Concerned mother of a 1 year old boy; help with insight?!

evansmum

New member
Hello everyone...I wrangled with the idea of signing up to post in the forums, because we do not have a diagnosis. I have been wracking my brain for months trying to explain my son's symptoms, and have a couple theories I am fighting to explore. Unfortunately, our GI specialist has been of little to no assistance, and our last appointment on Friday has sent me over the edge. I will be looking for a new specialist, but in the meantime, am hoping to find someone who has a similar story--or has perhaps heard of someone exhibiting the same symptoms.
My youngest will be 1 in less than two weeks, and has been having failure to thrive issues since about 3 months of age. It was at this time that we were referred to a GI specialist to try and rule out possible causes. He was 7 lb 4 oz at birth, but now at almost a year, is still under 17 pounds and wearing 0-3 month outfits. My oldest son was and still is a linebacker. Genetically, we don't run petite on either side, so I found it hard to accept that Ethan was just a "small baby". Because of his FTT, I started him on baby food around 4 months, trying to boost his weight gain. Instead, I had the most irritable baby, who would scream as if he was being murdered during his meals. He would take several spoonfuls, and then burst out in angst...at first I thought he was just a demanding little boy; as though I wasn't feeding him quickly enough. But it kept on occurring, and still does occasionally to this day.
Additionally, his bowel movements have always been off. They are mainly loose and smell god-awful. AWFUL. He will occasionally have formed stools that look layered in color, but only every now and then.
At first the doctors theorized that he had a milk protein sensitivity, and since I was BF'ing and supplementing, I removed dairy from my diet and he used Nutramigen in between. I wasn't convinced that this was the answer, though. It came out of thin air, and his symptoms persisted despite the adjustments. In January he was hospitalized for FTT. Each and every appointment I felt like I was being interrogated about his intake. He has the most INSATIABLE appetite. I kid you not, he eats double--or more--of what my almost 4 year old eats. I don't know where he packs it away, and despite all of the food he eats, he never gains. During the hospital stay, they did an xray, an upper GI, and lab tests. Nothing came back abnormal, and we were sent home. I really began to believe that maybe my concerns were unwarranted and that it was all in my head.
Until March. Ethan woke up screaming from his nap. When I walked into the room to get him, I was greeted with the most malodours diaper. I go to change him, and found TONS of mucous in it...no stool....just a ton of thick, clumpy mucus. I used a qtip to gather it all and was appalled at how much there was. It was revolting and shook me up. I took pictures of it, and kept it to bring to the pediatrician. Over the next week and a half, there was a ton more mucous....over and over. This time with stool, though. Once gathered--probably around the size of a half dollar or so. Just a big ball of mucous. I would post pictures, but I am not sure how to in these forums.
I have been keeping a picture diary of any abnormal stools, but it has not returned. I FINALLY got into the doctor this past Friday, and he was in and out within three minutes. I requested that he test for inflammatory bowel disorders--such as crohn's and ulcerative colitis--and also CF. Apparently there was a fecal elastase test that was done during his hospital stay, and he said it was normal. I felt like he spent the three minutes debunking my theories instead of treating my son, or reassuring me how or why my infant would crap mucous instead of stool. No explanations. No consolation. Just a script for a sweat test (he said he would order it "to be sure"), and a script for some more stool samples. I tried to show him the pictures from the diapers, and he looked at one dismissively, and never remarked on it....I am BEYOND AGGRAVATED, concerned, and overwhelmed.
In my gut I know there is something wrong.
I graduate Wednesday as an RN, and am preparing to sit for my license within the next couple of weeks...I am by no means a doctor, but I have felt the need to advocate for my son and pursue anything that seems clinically relative. As far as my suspicions for CF go, I have researched that sometimes infants present with GI symptoms--abdominal distention, excessive appetitite, failure to thrive....and the latter two just jump out at me. He seems to always have persistent congestion, with a bit of a cough here and there--but I had always thought it was related to my air in my home.
Has anyone had their child have excessive mucous in their diapers or bowel movements? I have searched and searched on google but cannot find a single story relative to my son's....I am wary of CF, but want to be convinced that this is something I don't have to worry about. We have the sweat test on Monday, but with all of the diagnosis stories I have read, I have little faith in the diagnostics they use for this condition.
Help?! And, I'm sorry to impose in the forums with my suspicions...but, I figured you all would be the best point of reference that I could reach out to.
Love and peace,
Katelyn
 

evansmum

New member
Hello everyone...I wrangled with the idea of signing up to post in the forums, because we do not have a diagnosis. I have been wracking my brain for months trying to explain my son's symptoms, and have a couple theories I am fighting to explore. Unfortunately, our GI specialist has been of little to no assistance, and our last appointment on Friday has sent me over the edge. I will be looking for a new specialist, but in the meantime, am hoping to find someone who has a similar story--or has perhaps heard of someone exhibiting the same symptoms.
My youngest will be 1 in less than two weeks, and has been having failure to thrive issues since about 3 months of age. It was at this time that we were referred to a GI specialist to try and rule out possible causes. He was 7 lb 4 oz at birth, but now at almost a year, is still under 17 pounds and wearing 0-3 month outfits. My oldest son was and still is a linebacker. Genetically, we don't run petite on either side, so I found it hard to accept that Ethan was just a "small baby". Because of his FTT, I started him on baby food around 4 months, trying to boost his weight gain. Instead, I had the most irritable baby, who would scream as if he was being murdered during his meals. He would take several spoonfuls, and then burst out in angst...at first I thought he was just a demanding little boy; as though I wasn't feeding him quickly enough. But it kept on occurring, and still does occasionally to this day.
Additionally, his bowel movements have always been off. They are mainly loose and smell god-awful. AWFUL. He will occasionally have formed stools that look layered in color, but only every now and then.
At first the doctors theorized that he had a milk protein sensitivity, and since I was BF'ing and supplementing, I removed dairy from my diet and he used Nutramigen in between. I wasn't convinced that this was the answer, though. It came out of thin air, and his symptoms persisted despite the adjustments. In January he was hospitalized for FTT. Each and every appointment I felt like I was being interrogated about his intake. He has the most INSATIABLE appetite. I kid you not, he eats double--or more--of what my almost 4 year old eats. I don't know where he packs it away, and despite all of the food he eats, he never gains. During the hospital stay, they did an xray, an upper GI, and lab tests. Nothing came back abnormal, and we were sent home. I really began to believe that maybe my concerns were unwarranted and that it was all in my head.
Until March. Ethan woke up screaming from his nap. When I walked into the room to get him, I was greeted with the most malodours diaper. I go to change him, and found TONS of mucous in it...no stool....just a ton of thick, clumpy mucus. I used a qtip to gather it all and was appalled at how much there was. It was revolting and shook me up. I took pictures of it, and kept it to bring to the pediatrician. Over the next week and a half, there was a ton more mucous....over and over. This time with stool, though. Once gathered--probably around the size of a half dollar or so. Just a big ball of mucous. I would post pictures, but I am not sure how to in these forums.
I have been keeping a picture diary of any abnormal stools, but it has not returned. I FINALLY got into the doctor this past Friday, and he was in and out within three minutes. I requested that he test for inflammatory bowel disorders--such as crohn's and ulcerative colitis--and also CF. Apparently there was a fecal elastase test that was done during his hospital stay, and he said it was normal. I felt like he spent the three minutes debunking my theories instead of treating my son, or reassuring me how or why my infant would crap mucous instead of stool. No explanations. No consolation. Just a script for a sweat test (he said he would order it "to be sure"), and a script for some more stool samples. I tried to show him the pictures from the diapers, and he looked at one dismissively, and never remarked on it....I am BEYOND AGGRAVATED, concerned, and overwhelmed.
In my gut I know there is something wrong.
I graduate Wednesday as an RN, and am preparing to sit for my license within the next couple of weeks...I am by no means a doctor, but I have felt the need to advocate for my son and pursue anything that seems clinically relative. As far as my suspicions for CF go, I have researched that sometimes infants present with GI symptoms--abdominal distention, excessive appetitite, failure to thrive....and the latter two just jump out at me. He seems to always have persistent congestion, with a bit of a cough here and there--but I had always thought it was related to my air in my home.
Has anyone had their child have excessive mucous in their diapers or bowel movements? I have searched and searched on google but cannot find a single story relative to my son's....I am wary of CF, but want to be convinced that this is something I don't have to worry about. We have the sweat test on Monday, but with all of the diagnosis stories I have read, I have little faith in the diagnostics they use for this condition.
Help?! And, I'm sorry to impose in the forums with my suspicions...but, I figured you all would be the best point of reference that I could reach out to.
Love and peace,
Katelyn
 

evansmum

New member
I feel like all of these symptoms are finally beginning to paint a bigger clinical picture. Such as this: when we went in to the first GI appointment, an abdominal series was ordered (figured this was pretty standard protocol). I received a call back then regarding the xray results, and surprisingly, it wasn't about any suspicion of his GI tract, but rather that Ethan had some atelectasis observed where the xray had captured part of his lungs. The PA made me feel like this was something I didn't need to be concerned about, and knowing obviously what atelectasis is, I didn't feel like this was a big deal, either. In retrospect, I'm kicking myself for not pursuing it at the time....
And as a disclaimer to the mucous, Ethan was not sick at the time. No runny nose. No fever. No sign or symptom of infection.
 

evansmum

New member
I feel like all of these symptoms are finally beginning to paint a bigger clinical picture. Such as this: when we went in to the first GI appointment, an abdominal series was ordered (figured this was pretty standard protocol). I received a call back then regarding the xray results, and surprisingly, it wasn't about any suspicion of his GI tract, but rather that Ethan had some atelectasis observed where the xray had captured part of his lungs. The PA made me feel like this was something I didn't need to be concerned about, and knowing obviously what atelectasis is, I didn't feel like this was a big deal, either. In retrospect, I'm kicking myself for not pursuing it at the time....
And as a disclaimer to the mucous, Ethan was not sick at the time. No runny nose. No fever. No sign or symptom of infection.
 

JustDucky

New member
I would ask for genetic testing, comprehensive that tests for the over 1600 mutations of CF. Sweat tests are good if they come out strongly positive, then there is no doubt...but if it falls into the borderline category, then things start to get a little fuzzy. Go to an accredited CF center (if you haven't already), see the team and get genetic testing done. Keep listening to your gut instincts and don't settle for anything less than complete devotion to finding the cause for your son's problems. Unfortunately, there are alot of doctors who will brush you off, even look at their watches during the appointment ( yes, I actually had one doctor do that to me, needless to say, it was the last time I saw him), they are a waste of time and energy....just keep moving on until you find a doctor who will look at the whole picture.
Good luck..
Jenn 40 wCF
 

JustDucky

New member
I would ask for genetic testing, comprehensive that tests for the over 1600 mutations of CF. Sweat tests are good if they come out strongly positive, then there is no doubt...but if it falls into the borderline category, then things start to get a little fuzzy. Go to an accredited CF center (if you haven't already), see the team and get genetic testing done. Keep listening to your gut instincts and don't settle for anything less than complete devotion to finding the cause for your son's problems. Unfortunately, there are alot of doctors who will brush you off, even look at their watches during the appointment ( yes, I actually had one doctor do that to me, needless to say, it was the last time I saw him), they are a waste of time and energy....just keep moving on until you find a doctor who will look at the whole picture.
Good luck..
Jenn 40 wCF
 

Julie7

New member
When they did the upper GI, did they do a pancreatic stim test? I have an 8 year old boy, you can read my story, it's just under your post. My son's fecal elastase was >500, but he is mild to moderately pancreatic insufficient as determined by the stim test. From my reading, fecal elastase is a good test and will pick up severe pancreatic insufficiency but not so good at picking up mild to moderate. Pancreatic insufficiency should be ruled out given his symptoms of FFT and seems like steatorrhea. My son is now on enzymes and while we are still awaiting CF genetics, at least he is able to eat without pain and has less diarrhea.
 

Julie7

New member
When they did the upper GI, did they do a pancreatic stim test? I have an 8 year old boy, you can read my story, it's just under your post. My son's fecal elastase was >500, but he is mild to moderately pancreatic insufficient as determined by the stim test. From my reading, fecal elastase is a good test and will pick up severe pancreatic insufficiency but not so good at picking up mild to moderate. Pancreatic insufficiency should be ruled out given his symptoms of FFT and seems like steatorrhea. My son is now on enzymes and while we are still awaiting CF genetics, at least he is able to eat without pain and has less diarrhea.
 

Julie7

New member
Also maybe consider:
Fecal calprotectin, if elevated, indicative of inflammation (you already have mentioned you want to rule out IBD)
Have you had colonoscopy?
Ruled out celiac? You can also request genetic testing for celiac and IBD. It's not diagnostic but helpful to know if he has susceptible genes (in addition to app serology).
You could also request 2nd opinion on pathology slides, have them sent to a large children's hospital that specializes in CF and GI disorders.
I know how you feel, sometimes I feel like I chasing down rabbit holes. Even though we are still in limbo, I'm glad we have gotten this far. You are doing the right thing, keep fighting. And who cares if they think you are the crazy mom with loads of questions. One dr at the hospital we go to actually emailed me back. Well, that opened the flood gates and we exchanged 3 or 4 emails that day. Finally he wrote back that any further no urgent questions would be answered once weekly. He was probably thinking, great...I need to shut this bitch down. I don't care. I bet if it was his son, he would be doing exactly the same thing.
 

Julie7

New member
Also maybe consider:
Fecal calprotectin, if elevated, indicative of inflammation (you already have mentioned you want to rule out IBD)
Have you had colonoscopy?
Ruled out celiac? You can also request genetic testing for celiac and IBD. It's not diagnostic but helpful to know if he has susceptible genes (in addition to app serology).
You could also request 2nd opinion on pathology slides, have them sent to a large children's hospital that specializes in CF and GI disorders.
I know how you feel, sometimes I feel like I chasing down rabbit holes. Even though we are still in limbo, I'm glad we have gotten this far. You are doing the right thing, keep fighting. And who cares if they think you are the crazy mom with loads of questions. One dr at the hospital we go to actually emailed me back. Well, that opened the flood gates and we exchanged 3 or 4 emails that day. Finally he wrote back that any further no urgent questions would be answered once weekly. He was probably thinking, great...I need to shut this bitch down. I don't care. I bet if it was his son, he would be doing exactly the same thing.
 

Printer

Active member
Evansmum:

First congratulations on completing nursing school. Someone in your class finished first and someone finished last. When I need a nurse, I want that person who finished at the top of his/her class.

Most Doctors don't know ANYTHING about CF. It is clear that your Doctor is one of these. If I were you, I would be looking for the best Peads-Gastro-CF Specialist that I could find, Even if I had to fly cross country.

Bill
 

Printer

Active member
Evansmum:

First congratulations on completing nursing school. Someone in your class finished first and someone finished last. When I need a nurse, I want that person who finished at the top of his/her class.

Most Doctors don't know ANYTHING about CF. It is clear that your Doctor is one of these. If I were you, I would be looking for the best Peads-Gastro-CF Specialist that I could find, Even if I had to fly cross country.

Bill
 

Justinsmom

New member
Hi,

Have they done a endoscopy/colonoscopy yet? If so, did they check the eosinophil levels? Sounds like it could possibly be an eosinophilic disorder. From what I have been told, when the GI system is overloaded, either from inflamation, infection, pancreatic issues or any stress, this is what causes the mucus. As my son's pancrease failed (fecal elastase went from 148 to 70 in 5 weeks and then to 25 in the next 3-4 months) he had terrible mucus. His GI system "snowballed" and he developed intollerances to EVERYTHING!!! He could not eat and digest anything. After being on Creon and settling down the underlying problem, these went away along with the mucus. My suggestion is while they are resolving the CF issue, also find a good GI and take care of the GI side. We were with a top hoslital in the country, but my son still snowballed. His BMI went below 3% and he was so malnurished just before he turned 7 it made me sick. So much better now. I wish I would have pushed harder, it would have saved his body all of the stress.

Good luck and prayers from us.
 

Justinsmom

New member
Hi,

Have they done a endoscopy/colonoscopy yet? If so, did they check the eosinophil levels? Sounds like it could possibly be an eosinophilic disorder. From what I have been told, when the GI system is overloaded, either from inflamation, infection, pancreatic issues or any stress, this is what causes the mucus. As my son's pancrease failed (fecal elastase went from 148 to 70 in 5 weeks and then to 25 in the next 3-4 months) he had terrible mucus. His GI system "snowballed" and he developed intollerances to EVERYTHING!!! He could not eat and digest anything. After being on Creon and settling down the underlying problem, these went away along with the mucus. My suggestion is while they are resolving the CF issue, also find a good GI and take care of the GI side. We were with a top hoslital in the country, but my son still snowballed. His BMI went below 3% and he was so malnurished just before he turned 7 it made me sick. So much better now. I wish I would have pushed harder, it would have saved his body all of the stress.

Good luck and prayers from us.
 

Mistyjo

New member
My daughter has tons of mucus in her stools and always has. She is FTT. She is 6yo and was diagnosed cf related metabolic syndrome last yr. Her colon has minimal cftr function so they think that is why there is always mucus. I have taken pics myself and emailed them to our doctors. She had three borderline sweat test. We tried nasal potential difference and she couldn't tolerate it to try to rule in/out cf. we know she has cf related bowel disease but don't know if she has full blown cf.
 

Mistyjo

New member
My daughter has tons of mucus in her stools and always has. She is FTT. She is 6yo and was diagnosed cf related metabolic syndrome last yr. Her colon has minimal cftr function so they think that is why there is always mucus. I have taken pics myself and emailed them to our doctors. She had three borderline sweat test. We tried nasal potential difference and she couldn't tolerate it to try to rule in/out cf. we know she has cf related bowel disease but don't know if she has full blown cf.
 
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