asthma question *updated at top*

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asthma question *updated at top*

Well, Micah has his very first ear infection. Unbelievable that it would make him this sick, poor little guy.

The great news, though, is that finally a medical professional actually witnessed his cough/vomit in the act - he gave them 3 examples in the exam room (so fun). She confirmed what I've been really suspecting, which is that he just has a really strong gag reflex. She thinks the root of all the vomiting he has done over the past 7 months is due to his gag reflex. I guess the cough is just the asthma. So I feel much better about the vomiting, but I'm kicking myself for not having taken him in sooner... although, he had no fever and hasn't touched his ears at all. Of course, Noelle almost never gets a fever with her EIs, either.

I'm now wondering about the state of Brian's ears, because he has also been dealing with the snots for almost a month now and he was absolutely inconsolable this morning... I thought it was just teething, but maybe there's something more going on.

Anyway, Micah's lungs sound great and his blood oxygen level was at least 97% (we had a hard time getting a reading).

Thanks for all your concern. I have a feeling it's going to be a looooong night... anyone want to come and play? Smile

Sadly, I know we have some experts around here. Sad I'm waiting on a call back from Micah's pulmonologist and also the pedi, but I thought I'd type this out so I can avoid just pacing around and being nervous. Micah has been doing awesome with his 'asthma' since Thanksgiving. He hasn't vomited since the day before Thanksgiving, and he really hasn't even been coughing that much. This is especially surprising because he and Brian have both been pretty snotty and drooly ever since they got their flu shots about a month ago. Normally a cold makes Micah cough/vomit a whole lot. So he woke up from his nap today and i had noticed that he coughed a few times in his sleep, but nothing alarming. Within about 10 minutes of waking, he was downstairs with Noelle when he coughed and vomited everywhere. Since then, it's just been nonstop coughing/vomiting - more times than I can count. I did a breathing treatment for the first time since Thanksgiving, but aside from puking up a truckload of mucous, it hasn't seemed to help his coughing. Gave them lunch (which he didn't keep down) and towards the end he was acting really tired/lethargic. It was almost naptime and I think (hope!) he was just worn out from all the coughing/vomiting. I changed his clothes and offered to nurse him (he refused) and put him down. He vomited all over me just before I laid him down. He's been coughing in his sleep a lot. He doesn't seem to be having any trouble breathing. I've never heard him wheeze (and neither have any doctors - his lungs have always sounded good to them). He's very pale and for a second I started to panic because it seemed like his lips looked a little blue, but it ended up being a tiny bit of leftover blackberries from last night kind of ground into his lips. :roll: So his symptoms are coughing like crazy, vomiting with the coughing, no color in his face, and sleepiness/lethargy?. This has NEVER come out of nowhere like this. It usually escalates gradually. It's been a long time since I've seen him this sleepy and 'out of it' and that's the part that freaks me out the most. So what should I be looking/listening for before I take him in somewhere? ETA: I feel like I have asked this and gotten the answer many times, but I just can't seem to get my puny brain to remember it. Can I give him ibuprofen around the same time as the albuterol?

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wow ruth...sorry you are going through this.....i don't really have any experience with asthma but i don't see any reason for you not to be able to give him albuterol and ibuprofen at the same time!!!!!!

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Ruth, i know i will sound like i am coming out of left field with this, but what did he eat this morning? Anything new or new-ish? This sounds like a reaction. Some reactions are delayed (approx 2 hrs).
Sounds like you are describing borderline shock with the lethargy. Ella always turned blue around the lips during a reaction. Was he cool to the touch?

:bigarmhug:

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No, if anything he felt slightly warm - probably from all the hacking. He ate his usual breakfast (cheerios and pears) this morning and nursed and also had milk before his nap. We are depressingly predictable around here for breakfast. I did give him maybe 3 bites of a whole grain pancake, but he's also had that many, many times before. It does sound like shock, though, doesn't it? Sad

I finally have gotten calls back from both pulm and pedi and I have an appt with the pedi in 40 minutes to have them listen to his lungs and I'm guessing they'll measure the oxygen in his blood? or whatever it's called. He hasn't coughed for maybe 10 minutes now. Maybe the albuterol has finally helped??

So scary how fast this has happened. Sad

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Another one coming out of left field with no real advice, but...

I have some kind of (unknown) allergy this time of year with a cough and lots of mucous and many times, were I not able to supress it, I would have puked from coughing so much. Has he been tested for allergies (not food ones, seasonal ones). Or, at least my pedi would probably just put him on some kind of allergy med to see if it gets better. Honestly, I'm on zyrtec and while it makes it somewhat better, it doesn't take the cough away.

Anyway, I know the cough/puke feeling so I am so sorry for the little guy. And the coughing fits are ROUGH on the body.

Hope he feels better and that you get a call back soon! Hang in there Mama!

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Apparently this new forum hates me..

Annabelle is doing the cough/puke thing, especially after nap or drinking milk, but it can be whenever. It seems to be allgeries and the ped recommended zyrtec.

I hope he feels better! Are you taking all three kids alone? I'll be watching to see what the dr says!

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In hope Al was able to watch the other two kiddos!

Please KUP!

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Ruth, crazy how fast this started today! I really dont have any advise mother to mother on asthma.

I hope whatever is going on gets figured out and FIXED quickly!

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Hope you get some answers at the doc office...KUP
:bigarmhug:

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Ruth, I really hope you got some answers today, very scary sounding stuff.

I've recently learned about something called Reactive Airway Disease....read a lot on it, and basically it can be a catchall for something that's NOT asthma. I won't type all the stuff out, but the gist of it is, coughing that does start from some external source and it comes up quick. Non-stop coughing, vomiting because of the coughing, etc. What Emily described sounds like what I've read. It does sound like from reading though that a lot of docs don't like that dx because it is a catchall, and the tx seems to be like it would be for asthma. Also, there doesn't need to be a clogged chest, etc.

Anyway, please KUP!

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ruth.....i just went through all that a couple weeks ago.....i was coughing so much and then puked......i had a fever associated with it..so i knew mine was viral(praying it wasn't bacterial) but no wheeze, just start coughing so much that i couldn't catch my breathe and then puke.....it was awful......i still have a very mild remnant of the cough......weeks later.....
i hope it isn't something very serious.......good luck at the docs......and ibuprofen is a great thing to give when kids have a lot of coughing...it helps to relieve some of the swelling in their little chest......((((((((((HUGS)))))))))))

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Thinking of you guys I hope you check in soon I am a worry wart.

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Thanks for the update - AWESOME that they got to witness it. Hope both of your little guys feel better soon!

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not that I am glad he was still vomiting, but I am glad that it happened at the docs office where they could see it happen.....

Hope he gets better soon...