Crohn's Mom
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- Joined
- Mar 9, 2011
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Happy Birthday to your baby !! :dance::dance: double digits ! What a nice age ~ my kids were all very happy to reach that ~ :ghug:
Hi Eragsdale. Welcome to the forum.
Our stories sound eerily similarly.
I was thinking the same thing!!!!
I.
Poppets mom - HAPPY BIRTHDAY to Amy!!!! scary how quick they grow up!!
Eragsdale - so sorry that you have been through so much with your little lady. When they did the colonoscopy and found the inflammation in her colon I assume they biopsied it and it was negative for UC\crohn's? You say you have been through this with an older child? did they ever get a diganosis for your older one?
Has she had boods tests for various vitamin or mineral deficiencies? and iron? if her guts are not working properly then it may be various deficiencies causing some of her other signs?
When do the results of the stool sample get back?
I hope you get some answers soon xxxx
FREQUENTLY ASKED QUESTIONS ABOUT FPIES
What Does FPIES Stand For?
FPIES is Food Protein-Induced Enterocolitis Syndrome. It is commonly pronounced "F-Pies", as in "apple pies", though some physicians may refer to it as FIES (pronounced "fees", considering food-protein as one word). Enterocolitis is inflammation involving both the small intestine and the colon (large intestine).
What is FPIES?
FPIES is a non-IgE mediated immune reaction in the gastrointestinal system to one or more specific foods, commonly characterized by profuse vomiting and diarrhea. FPIES is presumed to be cell mediated. Poor growth may occur with continual ingestion. Upon removing the problem food(s), all FPIES symptoms subside. (Note: Having FPIES does not preclude one from having other allergies/intolerances with the food.) The most common FPIES triggers are cow's milk (dairy) and soy. However, any food can cause an FPIES reaction, even those not commonly considered allergens, such as rice, oat and barley.
What Does FPIES Stand For?
FPIES is Food Protein-Induced Enterocolitis Syndrome. It is commonly pronounced "F-Pies", as in "apple pies", though some physicians may refer to it as FIES (pronounced "fees", considering food-protein as one word). Enterocolitis is inflammation involving both the small intestine and the colon (large intestine).
What is FPIES?
FPIES is a non-IgE mediated immune reaction in the gastrointestinal system to one or more specific foods, commonly characterized by profuse vomiting and diarrhea. FPIES is presumed to be cell mediated. Poor growth may occur with continual ingestion. Upon removing the problem food(s), all FPIES symptoms subside. (Note: Having FPIES does not preclude one from having other allergies/intolerances with the food.) The most common FPIES triggers are cow's milk (dairy) and soy. However, any food can cause an FPIES reaction, even those not commonly considered allergens, such as rice, oat and barley.
A child with FPIES may experience what appears to be a severe stomach bug, but the "bug" only starts a couple hours after the offending food is given. Many FPIES parents have rushed their children to the ER, limp from extreme, repeated projectile vomiting, only to be told, "It's the stomach flu." However, the next time they feed their children the same solids, the dramatic symptoms return.
What Does IgE vs Cell Mediated Mean?
IgE stands for Immunoglobulin E. It is a type of antibody, formed to protect the body from infection, that functions in allergic reactions. IgE-mediated reactions are considered immediate hypersensitivity immune system reactions, while cell mediated reactions are considered delayed hypersensitivity. Antibodies are not involved in cell mediated reactions. For the purpose of understanding FPIES, you can disregard all you know about IgE-mediated reactions.
When Do FPIES Reactions Occur?
FPIES reactions often show up in the first weeks or months of life, or at an older age for the exclusively breastfed child. Reactions usually occur upon introducing first solid foods, such as infant cereals or formulas, which are typically made with dairy or soy. (Infant formulas are considered solids for FPIES purposes.) While a child may have allergies and intolerances to food proteins they are exposed to through breastmilk, FPIES reactions usually don't occur from breastmilk, regardless of the mother's diet. An FPIES reaction typically takes place when the child has directly ingested the trigger food(s).
What is a Typical FPIES Reaction?
As with all things, each child is different, and the range, severity and duration of symptoms may vary from reaction to reaction. Unlike traditional IgE-mediated allergies, FPIES reactions do not manifest with itching, hives, swelling, coughing or wheezing, etc. Symptoms typically only involve the gastrointestinal system, and other body organs are not involved. FPIES reactions almost always begin with delayed onset vomiting (usually two hours after ingestion, sometimes as late as eight hours after). Symptoms can range from mild (an increase in reflux and several days of runny stools) to life threatening (shock).
In severe cases, after repeatedly vomiting, children often begin vomiting bile. Commonly, diarrhea follows and can last up to several days. In the worst reactions (about 20% of the time), the child has such severe vomiting and diarrhea that s/he rapidly becomes seriously dehydrated and may go into shock.
What did work for us was aggressively treating the eczema. Eczema is not only "the itch that rashes" but is the skin's inability to retain moisture. The loss if vital lipids reduces the moisture barrier which means the skin loses water and becomes dry.
To treat those two problems, we do:
*Daily antihistamine
*Daily soaking baths (with wet towels on skin that is not underwater)
*Immediate slathering with: (a) Vanicream on all skin except where steroid may be needed; (b) one of two steroids where needed.
Desonide (lower strength steroid) goes on face, axilla (armpit), groin
Triamcinolone (slightly higher strength steroid) goes on anywhere that is inflamed that is not the face/groin/axilla
So if there is a flare--red/itchy/etc; that part gets the corresponding steroid for 5 days--even if it has cleared after 2 days because biopsies have shown continued inflammation that can't be seen by the naked eye.
Vanicream and steroids don't get overlapped on the same body part.
Steroids get applied with a tongue depressor and then rubbed in--don't dip in with your hands and intro bacteria into them.
Studies show that if you use the steroid for 5 days (even continuing after it looks cleared), you end up using LESS steroid overall (compared to those who use it sparingly).
I have found this to be true.
*After the Vanicream or topical steroid is put on, then cover the kid with warm wet pajamas and socks (even on arms). Then put warm, dry socks on top of the feet/legs and hands/feet. Then on top of that, put the warm pajamas (long-sleeves). The kid will NOT be able to take them off this way. Leave on for at least 2 hours, or overnight if doing it at bedtime. Bad flares may need bath/wet wraps 2 or 3 times a day.
We are just "maintaining" good skin, so we do it once a day at bedtime; and Vanicream all over the body also in the morning. But during bad flares, repeat the soaking and wrapping method a few times per day/night for best results.
Got her results back, she has ulcerative colitis. So i guess i need to bow out of this forum and go find a ulcerative colitis forum
No!!!!!:ywow: I mean you can but UC and crohn's kids are on the parent's forum.
Mary which is Rowan's mom and Angie which is Izzy's mom both those girls have UC.
Of course their's those of us in the undiagnosed world that are on there to.:ybiggrin
What are the Symptoms of EGID?
Symptoms may vary considerably, depending on the area affected.
Symptoms include:
Nausea or Vomiting
Diarrhea
Failure to thrive (poor growth or weight loss)
Abdominal or chest pain
Reflux that does not respond to usual therapy (which includes proton pump inhibitors, a medicine which stops acid production)
Dysphagia (Difficulty swallowing)
Food impactions (food gets stuck in the throat)
Gastroparesis (Delayed emptying of the stomach)
Anorexia (poor appetite)
Bloating
Anemia
Blood in the stool
Malnutrition
Difficulty sleeping