The kids all picked up a nasty cold from the first week of school. Yesterday afternoon, Alice and Robert were mostly over it but James and Matthew were wheezing and phlegm-coughing and a little short of breath. Wheezing is a big red flag in this house, so I debated whether we take them in. We decided to give them one more night and see how things went.
Well, James slept great and woke up 80% better. Wheeze gone, cough almost gone.
Matthew, not so lucky. He woke up every 60-90 minutes with a coughing fit or screaming bloody murder about some abdominal pain I couldn't diagnose. I took him to the bathroom twice, offered him pain meds every time, but all he wanted was to scream in pain for a couple minutes and then pass out once the worst was over. His breathing got a little worse as the night wore on, but I attributed it to all the screaming excitement.
Well, I kept him home from church today and continued to give him breathing treatments (albuterol, like an inhaler) which would help for only a little while. He was panting and out of breath just from rolling over on my lap. Not cool. I took him to convenient care where they administered a bigger dose breathing treatment, but they immediately sent us to the ER when it did very little to relax his airways.
Three more high-dose breathing treatments, a mega dose of oral steroids, one cherry popsicle, 3 stickers, and five hours of Cartoon Network later, he was discharged from the ER with a diagnosis of Reactive Airway Disease (RAD). It's just like asthma. In fact, it COULD actually be asthma, but we won't know until he's old enough to take the official breathing test (about 5 years old). Remind me to have Robert take the official test, by the way.
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| With a TV in every room...the ER is so...so...hypnotic. He was a model patient, especially for the chest x-ray technicians who were expecting a wiggly, fussy, resistant little 3 yo. |
What does this mean? It means that his airways are sensitive to certain triggers that initiate a swelling cascade in his lungs. So far, his triggers have been viral/respiratory infections. That's why
Matthew got worse and James got better last night, even though James
sounded a lot worse yesterday. It also means the albuterol has worked well enough to almost eliminate the wheezing, but he's still panting and easily out of breath. Our job now is to keep the treatments coming, monitor him, and take him to his doctor in a couple days for follow up.
As far as chronic childhood medical issues go, this one is super mild. I can't really complain. But let me catch up on sleep first.
[UPDATE 9/3/18: Matthew still has the cold. Still wheezing, but he's not panting anymore and the abdominal pain hasn't returned. We've been giving him regular breathing treatments as prescribed. He's better today, but not as "better" as I had hoped :( We'll see what the pediatrician thinks as soon as I can make an appointment.]
[UPDATE 9/4/18: Matthew got the thumbs-up from the doctor today. His lungs are still working on this respiratory infection, but there's plenty of air moving around in there and we can space out the breathing treatments to every 6 hours as needed. Matthew is a funny kid. As we walked into the clinic, he was not only talking constantly, but loudly. Practically shouting every little thing he was thinking, "Wow, what's this? Look at this, Mom. I like this. I wish we had one at our house. Then I could be like "wuzshhhhhhhh" and "whoaaaaaaaa" and that would be funny. Hey! Look at those chairs. There's a TV. Ooo, a hotel on the TV. I like hotels. What if our house was a hotel? That's like what we saw when we were here before. I'm glad I brought my plane. Look! Submarine mode "bzshhhh" "pshhh" "and the submarine guys are like "aaaaaaaaaa!" and it flies like a plane *giggle*"
Fortunately for me, the other folks in the waiting room seemed to find him amusing. Then the moment we're called back by the nurse, Matthew zips his lips. He refuses to speak, make eye contact, or even crack a smile at the very friendly nurse. As soon as the nurse is done and out the door, Matthew is jabbering on again, though much quieter now. We wait just long enough for Matthew to start getting very talkative cold feet. The doctor walks in and tries to engage him but he's suddenly a stone wall that doesn't walk or talk or look up. Sheesh! I've come to expect the silence from my less-than-outgoing kids, but Matthew is a VERY social guy who generally likes other people...well, maybe just other kids. Even when the doctor says we are all done and can go select a sticker from the nurse's outstretched hand, Matthew only points to me and looks up with puppy dog eyes begging for me to choose one for him. I select Spider Man. We turn the corner to leave the room and Matthew instantly starts yelling his thoughts about this really awesome Spider-Man sticker that's nothing like the other one from the ER and look how his legs have so many muscles and he's shooting a web out of the bottom of his wrist like this "psh-tchooooo" and wouldn't that be cool to have spider powers, but spiders actually shoot webs out of their bums, but not Spider-Man...]
Glad he's himself again :)