Okay, so another Matthew update. (I'm not planning to change the title of this blog to Matthew's Story, so this better all clear up soon :)
So last time I wrote about the diluted formula. We did that for two days and did not see any change in the diarrhea, only thing we noted was he was more content those days ... coincidence? (famous question!). So we figured we better not deprive him of his nutrients for too long and we put him back on regular formula. Miserable boy that day, no change in diarrhea again, vomitting at the end of the day. Time for a new plan of action. So we took him off of his milk-based formula and put him on a hypoallergenic formula called Alimentum. This is for milk and/or soy allergies and is also made with pre-digested protein. One day later we had proper stools again and back down to two a day. We've only seen mucas in one diaper so far.
This is all great and wondeful, but what does it mean??? It would be odd for him to develop such a reaction to milk after being on formula for six months, yet it is not impossible for there is such a thing as slow onset milk intolerance which usually develops after digesting a moderate amount of milk protein. But yet, he should have had some symptoms earlier (he hasn't had diarrhea before, but has had vomitting episodes before) and you wouldn't expect him to be effect for so long afterwards.
To add to our confusion and constant famous question of coincidence, last week Matthew developed a rash/bumps on his face, mostly his cheeks. Looks mostly like hives with raised red bumps, but is contained to his cheeks. Flares up and settles down, but doesn't go away, even after the formula change. Related to the diarrhea issues? or something totally seperate?
As for the cough. That one is more confused now by that fact that he might actually have a cold, although it's really hard to tell. Since the girls have colds and he's gotten worse the last few days I'm thinking right now he has a cold ... but doubting the original cough was a cold. He redeveloped his cough 10 days after coming off antibiotics, mild but back. It's nothing serious, just a congested sounding cough mostly during the beginning of his nap or in the late evening. It's not very often he does it when awake, he just sounds a bit congested when waking up.
His Resp Rate has come down to a high, but more acceptable level of around 55-65bpm. This is better then the 60-75 we were getting a couple weeks ago ... hopefully it will continue this way.
So the combination of everything ... means?? ... not sure!! The doctor thinks the rash is likely just a typical baby rash/eczema from the weather. Possible - altho I've had a lot of eczema and a the other kids have also and it definitely doesn't look like that. Milk allergy can cause a rash, but not necessarily contained to the checks tho. As for the diarrhea and formula she had no answer and no results from the stool tests we did last week. She suggested giving him another week or so on Alimentum and then putting him back onto his old formula, feeling the only way to really figure it out is to challenge his system. If symptoms reoccur then we'll have to do some further testing. Nothing we can do about the cough issues right now as we're not sure if he has a cold or not, and not even sure what it would mean, epescially considering the resp. rate has improved a bit.
After we got the LPI results back we were a bit more confident that we could just sit back and let the Resp Rate issue be for a while since that was the only symptom we were seeing. Then we got a good report on his heart, which added more reason to let it be. He continues to grow well which tells us his bodies not struggling too badly. The diarrhea issue just through a loop into everything and the presistent cough isn't all the comforting either ... but hopefully just a cold (fingers crossed). So we'll chug away at the formula issue and see what the next weeks bring.
Matthew's Rash. It flares up more and the red bumps get bigger and more of them at times, often after a nap. Pictures don't really show it very well. Seen anything like it? Just eczema?