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


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.

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

please follow up with details.


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


also click here for what to ask a doctor?. download Question answer android app on child health from . 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 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


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