18 answers

Allergist Cannot Confirm nor Deny My 7Mo Has Asthma

Okay, I had you all about the asthma before on my 7 mo old. They have him on asthma regimen, and he was only in green zone for 3 days this last month. He has been in the Er twice since he got out of the hospital a month ago. So, today, we finally get to the allergist, and I was so glad. His asthma is not in control, and they had not given him more steroids even though he has been in the Red for quite some time. The last 10 days, he has been turning blue around the mouth and nose, purple fingernails, dusky, grey and very soft. But, he has always been responsive, even playful at times. A lot of this happens when he is asleep. The ER doc and the allergist both got to see his color issues. The allergist said that they are thinking that he either doesn't have asthma afterall, and/OR he has something else going on. Which I have been trying to get ppl to listen, and even got blown off by the Er docs last night, even though his color was very bad. I think he has a seizure Mon evening.

So, they are sending me to a cardiologist, and maybe even a pulmnologist. The overall doc said it could be reflux that could be causing his color changes. He does not spit up ever, and he never cries. Our PCP, who he referred me back to, says we won't waste our time on that. They checked his blood for anemia, considering he is pale most of the time now. He was never like that before. He is just now getting his appetite back from a month, last night.

And, then I wonder, what are the chances? We live nearly 2 hours from the children's hospital. And, I was talking to my friend today in a public place in a small town I rarely visit over an hour away, and another lady tells me how the cardiologist "Dr. so and so" is such a good one. She had experience with him, because her grandson was diagnosed with a heart problem very young, and he has asthma as a side effect.

The drs also were very good about avoiding telling me what this kind of thing might mean, just instructions to go back to our dr for different referrals.I thought they would send us for a sleep study, perhaps apnea?? But, no. And, I will have to be patient, our doc says, as it will probably be a month to get that appt with the heart doc. Anyone have any experience or know anyone who has dealt with this type of thing? Thanks, Kymberli

What can I do next?

So What Happened?™

You'll be happy to know that I went back that night and they admitted him for observation. The next day was Friday, and the echo came back fine. so, they were going to give me the option of taking him home and doing the rest through the clinics, but the pulmonologist is like a House MD man, and he said no way. They would continue tests through the weekend and by Monday we would have the answer. We had the answer 2 hours later. Well, by Monday early, he had his surgery for a congenital heart defect, that was more vascular in nature. He had a vascular ring that is commonly misdiagnosed as asthma. Well, they only do 3-4 surgeries for this per year, so that is how rare it is, in a big city children's hospital. And, this formed in gestation at the same time that I had lost our twin, so I wonder is something just went "squeak" at that time. We have a lot of heart stuff in our family histories, but we have 6 healthy children. They say there is no possibility that our 6 yo that has been recently diagnosed with asthma (and has a very narrow trachea) could have this, but if she does (as she has developed these things back when they both had the same virus) it could go down the same road but she is 6yo. And, that would be 1 in 100 million. LOL

This is the typical time they diagnose this birth defect. I have 6 healthy children, this really is a surprise. But, the good news is that if he doesn't really have asthma (he could still), then this is fixed and should not have any lasting effects, and he would be cured. His low immunity will also be boosted because his circulation is good now. The color changes and good oxygen stat points to a cardiac issue, comes to find out.

And, they were soooo glad I brought him back in. They have all been oogling over this fat and happy, smiley baby, because most children coming in with this are already thin, pale, coughing and wheezing. And he wasn't. So that gives him an advantage to recovery.

And, the lady who was his EMT from Centerpoint to Children's last month, did his IV Sunday night, and he went to her and even cuddled with her AFTER she put the thing in his hand!! Even the male docs here have said how cute and adorable he is, and the neurologist said that he was glad he met our baby! Now, he is 20 hours out of surgery, and has already nursed well, and sleeping quietly in bed. I had to hold him all day and night, but now he is fine. Kymberli

More Answers

don't be scared, but he probably DID have a seizure. it's very common if kids get hypoxic, which he definitely sounds like he is. has he been tested for cystic fibrosis? (here's a home test: is he salty when you lick him? CF gives out all the bodies chloride and thickens secretions everywhere, hence the breathing/pancreatic problems). i DO NOT THINK he has reflux if no crying/spit up. but it does sound like a cardiac problem to me, a peds nurse who's dad also had tons of cardio problems. GET IT CHECKED IMMEDIATELY. take him to the children's hospital ER and DEMAND an admission. screw the referrals...you'll get a doc at the children's hospital anyway. constant hypoxia can lead to developmental delays and brain damage. you know in your gut somethings wrong...don't take no for an answer.

I am REALLY sorry about your son's health problems. Some, indeed, are hard to get diagnosed. I don't have any medical advice, but I will say that you know your child better than anyone. Some drs know that, some don't. You are your child's best advocate. No one is going to that job for you better than your are. Keep plugging away. Learn as much as you can yourself, ask questions, etc. Keep checking websites, I've asked heart related questions to an online medical page. Some have patients with similar problems talk about what they did, some have drs that answer. I also have a friend that is a nurse practioner, she is a great source of common sense medicine.

Keep at it! and GOOD LUCK!

You poor thing. Gosh. Like other said, I would sit in the ER and refuse to leave until this was figured out. So what if they're annoyed or being rude. Your child is sick and you know it. On a much smaller scale, when my oldest had RotaVirus and we went to urgent care for it, they said she was fine and gave her a little IV fluid. We got home at 3:30am. The next morning at 8 I called her pediatrician, got in to see her, and it ended up Emme was in the hospital for 3 days. All that to say, keep pushing if you know something isn't right.

Hang in there and keep fighting. Ask as many questions as you can think of and maybe even keep a log of all the different symptoms that he is having and when if you are not already doing that. Doctor's tend to be know it alls and they are so used to dealing with people that don't have a clue and don't care that they forget how to talk to people who actually do pay attention. My nephew had lots of issues as a baby and toddler(Nothing like what you are dealing with unfortunately). My sister had to go to lots of specialist and they had lots of therapy and no one could ever really give them any answers either. When he was about 5 they finally found a doctor that not only diagnosed the problem but fixed him and now he is a healthy normal 11 year old. I believe that the doctor had just recently moved to town when they saw him so don't be afraid to travel a little if that means going to the best. They are usually the best for a reason and not just because of their knowledge but also because of their communication skills. I wish that they would require a communications class for ALL med students! Anyway, it might be a battle trying to get the drs to listen to you but it will be worth it in the long run. Keep your chin up!

I am so sorry to hear what you are going through. Be firm with your doctor and if they don't get it done then change doctors. With your son turning blue around the lips it is serious. He probably isn't getting enough oxygen and it could be a heart problem. I would tell the doctor that I am not willing to wait a month with the condition that your child is in and he needs to get you in now. If you take him to the ER they should be able to run the test there and get a cardiologist in there. Either that or your child's doctor can have him admitted to the hospital to get a cardiologist to see him quicker. A lot of doctors forget that moms can tell when there is something wrong with your child and your child has obvious symptoms. Whether it is asthma or a heart problem it needs to be addressed now. Be firm with your doctor and take your child to the hospital if need be and tell them that they need to figure out what is wrong now. I know that sometimes it is hard to be assertive, I am not that type of person, but when it comes to the well being of our children, that comes first. Like I said if it comes to it, then try to change doctors. I know with insurance that can be easier said than done but I don't think you should just be patient like what your doctor told you. Good luck to you and you are in my prayers.

My biggest response is to keep going to the doctors until they do something about it. My son was sick for about three months, very sick, and although they ran test after test, and couldn't find anything, I kept going. I am very sure that it say Bi&*$ next to my name. I also explained to them if it was their child, and they would continue to search for answers as well. Long story short I did finally give up on my Ped. and went to Children's Mercy in Kansas City, Mo. They were able to diagnose him in three weeks. Even though they were busy and also tried to push me off. I mean they would say that they could run a test, but it would be a month wait. I took the appt. and then when I got home, I would call back and call back, and I got the appt. the next week. I told them I could be there in two hours, so any cancellations I would take. So you just need to keep calling- which is free if your insurance isn't very good- or keep going. You are your child's only voice! Good luck.

With all of his symptoms, it does sound like it could be a heart issue. My now 4 year old was born with a congenital heart defect and had some of the same symptoms. We went to Children's Mercy and had a wonderful experience. He ended up having heart surgery at 10 months and did amazingly well. The cardiologist will do an EKG and an echocardiogram - both simple and nonevasive - and will be able to tell a lot. I'd recommend going to a pediatric cardiologist.

GET HIM TO THE CARDIOLOGIST NOW! I am not trying to scare you, however I watch a boy who is now 2 and healthy but at 6 months old we discovered he had complete blockage to his heart. If your child id tuning blue he needs to be seen now! Tell the doc that when you call them and I would insist that your doc give you an epipen. If he quits breathing it could save his life. Your childs health is not something you want to mess around with. I know you said you are far from a childrens hospital but that is where you need to go. Regular docs dont always catch everything. And in Kaden's case of course they did not. I also have a son with asthma that was not caught until we took him to the allergist - we even went to 2 of them until I was satisfied with the care my child was receiving. Have they X-Rayed him to check for pneumonia? The bottom line is that your childs health is in your hands and he needs to be seen by the best. We go to Childrens Mercy Hospital in downtown KC MO. I love the care that we receive for both of the boys and my other kiddos (my own and the ones that I provide childcare for). I am not trying to scare you or demean you as a mother but he needs to get well. Lack of oxygen and/or blood flow can cause brain issues. I wish you the best of luck, and if you do live far from a childrens hospital they should have a room where you can get some slepp if you need to stay longer than a day. I know Childrens Mercy does for sure. Keep us mommas updated! E.

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