You are here:

Pediatrics/4 yo son with multiple issues and no diagnosis or direction

Advertisement


Question
Hi! My son's medical history includes the following
1. 6 weeks premature
2. Severe GERD confirmed via endoscopy with many esophageal ulcers, treated with Nexium 20 mg 2X/    day
3. Chronic constipation _exploratory BRAVO capsule with biopsy for Chrones, treated with Miralax every day.Chrones suspected not confirmed
4. Chronic URI/LRI for the past  4 yrs despite ear tubes at one yr and tonsills and adenoids removed at 2yrs
5. Multiple bouts of pneumonia, most recently 2x/8weeks
6. Past elevated liver enzymes, current ALT value is low
7. Immunology shows elevated IgM(153), elevated B cells by all markers, CD16 and CD56 positive NK cells, low % of CD3,CD4, and TI alpha/beta positive B cells.  IGg profile shows IgE is in range but on low side, IgG is normal and IgA is low range but in parameters, as well.
8. Hypoglycemia, controlled with corn starch
Our problen is this, he stays to sick to go to school. Without a diagnosis I can not pursue any help educationally. He has been to pre school 9 days out of 3 months. He has no brothers or sisters and was not in day care. His issues have been since birth. He has good MD's at Duke but they just keep telling us he will grow out of it. I would like some direction as to how to proceed. We have an appt with Pulmonolohy the end of January for CF testing but since we were screened for 95 variants, pre conception, that is doubtful. However, my husband has a cousin with CF and he is a carrier. I am not. We also are having him evaluated by OT for Sensory Percetion Disorder. Thank you for any advice you may offer.

Answer
i would like to known his current weight, any delay in milestones and OT report.
GERd and constipation may need a more vigourous therapy and diet management.
I hope he is immunised with pneumococcal vaccines too.

read my article on constipation at www.pediatricianonline.in

please follow up with details.

Pediatrics

All Answers


Answers by Expert:


Ask Experts

Volunteer


Dr Kondekar Santosh Venketraman Pediatrician MD, DNB, Mumbai India, Online Pediatrician

Expertise

www.facebook.com/ChildSpecialistMumbai

ASK MEDICAL AND PEDIATRIC HEALTH AND BEHAVIOR RELATED QUESTIONS TO THIS DOCTOR! my details at http://kondekar.com
also click here for what to ask a doctor?. download Question answer android app on child health from kondekar.com . Free advice also on topics like asthma epilepsy tuberculosis in children. I am a proud father and a qualified pediatrician with an expertise and interest in counseling parents regarding different aspects of health and disease making them understand children, their health and disease and the doctors.Download android app to ask free questions from www.kondekar.com Read my reviews/ratings at REVIEWS I do treat and counsel all classes and specialties, I have a special expertise and interest in queries regarding feeding of infants and; the common cold & related illnesses including asthma. I as a friendly doctor, try to help you understand the children, the disease, the treatment and the doctor! At the end, dont forget to add prestige points and nominations for me, as that is the only incentive for me to continue with free service. Affiliated to Seth G S Medical college and KEM Hospital Mumbai India (1992 till 2010). Now at Topiwala National Medical College, BYL Nair hospital Mumbai. *Online Pediatrician * KEY WORDS: ASTHMA EPILEPSY REPEATED RESPIRATORY INFECTIONS TUBERCULOSIS INFANT FEEDING HEART DISEASES ADHD AUTISM ADD SECOND OPINIONS PAID ANSWERS

Experience

I was a pediatrician at Seth GS Medical College and KEM Hospital Mumbai India, since 1999 till 2010. Currently as a pediatrician and as a associate professor at Topiwala National Medical College, BYL Nair hospital Mumbai. Pioneered as Online Indian Pediatrician for free advice SINCE 2002. Now also at Shushrusha Hospital Dadar,Mumbai INDIA daily 7 to 9 PM. Child Specialist dr Kondekar

Promote Your Page Too

Organizations
Visit http://www.kem.edu for more details of organisation.(since 1992 till 2010)

Publications
www.doctorchild.com www.pediatricianonline.in www.pediatrician.sulekha.com www.peditips.com www.breathingdiary.com www.neuropediatrician.com www.kondekar.com best is to do a google search for "Dr S kondekar"

Education/Credentials
I am MD DNB in pediatrics and a fellow of College of Physicians and surgeons of Mumbai, and fellow of foundation for advancement of medical education and research GSMC. Currently also as a consultant in child health specialist pediatrician in Mumbai India at Shushrusha Hospital Walk in clinic Daily 7 to 9 pm Dadar West.

Awards and Honors
do visit my BlogSite http://pediatricianonline.in/

Past/Present Clients
A lot number of simple people and medicos who consult Dr SK daily for their problems. Around 4000 plus client on this site alone.

©2016 About.com. All rights reserved.