13 yr old daughter diagnosed with CF

bubblegum

New member
My 13 yr old daughter was just diagnosed with CF. She carries the F508/G576A-R688C. She was referred for sweat test by her pedicatrician due to her low weight and height. Her sweat tests were done twice and both times were 42. We were all sure that if she did have CR she would have the pancreatic involvement which would explain her small stature, however we have found she is Pancreatic Sufficient. She has no lung involvement at this time, normal PFTs and Chest X-Ray, no bacteria in sputum. Catching the CF now seems to have been quite a fluke considering that she really shows no symptoms yet. I am just really confused about her receiving treatment. I keep thinking that she is doing well right now so why change what we have been doing. However, I am also very concerned that she has not been treated for all of these years and that could result in a more progressive form of the disease once it does take hold. Would love any feedback that any of you might have.

Thanks<img src="i/expressions/face-icon-small-happy.gif" border="0">
 

bubblegum

New member
My 13 yr old daughter was just diagnosed with CF. She carries the F508/G576A-R688C. She was referred for sweat test by her pedicatrician due to her low weight and height. Her sweat tests were done twice and both times were 42. We were all sure that if she did have CR she would have the pancreatic involvement which would explain her small stature, however we have found she is Pancreatic Sufficient. She has no lung involvement at this time, normal PFTs and Chest X-Ray, no bacteria in sputum. Catching the CF now seems to have been quite a fluke considering that she really shows no symptoms yet. I am just really confused about her receiving treatment. I keep thinking that she is doing well right now so why change what we have been doing. However, I am also very concerned that she has not been treated for all of these years and that could result in a more progressive form of the disease once it does take hold. Would love any feedback that any of you might have.

Thanks<img src="i/expressions/face-icon-small-happy.gif" border="0">
 

bubblegum

New member
My 13 yr old daughter was just diagnosed with CF. She carries the F508/G576A-R688C. She was referred for sweat test by her pedicatrician due to her low weight and height. Her sweat tests were done twice and both times were 42. We were all sure that if she did have CR she would have the pancreatic involvement which would explain her small stature, however we have found she is Pancreatic Sufficient. She has no lung involvement at this time, normal PFTs and Chest X-Ray, no bacteria in sputum. Catching the CF now seems to have been quite a fluke considering that she really shows no symptoms yet. I am just really confused about her receiving treatment. I keep thinking that she is doing well right now so why change what we have been doing. However, I am also very concerned that she has not been treated for all of these years and that could result in a more progressive form of the disease once it does take hold. Would love any feedback that any of you might have.
<br />
<br />Thanks<img src="i/expressions/face-icon-small-happy.gif" border="0">
 

hmw

New member
Hello and welcome! I'm sorry to hear of your daughter's diagnosis but glad you found us here.

Many children develop digestive symptoms long before any pulmonary symptoms. I am very glad to hear that she has been so healthy and I hope this continues for a very long time. I am VERY glad that her pediatrician thought to test for CF upon seeing her growth pattern. Many do not.

Your daughter's 2nd mutation has apparently caused a diagnostic challenge w/ others and is indeed associated with later-onset disease w/ some who have it. (<a target=_blank class=ftalternatingbarlinklarge href="http://www.genomed-dna.com/literatur/Star/1111.pdf">link, page 2</a>) Therefore CF, once diagnosed, is important to take seriously and begin preventative care no matter what the mutations are or how healthy you are at that time. It's so important to stay ahead of things in the effort to prevent lung damage and keep her healthy as she has been all this time. <img src="i/expressions/face-icon-small-smile.gif" border="0">

How small is your daughter (i.e. what percentage on the growth charts)? Slowed growth in and of itself is a 'symptom' of digestive involvement of CF, if more subtle than others. My daughter's dx came about due to a dr finally (at age 7) investigating her growth failure. She started doing much better upon starting enzymes.
 

hmw

New member
Hello and welcome! I'm sorry to hear of your daughter's diagnosis but glad you found us here.

Many children develop digestive symptoms long before any pulmonary symptoms. I am very glad to hear that she has been so healthy and I hope this continues for a very long time. I am VERY glad that her pediatrician thought to test for CF upon seeing her growth pattern. Many do not.

Your daughter's 2nd mutation has apparently caused a diagnostic challenge w/ others and is indeed associated with later-onset disease w/ some who have it. (<a target=_blank class=ftalternatingbarlinklarge href="http://www.genomed-dna.com/literatur/Star/1111.pdf">link, page 2</a>) Therefore CF, once diagnosed, is important to take seriously and begin preventative care no matter what the mutations are or how healthy you are at that time. It's so important to stay ahead of things in the effort to prevent lung damage and keep her healthy as she has been all this time. <img src="i/expressions/face-icon-small-smile.gif" border="0">

How small is your daughter (i.e. what percentage on the growth charts)? Slowed growth in and of itself is a 'symptom' of digestive involvement of CF, if more subtle than others. My daughter's dx came about due to a dr finally (at age 7) investigating her growth failure. She started doing much better upon starting enzymes.
 

hmw

New member
Hello and welcome! I'm sorry to hear of your daughter's diagnosis but glad you found us here.
<br />
<br />Many children develop digestive symptoms long before any pulmonary symptoms. I am very glad to hear that she has been so healthy and I hope this continues for a very long time. I am VERY glad that her pediatrician thought to test for CF upon seeing her growth pattern. Many do not.
<br />
<br />Your daughter's 2nd mutation has apparently caused a diagnostic challenge w/ others and is indeed associated with later-onset disease w/ some who have it. (<a target=_blank class=ftalternatingbarlinklarge href="http://www.genomed-dna.com/literatur/Star/1111.pdf">link, page 2</a>) Therefore CF, once diagnosed, is important to take seriously and begin preventative care no matter what the mutations are or how healthy you are at that time. It's so important to stay ahead of things in the effort to prevent lung damage and keep her healthy as she has been all this time. <img src="i/expressions/face-icon-small-smile.gif" border="0">
<br />
<br />How small is your daughter (i.e. what percentage on the growth charts)? Slowed growth in and of itself is a 'symptom' of digestive involvement of CF, if more subtle than others. My daughter's dx came about due to a dr finally (at age 7) investigating her growth failure. She started doing much better upon starting enzymes.
 
M

Mommafirst

Guest
Welcome. I'm sorry you are dealing with diagnosis.

A good deal of CF care is getting in preventatively. It is so good that your daughter is doing so well, but starting airway clearance and nebs now will help prolong her health and teach her how to care for herself once she goes out on her own.

My daughter is pancreatic sufficient, but still she has a feeding tube for failure to thrive. CF is a weird beast, it is unpredictable and different for each patient. I hope your daughter continues to do well.
 
M

Mommafirst

Guest
Welcome. I'm sorry you are dealing with diagnosis.

A good deal of CF care is getting in preventatively. It is so good that your daughter is doing so well, but starting airway clearance and nebs now will help prolong her health and teach her how to care for herself once she goes out on her own.

My daughter is pancreatic sufficient, but still she has a feeding tube for failure to thrive. CF is a weird beast, it is unpredictable and different for each patient. I hope your daughter continues to do well.
 
M

Mommafirst

Guest
Welcome. I'm sorry you are dealing with diagnosis.
<br />
<br />A good deal of CF care is getting in preventatively. It is so good that your daughter is doing so well, but starting airway clearance and nebs now will help prolong her health and teach her how to care for herself once she goes out on her own.
<br />
<br />My daughter is pancreatic sufficient, but still she has a feeding tube for failure to thrive. CF is a weird beast, it is unpredictable and different for each patient. I hope your daughter continues to do well.
 

bubblegum

New member
Thanks so much for your feedback. My daughter was in the 5th percentile for both height and weight six weeks ago. She has been tiny her entire life, but generally in the 15th percentile. She has gained 10 lbs in the past six weeks because we have really increased her caloric intake and she is cooperating. She was a very small and picky eater and never stops moving, so I think that is partially why she is so small. We have also gone the endochrinology route as well and have ruled out everything on that end. I have read that her mutations are generally associated with pancreatic sufficiency. However, it sounds like you can not count on anything with this disease.

Your daughter is beautiful and lucky to have a mom who is so smart. I've read your other posts in different places. Thanks for your advice about being proactive, I know that is what needs to be done. This diagnosis is hard for everyone to deal with and the treatment routine is not what a 13 year old wants to do, but she must.
 

bubblegum

New member
Thanks so much for your feedback. My daughter was in the 5th percentile for both height and weight six weeks ago. She has been tiny her entire life, but generally in the 15th percentile. She has gained 10 lbs in the past six weeks because we have really increased her caloric intake and she is cooperating. She was a very small and picky eater and never stops moving, so I think that is partially why she is so small. We have also gone the endochrinology route as well and have ruled out everything on that end. I have read that her mutations are generally associated with pancreatic sufficiency. However, it sounds like you can not count on anything with this disease.

Your daughter is beautiful and lucky to have a mom who is so smart. I've read your other posts in different places. Thanks for your advice about being proactive, I know that is what needs to be done. This diagnosis is hard for everyone to deal with and the treatment routine is not what a 13 year old wants to do, but she must.
 

bubblegum

New member
Thanks so much for your feedback. My daughter was in the 5th percentile for both height and weight six weeks ago. She has been tiny her entire life, but generally in the 15th percentile. She has gained 10 lbs in the past six weeks because we have really increased her caloric intake and she is cooperating. She was a very small and picky eater and never stops moving, so I think that is partially why she is so small. We have also gone the endochrinology route as well and have ruled out everything on that end. I have read that her mutations are generally associated with pancreatic sufficiency. However, it sounds like you can not count on anything with this disease.
<br />
<br />Your daughter is beautiful and lucky to have a mom who is so smart. I've read your other posts in different places. Thanks for your advice about being proactive, I know that is what needs to be done. This diagnosis is hard for everyone to deal with and the treatment routine is not what a 13 year old wants to do, but she must.
 

LondonFog214

New member
Dear Bubblegum,

My 14 year-old son was diagnosed with CF this year after being hospitalized on emergent basis twice this year with pancreatitis. It took several months to get a difinitive diagnosis. He had some borderline issues. He has had some respiratory issues and a chronic cough with some GI probs since birth. He has teetered between 5% to 15% percentile since birth. After many specialists through the years blamed everything on allergies and asthma we found the right docs. Shortly after that his 11 yr-old sister was diagnosed via genetic testing. Shock of the century. I was shocked and ripped to shreds by my son's diagnosis, but we finally had answers and were able to connect dots. But our daughter is "asymptomatic". 5%-10% since birth but they said "well you and your husband are short". She does get mild chronic belly aches and can not finish a meal, but she is hungry all the time. It was not really serious though. She is doing well and yes has a sufficient pancreas. The only treatment she takes is vest with hypertonic 7% once a day and albuterol(puffer) twice a day, prevacid(recently),and Vitamin D. She did have a cold that was aggressively treated and was able to avoid hospitalization, thank god.
Our son on the other hand has had one hell of a year. He started out pancreatic sufficient but due to mulptiple pancreatic attacks this year is now borderline or insufficient, we aren't sure yet. He has been on enzymes anyway so is already covered. His last pancreatic attack was beginning of October then he was hospilized with lung exasperation from rhino virus. Excellent experience even though it was not fun. We all learned a lot.He is out and getting better. Just dealing with joint pain which we can't figure that out yet. The good news for him is his lung function after all these years of misdiagnosis is good- 98% after hospital. Looking back there were numerous occasions that he had a lung exasperations through the years but was not diagnosed yet, but he pulled through untreated (properly at least).
The hardest part of this has been the emotional componant of getting used to this change. He is 14 as your daughter is 13. How is she dealing with that? Have they put her on any meds or treatments? He is on pulmozyme, vit D, prilosec, adek vitamins, creon enzymes, albuterol,vest, hypertonic 7%, and zantac. If she complains of upper abdomen pain that goes straight across her bottom of rib cage and diaphram that does not go away, pay attention. That does not mean she is going insufficient it just could be pancreatic attack. Fat aggravates it and they need to lay off it for a while and if worse go for iv fluids.
Our son has been sharing his diagnosis with most people he knows. At 1st my husband and I weren't sure about how that would go. We left it up to him. Our daughter on the other hand has chose to be a little more private and only shared with a few. It is their disease and I feel it is their choice since they are teens or tweens. I hope she is okay and I understand your concerns. Keep yourself well and hang in there.

Mom of 11 y/o daughter and 14 y/o with CF L997F and 394delTT
 

LondonFog214

New member
Dear Bubblegum,

My 14 year-old son was diagnosed with CF this year after being hospitalized on emergent basis twice this year with pancreatitis. It took several months to get a difinitive diagnosis. He had some borderline issues. He has had some respiratory issues and a chronic cough with some GI probs since birth. He has teetered between 5% to 15% percentile since birth. After many specialists through the years blamed everything on allergies and asthma we found the right docs. Shortly after that his 11 yr-old sister was diagnosed via genetic testing. Shock of the century. I was shocked and ripped to shreds by my son's diagnosis, but we finally had answers and were able to connect dots. But our daughter is "asymptomatic". 5%-10% since birth but they said "well you and your husband are short". She does get mild chronic belly aches and can not finish a meal, but she is hungry all the time. It was not really serious though. She is doing well and yes has a sufficient pancreas. The only treatment she takes is vest with hypertonic 7% once a day and albuterol(puffer) twice a day, prevacid(recently),and Vitamin D. She did have a cold that was aggressively treated and was able to avoid hospitalization, thank god.
Our son on the other hand has had one hell of a year. He started out pancreatic sufficient but due to mulptiple pancreatic attacks this year is now borderline or insufficient, we aren't sure yet. He has been on enzymes anyway so is already covered. His last pancreatic attack was beginning of October then he was hospilized with lung exasperation from rhino virus. Excellent experience even though it was not fun. We all learned a lot.He is out and getting better. Just dealing with joint pain which we can't figure that out yet. The good news for him is his lung function after all these years of misdiagnosis is good- 98% after hospital. Looking back there were numerous occasions that he had a lung exasperations through the years but was not diagnosed yet, but he pulled through untreated (properly at least).
The hardest part of this has been the emotional componant of getting used to this change. He is 14 as your daughter is 13. How is she dealing with that? Have they put her on any meds or treatments? He is on pulmozyme, vit D, prilosec, adek vitamins, creon enzymes, albuterol,vest, hypertonic 7%, and zantac. If she complains of upper abdomen pain that goes straight across her bottom of rib cage and diaphram that does not go away, pay attention. That does not mean she is going insufficient it just could be pancreatic attack. Fat aggravates it and they need to lay off it for a while and if worse go for iv fluids.
Our son has been sharing his diagnosis with most people he knows. At 1st my husband and I weren't sure about how that would go. We left it up to him. Our daughter on the other hand has chose to be a little more private and only shared with a few. It is their disease and I feel it is their choice since they are teens or tweens. I hope she is okay and I understand your concerns. Keep yourself well and hang in there.

Mom of 11 y/o daughter and 14 y/o with CF L997F and 394delTT
 

LondonFog214

New member
Dear Bubblegum,
<br />
<br /> My 14 year-old son was diagnosed with CF this year after being hospitalized on emergent basis twice this year with pancreatitis. It took several months to get a difinitive diagnosis. He had some borderline issues. He has had some respiratory issues and a chronic cough with some GI probs since birth. He has teetered between 5% to 15% percentile since birth. After many specialists through the years blamed everything on allergies and asthma we found the right docs. Shortly after that his 11 yr-old sister was diagnosed via genetic testing. Shock of the century. I was shocked and ripped to shreds by my son's diagnosis, but we finally had answers and were able to connect dots. But our daughter is "asymptomatic". 5%-10% since birth but they said "well you and your husband are short". She does get mild chronic belly aches and can not finish a meal, but she is hungry all the time. It was not really serious though. She is doing well and yes has a sufficient pancreas. The only treatment she takes is vest with hypertonic 7% once a day and albuterol(puffer) twice a day, prevacid(recently),and Vitamin D. She did have a cold that was aggressively treated and was able to avoid hospitalization, thank god.
<br /> Our son on the other hand has had one hell of a year. He started out pancreatic sufficient but due to mulptiple pancreatic attacks this year is now borderline or insufficient, we aren't sure yet. He has been on enzymes anyway so is already covered. His last pancreatic attack was beginning of October then he was hospilized with lung exasperation from rhino virus. Excellent experience even though it was not fun. We all learned a lot.He is out and getting better. Just dealing with joint pain which we can't figure that out yet. The good news for him is his lung function after all these years of misdiagnosis is good- 98% after hospital. Looking back there were numerous occasions that he had a lung exasperations through the years but was not diagnosed yet, but he pulled through untreated (properly at least).
<br />The hardest part of this has been the emotional componant of getting used to this change. He is 14 as your daughter is 13. How is she dealing with that? Have they put her on any meds or treatments? He is on pulmozyme, vit D, prilosec, adek vitamins, creon enzymes, albuterol,vest, hypertonic 7%, and zantac. If she complains of upper abdomen pain that goes straight across her bottom of rib cage and diaphram that does not go away, pay attention. That does not mean she is going insufficient it just could be pancreatic attack. Fat aggravates it and they need to lay off it for a while and if worse go for iv fluids.
<br />Our son has been sharing his diagnosis with most people he knows. At 1st my husband and I weren't sure about how that would go. We left it up to him. Our daughter on the other hand has chose to be a little more private and only shared with a few. It is their disease and I feel it is their choice since they are teens or tweens. I hope she is okay and I understand your concerns. Keep yourself well and hang in there.
<br />
<br />Mom of 11 y/o daughter and 14 y/o with CF L997F and 394delTT
 
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