3rd March 2008
My 13 year old daughter has some severe problems and I am really hoping someone can help to diagnose properly and guide us in the right direction. We don't know where to go from here and growing anxious as her symptoms continue to get worse.
Background
Rachel has always had problems with her sinuses, frequent sinus infections and environmental allergy symptoms since the age of 2 or 3. At around the age of 5 she began to get strep throat and had her tonsils and adenoids removed at age 8. She seemed to better but still gets periodic headaches at night, strep has returned on a regular basis a year after her T&A removal. Visits to her PCD result in an antibiotic and masal spray, if she misses a dose she gets a sinus infection.
Currently
She suffers from periodic numbness of her arms and legs (starts in her hands and feet), constant headaches, constant low grade fever, and severe joint pain. Below is a timeline of her symptoms;
12/1/07- She was taken to an immediate care center for a cold. She was diagnosed as having mild asthma and given a albuterol inhaler. She was prescribed a Z-Pac treatment.
12/8/07- Went to her Primary Care Doctor for a follow up. She was complaing of difficulty in breathing, her throat felt like it was closing, and she didn't feel good. The PCD examined her nose, throat and ears and was given a clean bill of health. We asked if he would suggest us taking her to ENT and Allergen, the Dr. said we could if we want but didn't see a need. Rachel used the inhaler which helped her lungs but didn't alleviate the sensation of her throat closing.
12/27/07- We take her to a EN&T specialist who examined her and determined her adenoids had grown back. He noted her asthma and several other problems with her sinuses. He orders a CT scan and a pulmonary function test as well allergy testing. He prescribes Advair, Zanac, Dexacort, Singulair and an antibiotic. Dr. schedules another appointment one month later, 1/24/08 for an allergy test. We explained the inhaler is used every few hours but provides no real relief, throat still feels like it's closing and headaches persist.
1/9/08- Rachel is taken to the Emergency room at 11PM. She is complaining of shortness of breath, after using her inhaler, as well numbness in her arms, legs and face. She has a low temp and feels very tired but scared to fall asleep. The ER doc runs an EKG, pulmonary testing, blood work and all seems fine with the tests. The ER doctor suggests we find a pediatric pulmonologist and prescribes Xanex to relax.
1/12/08- While sitting stationary Rachel experiences her arms and legs going numb, this happens on a regular basis for no apparent reason at any given time.
1/17/08- Rachel sees a black tunnel.
1/18/08- Take her for her routine eye exam, we mention the tunnel vision but the exam doesn't find any reason for it.
1/24/08- Allergy testing is conducted. She is highly allergic to most environmental factors which wasn't much of a surprise. They test some foods when it was learned she has frequent headaches. She is also severely allergic to; wheat, corn, yeast, milk, chicken, beef, pork, and other foods. The Dr examined her again and upped her dosage of Advair, more acid reflux med, and 500mg of Biaxin. We explained the numbness and fever she has a different times but these symptoms are not included in his dictation acording to the nurse. That evening Rachels faced swells, as well as her tongue and lips. She also felt her arms and legs go numb and took Benedryl to go to sleep. She was very scared.
1/29/08- We call the Allergen and speak with the nurse to explain the symptoms Rachel had later that night. She shedules another follow up with the Allergen on 1/30/08 and gets a prescription for Allegra.
1/30/08- We return for a follow up and the Dr wasn't sure why we returned. We explained the symptoms after the testing and the sensation of her throat closing. He prescribes Zyxal and Prevacid along with the other prescriptions, discontinues the Allegra.
2/7/08- We take her to the Pediatric Pulmonologist who gives Rachel an exam and discusses her history. She schedules a follow up one month later for testing of asthma, acid reflux, and in the meantime order blood work to test for autoimmune diseases.
2/26/08- Surgery for her adenoid removal.
Since her surgery Rachel has had a fever that runs from 100.5-100.9, up from the 99.5 to 99.9 that she was running. Her joint pain is worse, and she feels very sick or "not right" and on a 1-10 scale she has gone from a 4 to a 2. The numbness in her arms and legs comes more frequently and lasts much longer then it has in the past.
Her blood tests all came back negative; ANA, RA Test, Sed Rate, TSH, and CRP.
If anyone can help please please chime in. I don't know what more to do for her, she has been poked and prodded and no one has yet come up with an diagnosis of her problems and she continues to get worse.
Thanks for reading all of this.
Background
Rachel has always had problems with her sinuses, frequent sinus infections and environmental allergy symptoms since the age of 2 or 3. At around the age of 5 she began to get strep throat and had her tonsils and adenoids removed at age 8. She seemed to better but still gets periodic headaches at night, strep has returned on a regular basis a year after her T&A removal. Visits to her PCD result in an antibiotic and masal spray, if she misses a dose she gets a sinus infection.
Currently
She suffers from periodic numbness of her arms and legs (starts in her hands and feet), constant headaches, constant low grade fever, and severe joint pain. Below is a timeline of her symptoms;
12/1/07- She was taken to an immediate care center for a cold. She was diagnosed as having mild asthma and given a albuterol inhaler. She was prescribed a Z-Pac treatment.
12/8/07- Went to her Primary Care Doctor for a follow up. She was complaing of difficulty in breathing, her throat felt like it was closing, and she didn't feel good. The PCD examined her nose, throat and ears and was given a clean bill of health. We asked if he would suggest us taking her to ENT and Allergen, the Dr. said we could if we want but didn't see a need. Rachel used the inhaler which helped her lungs but didn't alleviate the sensation of her throat closing.
12/27/07- We take her to a EN&T specialist who examined her and determined her adenoids had grown back. He noted her asthma and several other problems with her sinuses. He orders a CT scan and a pulmonary function test as well allergy testing. He prescribes Advair, Zanac, Dexacort, Singulair and an antibiotic. Dr. schedules another appointment one month later, 1/24/08 for an allergy test. We explained the inhaler is used every few hours but provides no real relief, throat still feels like it's closing and headaches persist.
1/9/08- Rachel is taken to the Emergency room at 11PM. She is complaining of shortness of breath, after using her inhaler, as well numbness in her arms, legs and face. She has a low temp and feels very tired but scared to fall asleep. The ER doc runs an EKG, pulmonary testing, blood work and all seems fine with the tests. The ER doctor suggests we find a pediatric pulmonologist and prescribes Xanex to relax.
1/12/08- While sitting stationary Rachel experiences her arms and legs going numb, this happens on a regular basis for no apparent reason at any given time.
1/17/08- Rachel sees a black tunnel.
1/18/08- Take her for her routine eye exam, we mention the tunnel vision but the exam doesn't find any reason for it.
1/24/08- Allergy testing is conducted. She is highly allergic to most environmental factors which wasn't much of a surprise. They test some foods when it was learned she has frequent headaches. She is also severely allergic to; wheat, corn, yeast, milk, chicken, beef, pork, and other foods. The Dr examined her again and upped her dosage of Advair, more acid reflux med, and 500mg of Biaxin. We explained the numbness and fever she has a different times but these symptoms are not included in his dictation acording to the nurse. That evening Rachels faced swells, as well as her tongue and lips. She also felt her arms and legs go numb and took Benedryl to go to sleep. She was very scared.
1/29/08- We call the Allergen and speak with the nurse to explain the symptoms Rachel had later that night. She shedules another follow up with the Allergen on 1/30/08 and gets a prescription for Allegra.
1/30/08- We return for a follow up and the Dr wasn't sure why we returned. We explained the symptoms after the testing and the sensation of her throat closing. He prescribes Zyxal and Prevacid along with the other prescriptions, discontinues the Allegra.
2/7/08- We take her to the Pediatric Pulmonologist who gives Rachel an exam and discusses her history. She schedules a follow up one month later for testing of asthma, acid reflux, and in the meantime order blood work to test for autoimmune diseases.
2/26/08- Surgery for her adenoid removal.
Since her surgery Rachel has had a fever that runs from 100.5-100.9, up from the 99.5 to 99.9 that she was running. Her joint pain is worse, and she feels very sick or "not right" and on a 1-10 scale she has gone from a 4 to a 2. The numbness in her arms and legs comes more frequently and lasts much longer then it has in the past.
Her blood tests all came back negative; ANA, RA Test, Sed Rate, TSH, and CRP.
If anyone can help please please chime in. I don't know what more to do for her, she has been poked and prodded and no one has yet come up with an diagnosis of her problems and she continues to get worse.
Thanks for reading all of this.