RE: GI help

November 19, 2008

Sounds like slow motility and perhaps a blockage. Low grade fever,

projectile vomiting of undigested food and diarrhea from Miralax. Miralax

will not clear a blockage in my experience. But I would hesitate to suggest

something more cathartic - call that DOC and explain the symptoms. I cannot

say anything about hiccups - there are sooooo many reasons for that and not

hiccupping in sleep - no clue. You are now a week away from last visit. I

would call first thing in the morning.

On Wed, Nov 19, 2008 at 9:20 PM, L. Davenport <

melissad@...> wrote:

> OK, GI gurus, I need your help!!!

>

> Logan has been having GI issues for a couple of weeks. We started him on

> Miralax about 3 weeks ago b/c of stool accidents at school – basically in

> an

> effort to change his schedule. Now he has had the hiccups for almost 2

> weeks. We saw a new GI doc on (last) Thursday who increased his zantac and

> said to continue Miralax. Logan still has hiccups and after two days of no

> BM, I gave him an extra ½ capful of Miralax this morning. Bad idea.

>

> He had a BM before school, one at school/when I picked him up and another

> later at another DR. appt. Hiccups continued, then when I was laying down

> with him for bed, he started projectile vomiting. What was scary was that

> there were still whole pieces (sorry) of mandarin oranges from his LUNCH.

>

> Now what? Low grade fever, sleeping, no hiccups in sleep. Is is a virus,

> blockage, slow digestion (again). I need some thoughts. As I mentioned,

> this is a new GI doc as Logan has not seen one in 6 or 7 years (he is 9 ½)

> and I don't have a great comfort level with her yet.

>

> Any and all thoughts/advice welcome.

>

November 19, 2008

I'd call tomorrow, . gets fecal impactions periodically. Often

miralax does clear it, but sometimes he also needs an enema. The fact that Logan

vomited food tells me, I think, that he is not completely blocked. just had

a nasty GI illness and a fecal impaction at the same time, and all he could

vomit was bile until the blockage was cleared. I would wonder if Logan's

digesting properly, though, with the whole pieces.

Not to be gross, but after the miralax, were his BMs diarrhea or did he have a

nice wad? Diarrhea and soft stool can come around an impaction; if he has been

impacted and it passed, then there would likely be a wad (like a how the heck

did he pass that kind of wad). At least that's been our experience.

Is he lethargic? When went into the hospital with this stuff a couple weeks

ago it was kind of a no-brainer; he was vomiting bile every few minutes and

looked very lethargic with a rapid heart beat and shortness of breath. If he has

any of that, go to the ER, but if not, definitely at least call the GI tomorrow,

and if you don't feel right about what they say, call your pediatrician's

office. Always trust the Mommy gut. We are right far more than we're wrong.

Beth

GI help

OK, GI gurus, I need your help!!!

Logan has been having GI issues for a couple of weeks. We started him on

Miralax about 3 weeks ago b/c of stool accidents at school - basically in an

effort to change his schedule. Now he has had the hiccups for almost 2

weeks. We saw a new GI doc on (last) Thursday who increased his zantac and

said to continue Miralax. Logan still has hiccups and after two days of no

BM, I gave him an extra ½ capful of Miralax this morning. Bad idea.

He had a BM before school, one at school/when I picked him up and another

later at another DR. appt. Hiccups continued, then when I was laying down

with him for bed, he started projectile vomiting. What was scary was that

there were still whole pieces (sorry) of mandarin oranges from his LUNCH.

Now what? Low grade fever, sleeping, no hiccups in sleep. Is is a virus,

blockage, slow digestion (again). I need some thoughts. As I mentioned,

this is a new GI doc as Logan has not seen one in 6 or 7 years (he is 9 ½)

and I don't have a great comfort level with her yet.

Any and all thoughts/advice welcome.

November 20, 2008

Thanks to all for the input. I am anxiously awaiting 8:00 to call the

doctor.

Beth – mashed potatoes since Miralax. Eew! And, yes, we don’t know if this

is a true GI issue or a virus at this point. Either way, seeing whole food

last night is enough to get me wired up as Logan had a pyloraplasty when he

was 18 months old. This has been in the back of my mind with all of the

hiccups, as well, as they can be a signal of reflux.

I will let you all know what happens later.

_____

From: [mailto: ] On Behalf

Of B DeHoff

Sent: Wednesday, November 19, 2008 10:44 PM

To:

Subject: Re: GI help

I'd call tomorrow, . gets fecal impactions periodically. Often

miralax does clear it, but sometimes he also needs an enema. The fact that

Logan vomited food tells me, I think, that he is not completely blocked.

just had a nasty GI illness and a fecal impaction at the same time, and

all he could vomit was bile until the blockage was cleared. I would wonder

if Logan's digesting properly, though, with the whole pieces.

Not to be gross, but after the miralax, were his BMs diarrhea or did he have

a nice wad? Diarrhea and soft stool can come around an impaction; if he has

been impacted and it passed, then there would likely be a wad (like a how

the heck did he pass that kind of wad). At least that's been our experience.

Is he lethargic? When went into the hospital with this stuff a couple

weeks ago it was kind of a no-brainer; he was vomiting bile every few

minutes and looked very lethargic with a rapid heart beat and shortness of

breath. If he has any of that, go to the ER, but if not, definitely at least

call the GI tomorrow, and if you don't feel right about what they say, call

your pediatrician's office. Always trust the Mommy gut. We are right far

more than we're wrong.