Monday, February 25, 2013

Dental Health Awareness Month

February is Dental Health Awareness Month.

Planning for your child's first dental exam can feel like a daunting task, especially if your child suffers from food allergies.  Below are some tips to consider prior to the first visit. 

1.  When scheduling the appointment, be sure to inform the office of your child's specific allergies and mention oral aversions if any.  This may help ensure your child's dental chart is flagged appropriately.  You may even want to request to speak to the dentist before the appointment.

2.  Ask for the ingredient list of all products which might be used during the exam.  Doing so will allow enough time to research each ingredient as oftentimes chemical names are involved. 

3.  If your child's teeth will be treated with fluoride, one of the things that may be helpful to have the fluoride painted on the teeth in order to lessen the amount swallowed.  If swallowed, fluoride could possibly cause intestinal upset.  Be aware that all fluorides have artificial flavorings. Discuss options with your dentist.

4.  Prophy paste is typically used for polishing, an alternative to prophy paste is pure Pumice; using just water can also be an option for polishing.

5.  Toothpaste, polish, and fluoride all have the potential to contain gluten, milk, and nut oils.  The ingredient Recaldent is a milk protein found in common fluoride and tooth polish products such as MI Paste and Prospec MI.  Topical dental anesthetics may also contain added flavorings and dyes which can cause allergic reactions for those with sensitivity. 

6.  Check ingredient lists at each dental visit since product formulations change frequently.

7.  Something else to keep in mind, all dental health professionals will have to wear gloves during the exam, but you may ask them to wear non-powdered or latex free gloves if these are an allergen concern for your child.           
Asking questions and being your child's advocate is a good way to support dental health and a positive experience for you and your child.    

This article written by: Brenda Incarnato, FPIES mom and reviewed by Robyn Hovseth, Dental Hygenist/FPIES mom.   

Sunday, February 10, 2013

Feeding Tube Awareness Week 2013

For some children with multiple food allergies such as Food Protein Induced Enterocolitis Syndrome (FPIES), a feeding tube is a necessary means for getting the optimal nutrition necessary for growth.

The Feeding Tube Awareness Foundation is "dedicated to providing parents and caregivers with the information needed for day-to-day life with a tube fed child." And their goal is "to make what is medically complicated, easier to understand".

In honor of Feeding Tube Awareness Week 2013, The FPIES Foundation would like to share:

  • An article about feeding tubes in an FPIES family featured in Complex Child E-Magazine: Overcoming the Small Percentiles: Our Super Tubie.  Complex Child is a "monthly online magazine written by parents of children with special healthcare needs and disabilities.  It is intended to provide medical information, along with personal experiences, in simple language that other parents can understand.  Articles are on a wide variety of topics ranging from basic information on medical conditions and treatments to advice on how to beat insurance company denials."

  • About additional resources, from our Resources page, such as: 
The Oley Foundation - "The Oley Foundation is a national, independent, non-profit 501(c)(3) organization that enriches the lives of patients dependent on home intravenous (parenteral ) and tube feeding (enteral ) through education, outreach, and networking. The Foundation also serves as a resource for consumer's families, clinicians and industry representatives, and other interested parties. Programs are directed by the staff and guidance is provided by a board of dedicated professionals and patients."

ThriveRx - "ThriveRx’s mission is to optimize the nutritional well being of our consumers through our customized approach. Our home parenteral and enteral nutrition program is driven by our customers’ needs while maintaining the highest standards in service and clinical management. Quality care that fosters independence and empowers consumers and their families is the fundamental basis from which our business decisions will be made".

Mini Buddy - Mini Buddy provides "[stuffed] animals with feeding tubes to children and adults who have a feeding tube or who will be getting one of their own soon. They are also focused on bringing tube feeding children and their families together".

Tubie Friends- "Tubie Friends a non-profit group that is administered by two mothers whose children have feeding tubes and want to use their experience to make life easier for the thousands of children relying on feeding tubes for their nutrition."

On January 5, 2011, our world changed forever. Our youngest of 4, Ryker (6 months old), began vomiting at the babysitters house. Just thinking it was the stomach flu, I called my mom and asked her to go get him. The babysitter called me 10 minutes later and said I needed to get there ASAP, something was wrong with him. I grabbed my stuff and rushed out the door. Within 5 minutes I was running into her house and witnessing a scene I would never forget. My little baby boy had lost all color and was motionless, with the exception of dry heaving. He looked as though he was having a seizure and was not responding to my touch or voice. I quickly called 911 and he was rushed to the ED. The doctor there explained that she did not know what was wrong and he was in shock. They were going to helicopter him to the nearest Children’s Hospital. My heart sunk. We were devastated.

At the hospital, we spent 4 days with no answers. He quickly came back to us and was his usual feisty self. They sent us home with the only instructions of “if he vomits again, go to the nearest ED immediately”. How scary is that!

When I was finally ready to go back to work the next week, I asked the babysitter to not give him the rice cereal, just to stick with breast milk for the time being. I remember her asking if I thought it was the rice cereal that made him sick. I told her I wasn’t sure but something was telling me it was the cereal. She had taken care of a child in the past with FPIES to rice and put me into contact with that mom. I knew immediately that is what he had and we were diagnosed 10 days later.

When we were at the allergist, Ryker tested positive for over 30 foods by skin, patch and serum. We were told to stick to breast milk only for the time being. From January to April, he was doing great but was slowly dropping down on the weight charts. Every food we tried became a big disappointment. Either he would have a reaction or he would refuse to eat it. We finally had him scoped in August and found out that he had Eosinophilic Colitis along with his FPIES.

In October, with no safe foods, we traveled to Chicago to see a specialist at Lurie’s Children’s Hospital. I remember crying all the way home after Dr. Wershil said that Ryker needed a feeding tube to survive. He had dropped off of the charts at this point with no safe foods. He had even had an FPIES reaction to Elecare- a hypoallergenic formula!! We reluctantly agreed and on October 25, 2012, Ryker had his NG tube placed. Within 3 weeks he had gained 2 pounds! We decided to go with the g-tube and had that placed on November 29, 2012.
The g-tube is amazing! It has saved my son’s life. He has gained 4 pounds in the 6 weeks that we started this path. He has added chicken and potato into his diet with no issues and he looks great! My only regret is that we hadn’t done this sooner. My once tiny baby boy now has dimples!! And chubby thighs!! And a double chin!! This makes this momma so happy!!
Life hasn’t been always a walk in the park with the g-tube but the stress of worrying about how much he is eating has been lifted and now we can enjoy our baby boy. The g-tube has been such a blessing for us and it saved our son’s life!

Written by Ryker's mom, Darcy S, to honor Feeding Tube Awareness Week 2013