Saturday, July 30, 2011

Update

It's been a long few weeks. I'm hoping Brynn will start to turn the corner after her tomato fail soon.  =/  Diapers are still not normal, eczema is terrible, mood is all over the place, just like her appetite.  Most of the time, she only wants bottles, with a few decent sized snacks here and there.  She has lost 1 pound as well.  After a struggle with a couple doctors about a week and a half ago, I brought her to a functional medicine doctor to see if they could help at all.  They did a full physical...weight, height included.  I didn't think of it right away, but a couple days later it hit me. I checked what Brynn's height was at her 12 month appt and compared it to the one the dr just did. Exactly the same.  Hmmmm....according to the growth chart, she dropped from the 62nd percentile in height down to the 5th percentile (possibly a common trend in FPIES kids?).  Ugh.  Started calling the doctors again and FINALLY got one of them to help me do SOMETHING. They ordered some stool samples, so we got those taken care of Friday. They are first testing it for bacteria and infection...not want I wanted tested, but I guess you have to start somewhere, right? I'm really hoping that once those tests come back negative (I'm pretty darn sure this is FPIES related and not a bug), they will order a new set of tests to figure out what is going on.

We are also meeting with a new pediatritian on Tuesday. I spoke to her briefly last week and it looks like we may have found a ped willing to help and not just brush us off.  =)  I really hope we have finally found a doctor who wants to be proactive and someone that I can finally talk to when things aren't going smoothly with Brynn. 

Please keep my fellow FPIES families in your thoughts and prayers...there are a few of my good friends that are going through hard times right now with their little kiddos.  Hang in there guys!!  =)

Monday, July 11, 2011

Fail.

Corn has been an amazing addition for Brynn!  She loves her kix and polenta (we call them her pancakes, lol).  We have given her corn flour noodles as well as Trader Joe's corn tortillas, but she hasn't been into those.  She gags with the texture and just ends up throwing them on the floor.  =/  We are still limiting her fresh fruit intake, as it seems if she has more than 1 serving a day of fruit (blueberries,strawberries or watermelon), her gut seems to get irritated.  A typical daily menu looks like this:  plain oatmeal for breakfast, kix for snack, sweet potato or white potato for lunch (plain of course) along with fresh fruit, Original Cheecha Puffs for snack, and sweet/potato/white potato or polenta or a homemade mini-muffin for dinner.  She doesn't usually eat a WHOLE lot per mealtime, so she still has her six 60z bottles a day too.  With the recent illness and tomato fail, her diet has pretty much been her formula. 

Tomato fail:  I have been thinking about a tomato trial since the corn pass, so we would have some sort of sauce to use for her noodles or even for the tortillas.  My mom and I went to the local farmers market last week and picked up some tomatoes.  We gave her a small bite that night and she seemed to do ok with it.  The next night, I got home and the report from the day was a good one, so I gave her 2 bites.  I gave her a bath awhile later and noticed some major eczema going on on her arms and legs.  Poor girl, it was red and blotchy and just sore.  =(  She slept like crap that night, being up for over an hour at a time and just restless.  Her skin got worse the next day, so we decided to wait a day before giving her another bite.  The next day she had major diaper issues....and lots of them!! ICK!  That night and the following day were filled with diapers that had totally undigested food in them.  Great, that means her gut is inflammed and she isn't absorbing her nutrients.  Just yesterday, she finally starting eating a bit more, but her diet is still mainly her formula.  Hoping for a quick recovery and once she is ready, on to a coconut trial!!  There are lots of options with coconut.  Coconut flour, nectar, vinegar, oil, ICE CREAM.  Yes, we are going to be trialing coconut with ICE CREAM =)  Best trial ever.  And of course, we are trialing it not only for the variety, but also for the nutrition!! It reduces inflammation, improves digestive function, relieves symptoms associated with Crohn's disease and other colitis illnesses,  and reduces problems associated with malabsorption issues.  And did I mention that she can maybe have ice cream??  =) 

Tuesday, June 21, 2011

Thinking 'corny' thoughts...

So, we did it. We re-trialed corn....and PASSED!!  I can't believe it, this is so awesome!  We used kix cereal again and I wish everyone could have seen her face when we gave the single kix to her on the first day of the trial.  She smiled, she giggled and she just looked at me like life was great! Until she figured out I wouldn't give her more.  Then her mood changed, haha!

I stopped at Trader Joe's last week and found corn tortillas (corn flour, water, lime), which I think will work great. I'm excited to make her PB&J sandwich (sunflower seed butter and strawberries). I have a feeling she will love it! I also want to try corn chex and polenta and see what I can do with those!  If anyone has more ideas on what we can try with this new pass, let me know!!!! 

Last week, my mom and I took Brynn to an Integrated Health Clinic to see a doctor. My mom has Crohn's disease and this doctor has helped her, so we thought we would see what her thoughts were on FPIES.  Overall, it was a great appointment.  The first thing that caught my attention, was a test called the ALCAT test.  This test differs from other food allergy or sensitivity tests as it accurately and objectively measures leukocyte cellular reactivity which is the final common pathway of all inflammatory triggers.  The test is a simple finger prick blood draw and tests 20 foods:  apple, barley, beef, broccoli, cane sugar, carrot, corn, cow's milk, garlic, gluten, lemon, orange, peanut, pork, rice, soybean, sweet potato, tomato, tuna, and turkey. 

Something else I just thought about was a test I had done on myself a few years ago.  I chiropractor was just opening and had advertised one free session, so I decided what the heck and made an appt. While I was there, they did a test called the ZYTO--I put my hand on this machine and had to keep it there for 3-5 mins or something like that.  On the sheet I got, it says that this info is not an indicator of food allergies or food sensitivities. It is simply data showing your body's degree of response to computer signatures that have been linked to the foods indicated.  Anyway, the top 5 foods that it says that I may choose to avoid are RICE (Brynn's biggest trigger), american cheese, ciggarette smoke, millet and pecans.  Very interesting.

Could either of these tests be possible predictors of FPIES triggers?  I'm thinking about cutting out the top 5 foods on my list and then re-introducing them to see if it makes a difference for me.  We are debating on doing the ALCAT with Brynn.  This doctor doesn't take insurance so nothing would be covered. She was an amazing dr though... we just had the consult and she was very interested in FPIES and right off the bat said "Ok, we need to figure out what is causing all of this and what we are going to do to fix it".  She thinks B probably has an overgrowth of yeast in her body, which is what we were thinking as well.  But it's not like we have a pediatritian that I can call and say "hey, this is what I think is going on with Brynn, can we try an antifungal med to see if it helps?"  The doc we currently have would look at me like I was nuts, lol.  The integrated health dr wants us to come back for a more in-depth history or Brynn's life as well as my pregnancy, she wants us to do a yeast in children questionairre, and she wants us to talk to the nutritionist she works closely with to help figure out what is going on. We have never had a dr that REALLY wanted to help us.  It just sucks that NOTHING we do with this dr will be covered....it's going to get spendy.  We need to figure out what we are going to do. 

The last couple days we have been trialling cucumbers.  She doesn't seem to be a fan of them, she just picks around them.  Oh well, we will try them a few more times--just enough to call them a pass.   Hmm what to trial next??  =)

Thursday, June 9, 2011

Long overdue update!

I know, I know, it's been way too long! With summer weather....well, I don't know what exactly to call it when it's literally over 100 degrees one day and then the next barely 70, but....life has been very hectic! We try to get outside as much as possible, so I feel like I barely have time to do anything else!

I'm pretty bummed this morning. I'm not sure what is going on with Brynn.  Last week one day, daycare called me and said she had a HORRIBLE, raw butt.  Since it was such a nice day, she just let her run around outside with no diaper on and just a onsie (unbuttoned) to air out.  We hadn't done any food trials that week, so I have no clue what caused it.  I decided maybe we should pull all her safe fruit for a few days to see if that helps, and it did.  So Monday we started to add her safe fruits back into her diet, but only giving her small amounts of them and only a couple times a day. It's really hard to NOT give her fruit, because it's pretty much all that is safe for her other than pototoes and oatmeal.  Monday night she was up quite a bit at night and was crabby/clingy at daycare so I was thinking maybe she had an ear infection. Brought her in and her ears were just fine.  So last night, about 11pm, she woke up and I changed her diaper. It was awful.  Gave her a bottle and put her back to bed. She was then up from about 2-4am screaming.  What the heck is going on??  She had sweet potato, a bunch of blueberries and a strawberry for supper...was it one of the fruits? I thought they were both safe? (Sweet potato is for sure safe)  Now daycare just texted me that she had another terrible diaper and her butt is raw as can be.  =(  Blueberries?  I told her not to give her any blueberries today to see if that helped. I don't know what else to do.....

Another battle I've been struggling with is her probiotic.  After we got back form our New Jersey appt, we started both the EleCare and the probiotic at about the same time.  Since then, she has been doing A-mazing with food trials, only failing eggs and having a couple other little mishaps with crumbs and cross contamination.  Her current does of probiotic is so small--she only gets 2 tiny pinches every morning.  So, is that minute amount of the probiotic REALLY helping her? Or does she not need it anymore because the EleCare actually made the difference and healed her chronic inflammation?  I just don't know the answers and I hate knowing that I don't have a professional to turn to for advice.  This is all on Danny and I.  We are supposed to figure this out on our own.  I'm not a doctor, how I am supposed to know all of this?? Ask me about autism or behavior analysis and I can help, but all of this GI stuff?  I have no clue. 

Do I pull all of her fruit (except pears since those are a long-time pass) and re-introduce them? That may be the answer.  Should we work on increasing her probiotic and put all food trials on the back-burner? Maybe.  I want so badly for her to be able to eat more foods, so I hate to stop food trials. I want to find her foods other than fruit that she can tolerate so we don't end up giving her so many servings of fruit every day.  Could something else be going on that has nothing to do with her probiotic OR fruit? Good chance....like I said, I'm not a doctor though. Sure would be nice to have a pediatrician on board with FPIES so I'd have someone to call. 

When things like this are going on, it is so incredibly hard for me to focus on anything else. I have to remind myself that I still need to get my job done, I still need to clean my house, I still need to take care of my kids in other ways besides watching what goes into their bodies.  And I need to take care of myself. I just need to take it day by day, step by step and have faith that I will be able to figure this all out. And I pray every day that FPIES is coming to an end, not just for Brynn, but for all the little ones that suffer because of it....please.....

Wednesday, May 18, 2011

Oats, eggs and watermelon!!

Don't worry, we didn't mix oats, eggs and watermelon together.  =)  We've really picked up the pace on food trials lately and the above items have been the latest ones! We officially have passed oats, which is simply amazing!  She can't get enough of her oatmeal! It's such a great feeling to have both kids eating the exact same thing for breakfast (and even dinner lately, lol). 

This past Friday evening, we decided last minute to trial eggs. I've been thinking about and wanting to trial eggs for awhile now, so we finally just did it.  She seemed to do fine with the few bites she had, slept ok (up a little more than normal, but not a ton).  Saturday morning, she had a dirty diaper and my mom changed her right away and she had an instant blistering rash all over her bottom.  It continued to worsen the rest of the day and then calmed down on Sunday.  Poor girl, it was so sensitive and sore, we decided it wasn't worth giving her anymore eggs for awhile.  But now I'm left with...did she actually have a reaction to eggs? Sulfites maybe?  Or was it because B's body can't handle corn and chickens eat corn?  (I know that whole chicken issue sounds strange, but trust me, it can happen!!) Who knows, but we are staying away for now...no need to push through the pain of not even being able to sit.  =(

Last night, spur of the moment again, I gave her some watermelon. It was another food on our list to trial, so I just did it! Cody was having some and she was reaching for his plate.  I cut her up a couple small pieces and she loved it.  She cried and cried when I wouldn't give her more though.  I didn't want to overload her on the very first day of a trial though.  If a trace amount of a trigger food can make her vomit til bile and show shock symptoms, I defintely don't want to fill her up on a new food!

Oh! And she FINALLY got her first tooth!! At 13.5 months, wow!  =)

Monday, May 9, 2011

MUFFINS!!!

Brynn's favorite food: Muffins.  A fellow FPIES mom, who comes up with some amazing recipes, posted a recipe for Sunny Bunny banana muffins.  Well, Brynn can't have bananas, so we improvised and figured out something that works for her!  We used sorghum flour (new), potato starch, baking soda (new), sunflower seed butter, sunflower oil, and a natural cane sugar (new).  The first time I made them, I used pears, and just last night I made some with strawberries.  They actually aren't THAT bad!!  =/  The sunflower seed butter (tastes exactly like it sounds, lol), overpowers all the other ingredients, but Brynn LOVES them.  She pushes all other food to the side (well, floor I guess) and asks for more muffins.  She wants nothing to do with strawberries, unless they are freeze-dried. Maybe it's a texture thing again.  Oh well, she can eat muffins!!  This is super exciting--I can use that recipe and make bread, a cake...oh the options!!!!!!! Thanks Amanda!!!

She's still randomly gagging and spitting up from food texture.  Not really the vomitting anymore, which is nice, but I hope she gets over this gagging thing soon! 

Yesterday, we were at my parent's house and we were all chatting on what we were going to have B try next.  I, (sort of jokingly) said oatmeal, and my dad jumped on the idea and within minutes I was making her oatmeal.  I have no idea why I all of the sudden had such courage.  She has been doing so well lately with food trials and I just figured, why not? 

So far, so good. She did fine with 1 tsp last night and had 2 tsp for supper tonight.  Her rice reaction was after the 4th or 5th ingestion so we are not for sure in the clear yet....but like I said, so far, things are going ok!!! YAY!!! I'm feeling pretty empowered right now!!  She has passed every food trial since we switched her formula to EleCare.  We've had a few mishaps (wipe, juicer cross-contamination and increasing her probiotic too quickly), but otherwise, things are going SO WELL!  Thanks for all the continued support!!!

Monday, May 2, 2011

Variety? No thanks.

We have finally built up a tiny litte menu for Brynn.  Her safe foods are: pears, sweet potatoes, white potatoes, blueberries and now strawberries!!  We can also use sunflower oil and sunflower seed butter for cooking (however still need a grain to REALLY make something!!).  Great right? UGH. She has now decided to either gag and throw up while eating (texture issues) or just skip eating and throw the food on the floor.  There were 2 days last week where I decreased the amount of formula she took in because I was thinking she could actually have a little meal and some snacks in between the meals. But no, we are back up to the full amount again.  I guess we just keep trying and hope this is just a phase!!

Another thing I wanted to vent about is doctors.  The kids' pediatrician that they have both ALWAYS seen, pretty much from birth, is leaving the clinic we go to.  Trust me, I dug for info and found out where he was going, hoping it was just another local clinic, because we would have no problem switching clinics.  Unfortunately, he is going somewhere a little too far.  =(  When I first came to him with Brynn's diagnosis, he had not heard of it.  I was prepared for that, so brought him some info that our allergist had given us and had gladly accepted the info and appeared to be willing to learn along side of us.  Now that he is leaving, we have been forced to find a new pediatrician.  I did a little research and found one on the clinic's website and looked at her profile.  It said her special interests were food allergies and chronic illnesses.  JACKPOT!!! I was so excited and I thought maybe this was a blessing in disquise.  SO WRONG.  We saw her for Brynn's 1 yr appt and it was alright....nothing what I was hoping for, but after much thought, figured we'd deal with the situation and manage without a ped on board with the FPIES diagnosis.  She questioned me...no no....she DRILLED me on a couple different topics, one of them being, why on Earth I would bring Brynn to New Jersey to see a doctor.  She asked me numerous times how that appt would benefit Brynn and I explained to her that Dr J could possibly test to find out what foods would trigger a reaction for Brynn and maybe give us some direction in what we were supposed to do with Brynn's condition.  Why WOULDN'T we go?  If seeing this dr could in any way help our daughter, why not?  She just sort of shrugged and moved on. 

Fast forward to a couple weeks ago.  Our daycare needed some papers filled out for Brynn and her special diet so Danny brought them to the clinic, asking the receptionist to give them to our old doctor.  Danny's company also had some papers they wanted filled out just in case Danny would have to take some time off due to Brynn's health.  I picked them up a few days later and the receptionist had given them to the NEW ped to fill out.  So I looked what she wrote...on the daycare forms, questions were skipped, and it was just half-ass filled out.  When I got to the papers for Danny's work, there was a post-it on it reading "this needs to be filled out by the allergist or GI specialist, not me".  BULL.  Luckily, we had the allergist appt so I just brought the papers to him and he filled them out.  That pushed me over the edge.  I'm not looking for a dr that knows everything about FPIES, all I'm looking for right now is someone who isn't going to blow me off and say it's not real or it's no big deal.  Someone who will listen when I say Brynn can't have a specific medicine because of a previous FPIES reaction to it.  So if anyone knows of a great ped in the surrounding areas, please let me know! I friend of mine mentioned one doctor, and we plan on seeing her for the next appt. Wish us luck!

What to trial next? OATS???? That would be a HUGE pass for us, but like I said in a previous post, it could potentially be a HUGE fail as well.  Hmmmm