehension is great...she understands everything.  We have feeding therapy only because she just now is starting to eat food, but even that is going great.  Height and weight are finally high percentile for her age. 

 

But she is miserable.  She still wakes about 15-20 times a night screaming and writhing in pain.  She head bangs on the floor and walls when frustrated.  She is intensely and abnormally over-reactive.  She is so uncomfortable being still.  Sleep time is torture.  She will go days, literally on a few hours of sleep. She will stay awake until she is staggering crookedly into things.  She now sometimes sees to feel either no pain (when she should) or the last week, it almost is like her skin hurts.  I pick her up to move her under her arm pits and she grabs them and says ow.  I wiggle her into a cart seat and she cries ow.  She grabs her arms and stuff and says ow.  But she will also play outside for an hour and seem fine.  She still cries hours and hours and hours a day, for no reason.  When she isn't, she is Incredibly engaging and appears quite normal.  Her joints look normal to me. 

 

Her scope at 16 months included blood draws to check for numerous things, and everything checked out. 

 

Our OT does not know what to do with her and has recommended a Dr that prescribes SSRIs to toddlers.  Our Ped is great and will be happy to pursue any next step we feel like we need to. 

 

I sometimes feel crazy because on paper, everything looks amazingly good.  In reality I am nearly home bound with a child that seems to be in chronic pain for no reason.

 

WHAT ARE WE MISSING HERE????

post #2 of 16

This could be way, way off base, but have they considered gastroperesis- it's where there are paralyzed nerves in the stomach that cause it to empty very, very slowly? My 26-yr-old sister (with asthma and spastic CP) was just diagnosed with this after months of severe pain, vomiting, etc. It wasn't found until her GI suggested doing an emptying scan. I know it's not common in toddlers, and I'm sure they're already thought about it.

 

I hope you find your own Dr. House who can solve this mystery. Not having answers is a nightmare, especially when your LO is in pain.

post #3 of 16
Thread Starter 
Thanks for the reply. smile.gif She had an emptying scan done and was normal. She has been worked over from the GI side...5 upper/lower scopes, biopsies, upper gIs, DGE study, ph probe, etc. Our GI says we are at ground zero there. We don't know if we need to be looking at behavioral or physical. Luckily she rarely vomits now. smile.gif
post #4 of 16

Oh man, I really hope you find some answers.

 

Take care.

post #5 of 16
Thread Starter 
Quote:
Originally Posted by ErinYay View Post

Oh man, I really hope you find some answers.

 

Take care.



Thanks Erin :)

post #6 of 16
post #7 of 16

I'm just throwing things out there but I think she might have a severe mineral deficiency. The body requires adaquate stomach acid in order to absorb them and deficiencies in calcium, magnesium, and potassium can cause muscle pain and spasms and behavioral disorders. Some cases of schizophrenia can be linked to severe zinc deficiencies. Not saying she has anything like that but just to point out what an important role minerals play.It could be why she's having pain and not behaving appropriately.

post #8 of 16

So sorry to hear that after 19 months you are still having it rough. I wish I could be more help, but I seem to be going through the same thing with DS2.

 

I know how incredibly life - draining it is to have a child who screams all night. I know what it is to lie on the floor sobbing while your child screams in pain and the whole world seems like its passing you by as you hold and comfort and soothe your child for hours on end.

 

I hope you find the answer you are looking for, and just know that my thoughts and prayers are with you. It's not an easy road that we travel.

post #9 of 16
Thread Starter 

THank you all.  We are going to do the neuro consult/sleep study as a next step.

 

Thing1Thing2....how are things going for you guys?

post #10 of 16

Aww you are so sweet to ask, with all you are going through.

 

Not doing well. After trying everything (and I mean everything), we decided to give him the Zantac, which made him considerably worse.

 

I think I slept a ridiculous amount of time like 45 minutes last night. He cries in pain practically all day and night. Going *back* to the ped this afternoon This will be my third time in a month.

 

Do you find that family isn't supportive? He is never crying when we are out and he's distracted. They all think he doesn't cry as much as I'm saying :(

post #11 of 16
Thread Starter 

The family part is hard.  My DDwas the same way.  What they don't realize is that we ONLY leave the house when she feels okay.  It really took my parents staying the night at my house with us the first time when she was 1-ish.  They ran into the room like 20x alarmed and just kept saying...this is EVERY NIGHT and yes i KNOW it is not normal.  We had a diagnosis at the time, but everything is so questionable now.  She slept 2 nights okay, 2 hours stretches....then woke every 10 minutes screaming NO and OW and going rigid all night last night.  Who knows.  At this point I have a sitter a few hours a week to try and sleep and just accept that things are this way for now.  My 4 yr old has the condition they think/thought my youngest has, and she is struggling to, wakes often sick and such.  My nights and days just blur, lol. 

 

What have the Drs told you?  It was REALLY hard for me to hit a point when it was so bad that I looked traditional medicine right in the face and said Please Help.  I felt like I failed.  But it was needed.  Have you seen a GI?  What is everyone's diet like?  I often catch bits of your story and think it sounds not only so much like my youngest, but also my 4 yr old.  Feel free to PM me.  I wish I had family wisdom.....I truly have found that no one except someone that has been there "gets it"....every day is like a house of cards, I wait to fall.

post #12 of 16

I haven't been here for ages and just stopped by to browse and ran across your post.  So sorry to hear things are still rough.  I have nothing but hugs and positive energy to send your way.  I hope you figure it out soon. 

post #13 of 16
Thread Starter 

Thanks Laurie.  We have made a lot of strides.  She is now eating 20 or so foods successfully, which is HUGE.  Just trying to figure out what we are missing.  I do find that with each month, the more she is verbal, the more she can tell me what hurts and when.  Eventually we will figure it out. Or I will lose my mind. :)

post #14 of 16

Have you ever heard of the Feingold Program?  Go to feingold.org and check it out.  It is a diet that restricts all food dyes, preservatives, ect...it also goes as far as gluten and caisen free if needed.  A lot of the symptoms you are describing can be helped through this way of eating.  I really hope you find some answers soon.  It is never easy watching your child go through so much at such a young age.

post #15 of 16

Pumping at keyboard...

 

Quote:
Originally Posted by DeChRi View Post

The family part is hard.  My DDwas the same way.  What they don't realize is that we ONLY leave the house when she feels okay.  It really took my parents staying the night at my house with us the first time when she was 1-ish.  They ran into the room like 20x alarmed and just kept saying...this is EVERY NIGHT and yes i KNOW it is not normal. 

 

It must be nice when people finally realize that you are not being dramatic or exaggerating when you say "the baby was up ALL night"... 

 

What have the Drs told you?  It was REALLY hard for me to hit a point when it was so bad that I looked traditional medicine right in the face and said Please Help.  I felt like I failed.  But it was needed.  Have you seen a GI?  What is everyone's diet like?  I often catch bits of your story and think it sounds not only so much like my youngest, but also my 4 yr old.  Feel free to PM me.  I wish I had family wisdom.....I truly have found that no one except someone that has been there "gets it"....every day is like a house of cards, I wait to fall.

 

The Dr. told me he had GERD. She wanted to try the Zantac before sending him for other tests. I told her that my first DS tried the Zantac and I felt it made him worse. (I even wonder if the meds contributed to his (undiagnosed) ASD,). So I tried everything else first - even hypoallergenic formula - which really took the edge off. He is still on the formula, while I pump like crazy to maintain my supply. He still has problems on the formula though and some nights have been really bad.

 

We tried the Zantac last week and it was terrible. So my instincts were right, but at least now the ped has referred us to the GI dr. We go next week.

 

I always laugh when people ask about diet because we barely eat anything as it is. We are gluten, soy, dairy, corn and cane sugar free (among a host of other things). I am highly reactive to *so* much that I even get sick on my limited diet.

 

Baby crying....

 

 



 

 

post #16 of 16

Is she just hungry?

 

I was wondering with such a limited diet, and such trouble as a baby eating, maybe she isn't eating enough.  I know that she is growing, but...maybe she would be helped by a midnight snack?  I know it's out there, but if the doctors can't find anything, maybe it's just a normal kid thing?

 

My other wonder is if you've taken her to a chiropractor?  So many kid things can be traced to bad alignment, and her pain at night might be related to the way nerves and such are getting pinched while she is lying down.

 

My thoughts are totally colored by my own impressive results with a chiro recently, and by my recent discovery that my littlest was fussy so much because she was hungry...even though I felt she was eating all the time!

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