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General fitness, health and nutrition
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23 February 2004
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JohnS
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  1. A close family friend sent this and I was hoping someone in this group
    could offer some advice:

    Last September Jane became ill. It lasted about 24 hours. She vomited off and on, was lethargic,
    pale, weak and just looked miseable. It occured to me that this was the fourth time in a row that
    this had occured. The episodes were spaced every 1 1/2 to 2 weeks. Because her Father's allergies
    caused him to have similar symptoms we assumed that Jane 's episodes were a result of allergies. We
    treated her with antihistamines which seemed to ease her symptoms to a degree. A week and a half
    later she had another eposide that seemed more intense so we took her to a clinic. The doctor didn't
    really know what to make of it but he did increase the dose of antihistamines that we were using.

    Jane was fine for two months. She had days of occasional fussiness but nothing to cause concern.
    Then in January she had an episode then was fine for another few weeks. Then on Monday the 9th she
    became ill again. She was not completely herself the next couple of days but had moments of seeming
    as though she were fine. Then after dinner Thursday she began to squirm in her chair. She fussed and
    showed no further interest in food. Then from 7pm to 12 am she vomitted 8 times. In between she
    would lay down and be completely limp like a rag doll. When she needed to vomit she would grab her
    stomach and squirm for a few moments then she would try to stick her hand down her throat. She
    finally began to scream in frustration. That coupled with the fact that she looked as though she
    were dying and we were scared nearly witless we decided it was time for an ER visit.

    In the ER the doctor did an EKG because her heart rhythym was irregular. He had no real answers for
    us but suggested that we follow up with cardiac then GI at the University of Kansas Medical Center
    Pediatric Division.

    The pediatric cardiologist was curious about Jane's heart rhythym and extra beats so she did another
    EKG. This time Jane was feeling quite well so instead of laying still sleeping like she did for the
    ER doc this time it took three of us to hold her and she screamed and threw things and was in
    general a perfect example of how parents do not want their child to behave. Ironically this stress
    make Jane's heart behave in a relatively normal fashion. Anyway, the cardiologist wanted to put Jane
    on a 24-hour heart monitor to see just how many extra beats she was having. Yesterday she called me
    and explaned that the number she found was 38,000 extra beats. So she wants to put Jane on a beta
    blocker called Propranolol. Since she is only 21 months it has to be in liquid form and was nowhere
    to be found in this entire city. So we wait until Monday. In another week Jane will be seeing the
    doctor again and have another 24-hour heart monitoring session. We will then be able to know if the
    medication is helping any.

    The doctor did think that it was possible that some of Janes's symptoms could be caused by her heart
    condition. She said that some children display seizure-like symptoms also.

    Janes's cardiologist told me that she has long QTs. The cardiologist was going to discuss the
    implications of this with her colleagues and an electrophysiologist. The little bit of information
    that I can get on this is that Long QT syndrome is a problem with the electrical system of the
    heart. Ventricular fibrillation is a threat and could lead to cardiac arrest. My understanding is
    that it can be controlled by medication. We will try this beta blocker then have Jane on another 24-
    hour heart monitor to see if it has improved her rhythm.

    As my understanding on her condition improves I will be able to update and inform others. Right now
    I feel very ignorant about this condition and what its full implications are. Please pray for,
    primarily, healing then wisdom for us and doctors, and for God to bring us the right people with the
    right knowledge across our path.

    We are not 100% sure that this heart problem has been causing Kathryn's symptoms. Its possible but
    there is room for doubt. I just wanted to make sure that everyone had detailed information on Jane's
    condition. If anyone recognizes something or is able to pass information to someone else who can I
    wanted to provide as much detail as possible.

    Her symptoms are as follows: Restlessness, grabbing at tummy, sticking hand in mouth then vomiting.
    If it is the first few times the food is undigested or mostly so even if vomiting occurs 6 hours
    after eating. After several times it is just clear mucus. This is followed by coolness, cold sweat,
    very pale/white skin with dark circles under eyes. Then she is limp, weak, lethargic and just looks
    like death warmed over. It is quite distressing and we have agonized over seeing her like this. She
    has no fever and her stools resume the next day and are normal. Eventually, typically 24 to 48 hours
    later, she returns to her usual, energetic, adorable, intelligent self.

    Please forward this to anyone that you might think would be interested and have some recognition of
    these symptoms.

    Thank you all for your concern, prayers, and help.

  2. JohnS said:

    A close family friend sent this and I was hoping someone in this group could offer some advice:

    Last September Jane became ill. It lasted about 24 hours. She vomited off and on, was lethargic,
    pale, weak and just looked miseable. It occured to me that this was the fourth time in a row that
    this had occured. The episodes were spaced every 1 1/2 to 2 weeks. Because her Father's allergies
    caused him to have similar symptoms we assumed that Jane 's episodes were a result of allergies.
    We treated her with antihistamines which seemed to ease her symptoms to a degree. A week and a
    half later she had another eposide that seemed more intense so we took her to a clinic. The
    doctor didn't really know what to make of it but he did increase the dose of antihistamines that
    we were using.

    Jane was fine for two months. She had days of occasional fussiness but nothing to cause concern.
    Then in January she had an episode then was fine for another few weeks. Then on Monday the 9th she
    became ill again. She was not completely herself the next couple of days but had moments of
    seeming as though she were fine. Then after dinner Thursday she began to squirm in her chair. She
    fussed and showed no further interest in food. Then from 7pm to 12 am she vomitted 8 times. In
    between she would lay down and be completely limp like a rag doll. When she needed to vomit she
    would grab her stomach and squirm for a few moments then she would try to stick her hand down her
    throat. She finally began to scream in frustration. That coupled with the fact that she looked as
    though she were dying and we were scared nearly witless we decided it was time for an ER visit.

    In the ER the doctor did an EKG because her heart rhythym was irregular. He had no real answers
    for us but suggested that we follow up with cardiac then GI at the University of Kansas Medical
    Center Pediatric Division.

    The pediatric cardiologist was curious about Jane's heart rhythym and extra beats so she did
    another EKG. This time Jane was feeling quite well so instead of laying still sleeping like she
    did for the ER doc this time it took three of us to hold her and she screamed and threw things and
    was in general a perfect example of how parents do not want their child to behave. Ironically this
    stress make Jane's heart behave in a relatively normal fashion. Anyway, the cardiologist wanted to
    put Jane on a 24-hour heart monitor to see just how many extra beats she was having. Yesterday she
    called me and explaned that the number she found was 38,000 extra beats. So she wants to put Jane
    on a beta blocker called Propranolol. Since she is only 21 months it has to be in liquid form and
    was nowhere to be found in this entire city. So we wait until Monday. In another week Jane will be
    seeing the doctor again and have another 24-hour heart monitoring session. We will then be able to
    know if the medication is helping any.

    The doctor did think that it was possible that some of Janes's symptoms could be caused by her
    heart condition. She said that some children display seizure-like symptoms also.

    Janes's cardiologist told me that she has long QTs. The cardiologist was going to discuss the
    implications of this with her colleagues and an electrophysiologist. The little bit of information
    that I can get on this is that Long QT syndrome is a problem with the electrical system of the
    heart. Ventricular fibrillation is a threat and could lead to cardiac arrest. My understanding is
    that it can be controlled by medication. We will try this beta blocker then have Jane on another
    24-hour heart monitor to see if it has improved her rhythm.

    As my understanding on her condition improves I will be able to update and inform others. Right
    now I feel very ignorant about this condition and what its full implications are. Please pray for,
    primarily, healing then wisdom for us and doctors, and for God to bring us the right people with
    the right knowledge across our path.

    We are not 100% sure that this heart problem has been causing Kathryn's symptoms. Its possible but
    there is room for doubt. I just wanted to make sure that everyone had detailed information on
    Jane's condition. If anyone recognizes something or is able to pass information to someone else
    who can I wanted to provide as much detail as possible.

    Her symptoms are as follows: Restlessness, grabbing at tummy, sticking hand in mouth then
    vomiting. If it is the first few times the food is undigested or mostly so even if vomiting occurs
    6 hours after eating. After several times it is just clear mucus. This is followed by coolness,
    cold sweat, very pale/white skin with dark circles under eyes. Then she is limp, weak, lethargic
    and just looks like death warmed over. It is quite distressing and we have agonized over seeing
    her like this. She has no fever and her stools resume the next day and are normal. Eventually,
    typically 24 to 48 hours later, she returns to her usual, energetic, adorable, intelligent self.

    Please forward this to anyone that you might think would be interested and have some recognition
    of these symptoms.

    Thank you all for your concern, prayers, and help.

    Because folks are not certain that the symptoms are arising for the electrophysiological
    abnormalities, which may be an incidental finding, perhaps a event recorder might be helpful here.

    Dr. Chun, who is our pediatric electrophysiology expert, should have the final word here.

    May God watch over baby Jane, in Christ's name.

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    **
    Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
    makeashorterlink.commakeashorterlink.com

    Is this spam?
    makeashorterlink.commakeashorterlink.com

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