Does this sound like upper Crohn's?

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Does this sound like upper Crohn's? UPDATE

I'm so glad to have found this forum. My DD8 started having unrelenting nausea about five months. Every second she feels nausea, which has intensified, and interestingly, been unresponsive to IV Compazine. With the nausea, she complained of joint discomfort and eye pain. Her ped. found her joints flexible, though, with no signs of arthritis.

The joint discomfort in both hips and shoulders turned into constant discomfort with intermittent pain along with intermittent pain in her knee and elbow. When her joints were initially examined in Aug. and Sept. by a ped, she was flexible and supple with no stiffness. Now, the PT is saying she's very inflexible with greatly reduced range of motion. She cannot lift her leg to a 45 degree angle without pain. He's saying my historically mildly hypotonic child has Hypertonia.

The eye pain was short-lived initially, occurring intermittently only for about 3 weeks, but after about 4 months of nausea and joint discomfort, turned into intermittent eye pain almost daily during months 4 and 5. One point, I noted that her blood vessels on the upper white of her eye were markedly inflamed and red (compared to her other eye). She also started having double vision and blurry vision several times a day. (She does have strabismus for which she has only required monitoring, and in a phone call, her opthalm. said fatigue and illness could cause her to have trouble focusing her eyes, resulting in double vision.

She started having very severe headaches that became 24/7 during month 4. They became so severe we had to go to the ER multiple times for pain relief. The neurologist said they are NOT migraines, though several ER doctors were confident that the headaches were. The CT scan was normal, repeated neuro exams were normal, and her intracranial pressure seemed fine on the scan. The headaches did respond to giving her 7-up to help hydration and PT.

Month 4 she also developed abdominal pain. She had a lot of upper right abdomen pain and pain above her belly button. Later, this pain seemed to be more lower right, left, and mid-abdomen. She also complains frequently of pain at the base of her sternum.

Her generally stable asthma has deteriorated by about 10% in six months, and she complained a lot of rib pain and lung pain. This is the first time since her asthma was newly diagnosed as an infant that we've had such an occurrence.

She also developed in month 4 constant lower back pain, more of the sacral area.

For the first time ever, she has developed a slew of muscle-skeletal injuries. (Very active, she never injured before all this.) Now, she injured her back, she injured her Achilles tendon, then her plantar fascia, then her hamstring, then her knee. She also complains of pain at her non-dominant hand's thumb joint. I had read that some kids with IBD get a type of arthritis that causes inflammation in the joints, and most of these sites of injuries are almost a complete checklist of the areas frequently listed as problems with this IBD-related arthritis.

We see a GI for the first time in a few days. Her allergist thinks we may need to consider eosinophilic disorders because she has multiple food allergies. I would welcome, though, any thoughts on whether these symptoms sound like they may signal Crohn's or another IBD. Her blood work to date has been fine. She has not shown slowed growth.

Thank you in advance for any thoughts or suggestions!
 
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Tagging farmwife and my litttle penguin I believe they have experience with eos.
Sorry your daughter is dealing with all this hope you get answers soon
 
Thank you! I forgot to mention that her food allergies are the traditional IgE allergies associated with hives, trouble breathing, potentially anaphylaxis, etc.
 
Hope the gi has answers EoE tends to go with highly atopic kiddos
My kiddo is very atopic and we have gone down the EoE path more than once
Somehow to everyone's surprise ended up with Ibd .
Not sure how ..
 
My daughter’s main symptoms were migraine type headaches, sore eyes, nausea (about 50% of the time accompanied with vomiting, knee pain and upper abdominal pain only until the last 10 days prior to diagnosis.

She didn’t have diarrhoea or bleeding as a symptom, her bloods were normal (again until the last 10 days before diagnosis) and CT scan and ultrasound was normal a week out from emergency surgery. IBD wasn’t on the radar but as it turned out she had ileal Crohn’s. She did have delayed puberty though.

Given what you are describing I don’t think you can rule out IBD as it has so many and varied presentations and in children it is not uncommon for bloods to return normal results. Unless they are able to definitively diagnosis something else I would pursue having IBD ruled in or out along with anything else that may be suggested.

Good luck and keep us posted with how you get on. :ghug:

Dusty. xxx
 
Welcome to the forum, but sorry to hear about your daughter's illness. My son was dx'd last March at age 8. I see some similarites in symptoms. My son had generalized back pain, intermittent pain in his thumb joint, knees, and heels. He also had occasional headaches, and always had suffered from constipation. The real deal set in when he had tremendous abdominal pain just above his belly button (his Crohn's is mainly in the jejunum of his small intestine) that wouldn't go away, nausea, anaemia, fevers, night sweats, fatigue, and mouth ulcers. Keep marching forward until you get some solid answers. Take care of you and your little one!
 
Thank you so much, everyone, for your thoughtful responses! I appreciate your empathy and encouragement. We see a ped. GI Thurs. I definitely will keep everyone posted! Thank you again!
 
Hi I'm back and on my laptop.:smile:

EoE and like conditions (egid's) can be tricky to dx.:yrolleyes:
If it's a possibility you need a GI that knows what their doing.
So goes for a GI that treats IBD right.

My Grace has EGE and not EoE. Her disease is every where but the esophagus.
Now it's possible that IBD has taken over and her EGE might not be a big factor.
Sadly time will tell for this area.

My girl has suffered from joint pain for most of her life.
She's so young that Docs just brushed it off as
she didn't really understand where her pain was or I'm making to much of it.:ymad:
Now she's in a flare with her newly dx'd JIA.

The moral of my story.................................
Don't give up. Push until you're satisfied with the doctors answers.
 
Thank you so much for the encouragement and wisdom, Farm Girl. My heart breaks for all you and your little girl have been through. Indeed, I feel for all the children and families dealing with these serious issues. We actually will be seeing Dr. Acra at Vanderbilt. It appears that several families here see him and feel confident in his care, so I'm hoping we can get some solid answers sooner rather than later. I know what you mean about persisting with doctors and appreciate the encouragement to do so. I'm amazed at how dismissive some doctors can be. I'm convinced that some doctors are too egotistic to say "I don't know, so let me refer you," and instead dismiss the patient as simply being stressed, malingering, etc.

Thank you for the pm. I sent you a reply, but am a little uncertain whether it just remained in my inbox. So let me know if you didn't get it.

Thank you!
 
We just returned from seeing Dr. Acra at Vanderbilt. I had written a timeline and summary of my daughter's constellation of symptoms. I was so relieved and impressed that he actually took the time to read them. He said he cannot explain all my daughter's symptoms, but he can explain the unrelenting nausea as eosinophilic esophagitis. He thinks the abdominal pains are likely to be an overly sensitive bowel because they aren't localized the way IBDs are. He said he has seen EE and overly sensitive bowel together. He does want to scope her, though, to ensure she doesn't have Crohn's. Having read that sometimes children have the extraintestinal manifestations (which seem similar to my daughter's symptoms) BEFORE obvious Crohn's symptoms, I am relieved that he is going to do so. He also drew labs to check for direct inflammation. Exhausting day, but I'm so relieved. The unrelenting nausea had puzzled everyone, and it is quite distressing to my daughter. I'm eager to see if the labs show inflammation, though a little concerned that our PT said sometimes the joint pain and stiffness show up BEFORE it shows up in the labs.

Thank you so much for your kind support and encouragement.
 
I'm glad you had a good visit.
Grace still has good labs. For the most part she still doesn't fit the mold.
I hope the scopes go well.
Please feel free to stay around, we would be happy to help any way a we can.

My son has possible eoe as well. Will they be putting your girl on a PIP before scoping?
 
Sounds like a good appointment. Hope they come up with an answer and more importantly a treatment plan soon!
 
Thank you so much. I was utterly exhausted last night after nearly 8 hour in the car, especially with the winter storm, but had to post a quick update last night. I would love to stick around. :) Thank you for the invitation. I've been so touched and moved by the compassion and warmth of the parents here. The struggle for a diagnosis, a child who is ill, a child who is medically complicated, all resonant strongly with me. I wish none of us were in that situation, but the warmth and compassion and encouragement of the parents here who are in that situation is, simply put, profound.

Hi Farmwife, actually he is not going to put her on anything at this point. I think one thing that confuses people is that my daughter doesn't have the fevers typical of rheumatological conditions. My little girl pointed to an obviously ill child in a hospital gown and exclaimed, "She feels like I do!" Completely breaks my heart. I saw the ped. referral that said my daughter didn't feel terribly ill. :( In fairness, that was from at the beginning of the escalation two months. We see her next week to discuss all the joint/muscular issues, and hopefully can get a referral to rheum. at least for an evaluation.
 
We didn't realize my daughter had fevers until the rheumatologist asked me to take and record nightly temps. After doing so we realized that she frequently has low grade fevers, occasionally has higher fevers, and her temperature does not always correlate with how she feels. If you aren't already I'd recommend recording nightly temps to see if you find anything abnormal. It could be another piece to the puzzle.
 
Thank you so much, DanceMOM! Excellent suggestion. Probably far more reliable than kissing her forehead if I suspect she has a fever. :)
 

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