we're on the road

Neylan has been home for 7 months and we are starting down the road to find some answers for a few of the issues that still plague our little guy. When we met Neylan in Korea he was drooling like a faucet. His foster mom had bibs on him and cloths stuffed down his shirt. It was that bad. She said it was just him. He was also teething at the time, so we considered this issue a horrible side-effect of his teething. He was also congested and wet sounding in his chest. When he saw the doctor in Seoul, he was diagnosed with bronchitis and given an antibiotic, which we gave him with no success. So, here we are, still dealing with the drooling and congestion- 7 months later!!! The teething ended just before Christmas. And now we realize that these two things, along with the mouth-breathing were not a side effect of the teething. BUMMER!!! Now, we have to figure out what is really going on. I am blessed to work with a wonderful team of OTs and Speech therapists, who after hearing all that is going on recommended that we see an ENT.

So, we had our first appt on Wednesday. I got myself prepared on Tuesday by writing down all of the issues and each of the areas that needed to be looked at. We saw the nurse practitioner first and I ran through my list giving her lots of info. When I told her that we needed to look at a milk/dairy allergy or intolerance, she told me that that was definitely not the problem. We would have seen something obvious if there was an allergy. She took a look at his tonsils and said they were tiny. First thing ruled out!!

Then the doctor came in. I knew when we made the appt that she was Asian and was very happy about that. The first thing she asks is how much dairy he is getting each day! I believe she was a little shocked by the amount I told her and said that was way too much, especially for an Asian. A HUGE percentage of Asians are lactose intolerant, hence the reason I wanted this looked at, but was told it was a non-issue by the nurse, and was told it was a BIG issue by the doctor! She took a look at his adenoids through a scope in his nose and determined that they were not large enough to be a concern. Second thing ruled out!!!

So, with tonsils and adenoids checked and looking good, we are now discussing the dairy and reflux issues. Fortunately at this point the nurse walks back in to listen. As the doctor is talking about the how much dairy affects your gut and your sinuses, especially in Asians becuase they don't have as much dairy in their diets, the nurse says, "wow, I never knew that"! Good, glad we were able to teach her something today!! I completely agreed with the doctor that  dairy does effect Asians in a different way and it can quickly cause nasal congestion, which causes you to breath out of your mouth and then drool. At one point she said, "you've done a great job with him and he looks big and healthy and strong. So, now you need to back way off of the dairy and I think that will fix the problem". I agreed, glad the nurse had learned something and we finished our visit promising to cut way back on the dairy and follow up in 4 weeks.

As we walked out of the building, it hit me! She's under the impression that we caused this! I believe she thinks that his congestion and drooling were caused by him switching to an American diet. NOT SO!!! He came home in this exact same condition, on his Korean diet, and he was HUGE. We didn't feed him a ton to fatten him up like some kids who are adopted need. He's always been big and "healthy". So, then I felt really dumb that I missed this when I was talking with her. I had explained this to the nurse, but the information never got transferred to the doctor. After going back and forth trying to decide if I needed to call the doctor back and let her know that in every single picture I have of his infancy, his mouth is hanging open, he is drooling, and he has been congested since before we left Korea, I decided to go with her plan and reduce his dairy intake significantly and see what happens. This is probably a good plan for us. We consume a good amount of dairy and if there's a possibilty that we are headed toward being completely dairy-free, we at least have 5 weeks to start cutting way back and getting prepared for it. So, after doing this for 3 days, we are doing well. There are lots of recipes that are dairy-free, his daycare provider is willing to help us and is writing down everything that he eats so I can adjust at night for him (14 oz is our limit- solids and liquids). This may be just what we need to get our whole family eating healthier! No more cooking with cream soups, cream cheese, sour cream, cheese, less bread, ect. So,we'll keep you posted. I'm hoping to see some results. If it's not the dairy issue, it may be a reflux issue that will need to be treated with meds. We still have a long road ahead before we know for sure. Today was a hard day for Neylan becuase he simply could not breath. It affects his eating tremendously as he is trying to chew and breath through his mouth at the same time. I know I hate that feeling and when I am congested, eating takes so much effort.

So, all in all, it was a good visit. We ruled out some big things and we are running with Plan A. We shall see!!