Monday, June 29, 2009

One Step Forward, Two Steps Back

We had a good couple of days last week. On Wednesday and Thursday, Bambino ate like a normal toddler for the first time in his life. His Feeding Therapist and Dietitian witnessed this on Thursday morning; he ate whatever I put out in front of him: two servings of rice porridge, a whole plum and then he munched on dried bananas and strawberries. We were all ecstatic. In addition, his bowel movement seemed to have normalized that we stopped giving him MiraLax. His Neocate intake is still low but at least he is eating normal food well; and his disposition is entirely better. For a couple of days he actually slept better, only waking up once during the night. The eczema-itches also gradually disappeared.

Dietitian P attributed this newfound appetite to three days of Periactin coupled with the Zinc supplement. I was beginning to hope we can scrap any plans of placing feeding tubes.

Then on Friday, everything was totally different. He refused to eat. He was constipated again and it's a lot worse this time. He would twist his tiny body while gripping on something in an attempt to push; his face red and contorted. This happens every half hour and it is heartbreaking to watch. And the worst part is that nothing really comes out but tiny pellets of dry and hard stool.

In addition, he also started to get a Netherton break out on Wednesday. I'm calling it the "classic Netherton" break out to differentiate it from his eczema breakout, which my husband and I believe he developed just recently. As a point of comparison, eczema is itchy and would affect mostly his hands and feet whereas NS is painful (like a sunburn) and affects his entire body. The appearance of the hives are also different and we've learned to tell the distinction.

So because his skin, mostly around his torso, is painful to touch, Bambino is just so miserable. He is not sleeping well again and he refuses to eat or drink anything. He evidently takes comfort from nursing and that's all he wants to do. I was able to get him to take MiraLax only with water.

This morning, I called the GI doctor for a number of issues: 1. his Zinc supplement is all gone and we don't have a refill. 2. What to do with the constipation 3. How are we going to proceed with the GI tube?

I'm still waiting for a call-back.

It seems like there's always something going on with my Bambino. Right now, I just wish the pain will go away so he can be a happy child again.

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