scared...sweat test

anonymous

New member
Hello...Tomorrow my 2 1/2 yr old daughter is going to take a sweat test. I thought CF was ruled out a year ago after having a blood test but just recently after a visit with a pulmonary specialist I was told that the sweat test should be taken. My daughter has asthma and was finally diagnosed with it when she was around one. Whenever she gets a cold her asthma will kick in a day or two later. We have learned to deal with this and give her pulmocort at the first sign of a cold and continue on 2x a day for 7-10 days. She also takes Albuterol or Xoponex as needed. She has all the food allergies imaginable except the wheat allergy. She was born premature 6wks and today weighs 22 pounds. She's never been hospitalized. She's a very happy little girl with high energy all day long. A few months ago I had an appt with our Ped to talk about her stools. I've noticed that she goes frequently at least 3-4 times a day. Sometimes the stool is loose and smells foul and other times it's more solid. We've tried cutting out the juice in her diet and/or really watering it down to see if that helps. I think it has but I'm still not sure. My concern to the doctor was if this was normal? He completely blew it off and felt that she was a very normal and healthy toddler given the fact that she does have some food allergies and asthma. He was also comfortable with her weight gain of 2 lbs in 5 months. So, it didn't go any further than that. A few months after the Ped appointment iI made an appt with a pulmonary specialist just to check her out. That is when I felt the shiver go through my body. He went over question after question and seemed to think everything was fine until I told him about her stools. He asked me to lick her skin and I did. And yes, it tasted salty. I could really judge if it was salty salty or just salty. He suggested getting the sweat test as the blood test does not rule out CF. I have some knowledge of CF as I work at Genentech where we make Pumozyme. Also, many years ago I studied Respiratory Therapy for awhile in college before getting my BS degree. I've been looking online to find out more about signs and symptoms of CF and what I am feeling is that my daughter has all the s & s's. MY husband thinks I am really overreacting. He's looked them over too and cut out more than half the symptoms she does not display. Is it possible that she displays some symptoms because she has asthma and food allergies? Just wondering if anyone has any thoughts or suggestions? I know now that you have to be very proactive with doctors and seek out the information you need rather than just going by what one person tells you. I was at work today when I saw this site. I ended up leaving work early very distraught and caught up with emotions(not because of the site). I feel better now and ready to deal with whatever it is that comes our way. We love our little girl so much. We also have a healthy 7 year old daughter that is also such a joy.

Thanks for listening.
 

EmilysMom

New member
Not every child with CF is going to have every symptom and every child with CF is going to show different degrees of each symptom. Sorry! There are no black and whites with CF..it's all gray basically. Some of your daughter's symptoms unfortunately do sound like CF. My daughter also was diagnosed with asthma, tasted salty, had frequent smelly stools and she has CF, but she was diagnosed at two days of age so we already knew that. Her sweat test at 4 months of age came back at 103. (We just found that out the other day! We never knew what her numbers were until her last clinic visit). Go for the sweat test, keep good thoughts and come back here to let us know what happens. We are here for support, to answer questions, for venting and friendship. Hang in there!
 

anonymous

New member
Also, bear in mind that the great majority of children who are sweat tested do NOT have cf. I have a 7 year old without cf but with many of the symptoms (barely on the growth charts despite being at the 95% at birth, asthma, chronic cough, very severe chronic sinusitis that is unresponsive to medical management or surgical intervention, lots of stomach problems.) All his specialties suspected cf - allergy, pulmonology, and ENT but his sweat test was very low negative and genetic testing found no genes. It's good that you're getting the sweat test to rule it. Try not to stress out - remember that that is what it usually is - a rule out. Good luck, please keep us informed.
 

anonymous

New member
Also, wanted to say that inhaled steroids work best when used continuously. Most take at least 5-7 days to reach max therapeutic benefit. Using them intermittantly works ok for the mildest cases of asthma, but if you feel like your dd's asthma isn't controlled well enough, try using them continuously for a couple of months. It made a world of difference for all my children.
 

anonymous

New member
Thank you for all your information and support. I am doing my best to remain positive and will just now wait until the results come in later this afternoon. We are starting (especially with the fall right around the corner) daily treatments of Pulmicort and taking Singulair each day to help reduce inflamation usually brought on by a cold. We just saw the allergist this week and that was what he had recommended. My daughter started rejecting the powder form of Singulair last year when we gave it to her. Somehow she seemed to know that it was in her applesauce or whatever we would put it in. We now give her the pill form and seem to be having much better luck. I suffered asthma and allergies as a child and so did my father. However, I remember having to take an awful liquid form of Albuteral. Thank goodness for technology today and for the possibilities in the future.
 

anonymous

New member
Hi.

Our little girl was diagnosed after, in and out, of the hospital many times initially after birth (2001). Try not to presume any thing but if the worst comes to the worst believe us there is every thing to fight for and your resolve will carry your child through. I know you are worried and I know it is every parents worst nightmare but there is always hope even if the situation does develop and also plenty of support. Please let us know how you get on. Take Care.
 

anonymous

New member
I'm so glad you took the initiative to take her to a pulmonologist. Unfortunately, the majority of pediatricians just don't understand what CF symptoms entail (we took our son to over FIVE before someone took us seriously - and even still I had to ASK for a sweat test). Our son had most of the symptoms but not all. There are over 1000 mutations of CF so everyone's symptoms and cases are different. If your daughter DOES test positive, keep in mind it is not the end of the world! Treatment has come a long way for CF just in the last few years. Researchers are doing great things and my hub and I really believe a cure is not far away. Please keep us posted on your daughter's results and hang in there. If you'd like to email me, you can at: bono40@aol.com.

Hugs,

Carey
 

anonymous

New member
The doctor called this afternoon with very good news. My husband answered the phone as I was afraid I wouldn't be able to handle what they were about to say. Her sweat test came back normal at 18. I almost dropped to the floor when I heard my husband say "18" as he gave a big "sigh" of relief. We hugged each other with big tears in our eyes. I called my mom immediately with the news as she was very concerned and also worried. I know tonight I will be able to finally get a full nights sleep and awake with a clear head. Earlier this week we got back home from a long car trip that took us through the worst smog I have ever seen in my life (LA). This smog set off our daughter's asthma which resulted in many days of nebulizer treatments and sleepless nights. She is finally now on the road to recovery and her breathing is much better. Today she had two semi firm stools and ate very well. I wonder if drinking her "soymilk" could be the cause for the loose stools that she frequently has? Could she have IBS as I do? The Ped just seems to believe that this is how her system operates. I'm still not satisfied with that answer. But for now I will just be happy with the results we got today and not take for granted each breath we take.
I also want to say how that the support and feedback I've been given by all of you has been truly amazing. You helped give me strength and encouragement. I'm thankful to you for this and wish you all the best in your life and your loved ones too.
 

julie

New member
It is great the news came back as such and that the sweat test is negative. I don't waint to rain on your parade, but have you considered having genetic testing done on your child? Many families on this site will tell you their children had repeated negative sweat tests and the parents were still having the same problems so they had a blood test done and guess what..... positive for CF. It just seems that you child has such classic CF symptoms.

Hope all goes well for you!
 

anonymous

New member
Our daughter had a blood test a year ago which came out negative for CF. I didn't realize at that time that this did not R/O CF. This is why we did the sweat test. Is there another blood test you are refering to other than the this one?
 

julie

New member
Do you recall how many different mutations the test you had a year ago tested for? If it was a "standard" one at a hospital or general pediatric clinic, they probably only tested for 25-85 of the most common mutations. It is now known that there are over 1000 mutations and more are being discovered every day. It is very possible that your child has a rare mutation, seeing that she had a negative blood test before and a negative sweat test. It is just a thought I would mention it., especially when you list the symptoms and they sound so much like CF.

I am thrilled that the sweat test came back negative, I hope this is the end of the CF road for your family-I truely do! Stay in touch though
 

anonymous

New member
I will have to probe further and find out about the blood test she had. I know it was performed at an accredited CF care center. Not sure if that matters or not.

Thanks again for the advice <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

julie

New member
No problem. Believe me, I hope this is all settled for your family!!!! Blood tests done at accredited CF centers are usually only to a maximum of 85 mutations. This Ambry test is pretty new (I want to say a year or two old) so it is still gaining a "following" by doctors. I acutally had to give our CF doc the website, contact information and all sorts of stuff because he had never heard of it and "wasn't too sure about all of it". We had to appeal with our insurance company to get it covered because they thought that the standard 85 would sufice but given that Mark has already been diagnosed with Cf and we were pursuing pregnancy, we had to rule me out as a carrier. It is still not 100% guaranteed as there are more and more mutations being discovered every day, but it made me feel more comfortable that there wasn't a match for over 1000 mutations.

If you ever want to talk off the board, you can reach me at division902@hotmail.com

Take care,
 

Edna0312

New member
Wow! When I read your post, it really sounded familliar. My daughter is 2 1/2 and has had problems since birth with her bowels. We've had two sweat tests and both were neg.(15-35) But, I'm not convinced. We are going to have genetic testing done next week. She doesn't have asthma, although she does have asthmatic type spells of wheezing/crackling and has to use a nebulizer. And, she does have some food allergies and other allergies. You can read my story on my topic posted of "Problems with Diagnosis". I applaud you for being proactive and encourage you to continue.

May God Bless you.

In Search of Answers,

Edna
(Daughter 5yr; Daughter 2 1/2yrs ??CF, Son 3mos. ??CF)
 
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