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  • 5 yr old w/severe sinus??

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    Old 11-06-2004, 02:30 PM   #1
    angel1277
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    5 yr old w/severe sinus??

    Hello,

    My 5 year old has had severe sinus trouble since he was 1 1/2 yrs. old. He was hospitalized with septisemia (sp?) because of the sinus infections and had an orbital cellulitis, and was given a PICC line for 4 months. The ENT performed an adnoidectomy and endoscopic sinus surgery before he was 2. He also has cough afferent asthma and bad skin allergies. The Dr. recently said he may have reflux and put him on Prevacid. The problem is he is constantly coughing to the point of vomiting. He vomits on average to 3 times per day.(phlegm) Neither me or the doctors know what to do anymore. I know constant vomiting is not good for his stomach or his esphogus, or teeth. Anyone else with similar problems that can lead me in another direction? Herbal or medicinal soulutions? additional tests? HELP!

     
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    Old 11-07-2004, 07:08 PM   #2
    angel1277
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    Re: 5 yr old w/severe sinus??

    can anybody help?

     
    Old 11-08-2004, 06:35 AM   #3
    Ratatosk
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    Re: 5 yr old w/severe sinus??

    Does he have a genetic disorder, such as cystic fibrosis? DS had CF bronchitis at the two months old and he coughed so hard he threw up his formula. The other thing is... How long has he had this cough? We've had a whooping cough epidemic in our state and one of the symptoms is coughing so hard that people throw up -- doctors aren't used to seeing pertussis anymore and sometimes overlook it.

     
    Old 11-15-2004, 08:17 PM   #4
    Z'sMom
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    Re: 5 yr old w/severe sinus??

    Our youngest (nearing 4) is starting on a sinus medication for pediatric use, similar in content to Allegra-D. His father & all the other children have chronic sinusitis as well as allergies and have experienced (to some degree) some of what your son has undergone. He gets the vomitting episode quickly followed up by ear infection after ear infection.

    It is NOT normal to have these types of vomitting episodes. Have you been referred to a specialist? Had the child tested for food or environmental allergies? Other issues?

    We went thru a phase with the youngest where he was like that and it was scary as heck. It ended up going away on it's own after 6 months, thank the Lord!

    I can only imagine how hard this is for you. This kind of screams SECOND OPINION and further testing to me...food allergies, chemical imbalance, hormonal imbalance...something "concrete" has to be there.

     
    Old 11-16-2004, 06:47 AM   #5
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    Re: 5 yr old w/severe sinus??

    I'd get a second opinion. Either a pediatric gastro person for the vomiting. Maybe it's something as "simple" as chronically infected tonsils, which seem to disrupt everything. I'm a big fan of "children's hospitals", is there a place nearby where you could get a referral?

    And again -- the coughing until vomiting can be symptomatic of pertussis (whooping cough), which is a bacterial infection. A 4 year old at DS's day care got it even though she'd been vaccinated and all the kids ended up having to have preventative antibiotics.

    Last edited by Ratatosk; 11-16-2004 at 06:48 AM.

     
    Old 11-16-2004, 07:36 AM   #6
    Pookie1992
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    Re: 5 yr old w/severe sinus??

    My son just turned 5, and we've been fighting this stuff since he was born. At 6 months old, albuterol suspension for wheezing, then at 2 years old, he was diagnosed with asthma/allergies and put on singulair, albuterol inhaler, xeponex(for nebulizers), rhinocort(for his constant stuffy/runny nose). Nothing has helped. Earlier this year, he had the allery testing done, and the so-called-allergy specialist said that he doesn't have asthma or allergies, but couldn't tell us what causes the constant stuffy/runny nose and coughing so hard that he vomits(usually always mucus). He took him off all of his meds and put him on children's sudafed and nasonex. These aren't helping either. Tried to tell both dr.'s that we fight this all year long, and it's really bad when the weather turns cold(we live in Missouri). The only time he is better is when we are out west where it is dry. Anybody else have a child going through this? Hate to keep him on meds all year long.

     
    Old 11-16-2004, 08:13 AM   #7
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    Re: 5 yr old w/severe sinus??

    Has your child been tested for cystic fibrosis?

     
    Old 11-16-2004, 09:40 AM   #8
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    Re: 5 yr old w/severe sinus??

    I would recommend getting your pediatrician to refer you to a Pediatric Pulmonary/Cystic Fibrosis doctor. That doesn't mean your child has CF, my two year old doesn't but she does have a genetic polymorphism M470 which is why she has more sinus infections than the normal child. She has asthma as well and this complicates things alot.

    We started out a year ago with a diagnosis of asthma but after she was in the hospital eight times in less than a year, always with pneumonia, ear infections, sinus infection that had triggered her asthma, we finally had genetic testing done to rule out Cystic Fibrosis and found she has two polymorhisms M470V/M470V with 7T/7T variant. According to Ambry Genetics the M470V is not known to be disease causing but may contribute to symptom that are common in Cystic Fibrosis. Generally the symptoms are milder than what would occur with CF. They also did a nasal biopsy to see if the cilia in her body was working properly. I don't know what the disease is but I understand it is pretty rare. She tested normal on this test. But it is worth asking your doctor about.

    Keep pressing the doctors even if it irritates them. Mine get frustrated with me sometimes but they laugh about it. I have actually had them tell me they wished more parents would be this aggressive. Stay involved!!! That is the best thing you can do to help your child. If I hadn't pressed I don't think we would be as far along in our diagnosis as we are now. And we still have problems.

    Don't get me wrong I think I have a great pediatrician and Pulmonary/CF doctor, it just takes a while to get to bottom of what is going on.

    Right now my daughter is on 6 weeks of antibiotics to clear a sinus infection and when she completes this round of Vantin she will have anoth CAT Scan to see if it did indeed clear up the infection. We were on four weeks of Augmentin before this and the CAT Scan showed that the infection did not clear.

     
    Old 11-17-2004, 12:38 PM   #9
    Pookie1992
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    Re: 5 yr old w/severe sinus??

    I keep telling them that he is better(no symptoms) while we are out west(Arizona, Nevada), but they don't think that has anything to do with it. My husband and I think the allergy doctor is a total quack, because he said that weather doesn't cause allergies-duh! We've decided to move to Nevada within the next 2 years to get him out of this climate(we live in Missouri). His pediatrician has never even mentioned having his sinus' checked, but yet, we fight the "colds"(runny/stuffy nose, coughing until he vomits up mucus) all year round. No antibiotic works. We have asthma in the family-both my brothers and 2 of my nephews have it, and he's been on asthma meds since he was 6 months old, but now after one visit, the allergy doc doesn't think he has asthma. Needless to say, after that visit, we won't be going back to him. It's just frustrating 'doping" him up all day to fight this.

     
    Old 11-17-2004, 02:26 PM   #10
    BYHOPE1113
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    Re: 5 yr old w/severe sinus??

    I understand your frustration. If I were you I'd be frustrated too. My best advice is go somewhere else. Whatever the nearest large town is near you, see if they have a children's hospital. Have they sent you to an Ear, Nose & Throat specialist? It sounds like that might help you too.

    Good Luck

    Last edited by BYHOPE1113; 11-17-2004 at 02:26 PM.

     
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