Well, there is a reason why I named my blog this: Mudpies. Well, a few reasons actually. I'm surrounded by boys and now I'm surrounded by FPIES. FPIES, FPIES, FPIES. Everything seems to revolve around FPIES. I wish it didn't but with Little Man's illness being so complex and chronic, it just is. We are really hoping and quite literally praying we can figure out a tiny menu, with the help of our team here guiding us through his reactions and symptoms of intolerances.
We've chosen to start that with zucchini. Well, I've chosen. I chose zucchini because we have never tried it before, he is not sensitized to it, and it's been over 18mo. since he's even had anything in the squash family. It is a good source of Vit.C which he needs more of in his diet. It is easy to digest and easy to bake in to foods (since his favorite food right now is his "cookie"). It is low in sugar and lower in fiber (skinned and seeded), it shouldn't cause any symptoms much less an FPIES reaction. But if it should, it's only zucchini and not available all year (although I do have a freezer stash). It WAS in season when we were going to orginally start these food trials so it was perfect (food trials were delayed a month due to a PICC line infection and treatment).
So, here we are at zucchini. Today is Day 6 and today went well; but we're holding our breath because we've been cycling through some concerning symptoms. My hope and prayer right now is that these symptoms are merely his body demonstrating that it still struggles to find Oral Tolerance and to caution us to continue to be careful in the foods we chose next and how we prepare those foods, and how we help his body accept those foods.
So, how has the trial been going? What symptoms are concerning?
11-16 Zucchini Trial at 11:15am= 1 small slice and ½ a “muffin” with zucchini in it. Fussy before nap, itchy ears, red cheeks, smelly gas, refusing bottle before nap. Woke up from nap pale but pinked up, and played well all afternoon/evening; very tired looking, drinking sips of his peach‘juice’. Slept ok through the night, some tossing and turning. BM diaper is "normal”- has been having them every other day, thicker.
11-17: Zucchini at 9:30am- boiled/purred- 1tsp. 12:30pm had bites of a cookie made with pureed zucchini. Got D10 for low blood sugar at 10:30am. Refusing bottle a lot today, looks more pale this morning but happy throughout early morning, had some “blah” and fussy times. Found low blood sugar results from early AM lab draw,after getting unhooked from TPN; took 4oz.at 10:30, then had lab draw right after finished bottle. 1:30pm- irrational tantrum, drooling, choking, screaming (not crying-screaming),noted mottling (but was playing with cold water). Settled down and had a short nap, woke up crabby; better after bottle but still “blah”, evening tantrum noted to have mottling and feet turned purple when being held (cleared when put down), rash on right cheek, looks so tired, smelly gas. Decreased oral intakes, and decreased wet diapers (didn’t wet through the diaper last night as typically does). No BM diaper today.
Concerned that boiled zucchini caused the “episode” but could even have been from the D10 he got for low blood sugar. Slept well overnight.
11-18: Zucchini at 5:30pm baked in cookies-ate 3, got approx. 1tsp zucchini. Looks pale, purple around lips, lips look paler; but otherwise in good mood this morning. Started asking for his bottle again, and increasing intake mid-morning, took a good nap- woke up crabby but calmed down easily, played nicely all day. Willingly ate his “cookies” at 5:30pm- enjoyed them. 6:30pm noted rash on cheek flared up again, and smelly gas otherwise good mood. BM diaper had mucus surrounding thicker stool (playdough consistency).
Slept well overnight, but had to be near daddy. Woke up twice but didn’t eat.
11-19: Nibble of zucchini cookies at dinner 6pm. Fasting for AM labs to check blood sugar after TPN cycling, tantrums while waiting for 10am (fasting) lab draw! Ate well after that and played well- dismissed from hospital and happy to be home, ate “cookies” for dinner. Rash on cheek flared up after, otherwise no other symptoms- good mood and played well. BM at 9pm- “poop soup” (took pic)- watery/soaked in surrounded by thick pieces. Slept well through night. Eating better at home.
11-20: 9am bites of cookie with baked zucchini (same batch from last night). Asking for bottles, eating better today. Increasingly whiney all morning but playing. Rash on cheek flared again, itchy ears.
11-21: 9am BM diaper, blow out/liquid. 10:30am 1tsp of skinned/seeded/boiled/pureed zucchini- doesn't like it. Fussy off and on today as yesterday, but slept well and increasingly better mood throughout the day, increased energy.
I'm optimistic....
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