Guest guest Posted February 6, 2008 Report Share Posted February 6, 2008 Just a couple of thoughts here - does your dd have sensory issues? Could the balance issues be a sensory-vestibular problem? As for the ear infections, sometimes kids with sensory issues (and many kids who don't have sensory issues) never complain about ear infections - she may have been having them but the pain didn't register with her. When Josh was about 1 1/2 yo (he's 9.5 now), he started getting ear infections (and let everyone know about them!). We got tubes when he was just about 2. They fell out, as they are supposed to, within about a year, and he has never had an ear infection since. So, there's nothing wrong with getting a second opinion, and I suppose waiting a couple of weeks really wouldn't hurt anything, but I don't see anything wrong with going ahead to have the tubes to relieve the fluid build-up (which, in and of itself, can cause balance issues - I've got Meniere's disease which is caused by fluctuations in the fluid in my inner ear). Sherry and Josh Tara Romanowich <tvromanowich@...> wrote: When we had our NACD evaluation, the evaluator suggested that my dd...who has a diagnosis of global apraxia...almost 3...not walking or no speech...get a tympanogram done. we went today and the results showed some fluid in her ears. The doctor (at CHOP) reccomended tubes in her ears. She did had a cold last week and is still congested. i was surprised she suggested it so quickly. I think I would feel more comfortable to retest to see if the fluid is there in a few weeks and then make a decision. Has anyone done this for their child? My dd has never had an ear infection that we know about. But she does have major balance issues... Thanks tara --------------------------------- Never miss a thing. Make your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2008 Report Share Posted February 6, 2008 My problem is this: we got them with no infection (color of fluid tells that story). It was solely build up. Doubled his vocabulary day after surgery. Lost all vocabulary next day. Anesthesia was the culprit. Avoid fluorine and nitrous oxide at all costs. Dairy removal, the ENT now agrees, was the better solution. Stinks for me now doesn't it. BUT if you really need the tubes and your story is different there are safer anesthesia alternatives. > When we had our NACD evaluation, the evaluator suggested that my dd...who has a diagnosis of global apraxia...almost 3...not walking or no speech...get a tympanogram done. we went today and the results showed some fluid in her ears. The doctor (at CHOP) reccomended tubes in her ears. She did had a cold last week and is still congested. i was surprised she suggested it so quickly. I think I would feel more comfortable to retest to see if the fluid is there in a few weeks and then make a decision. Has anyone done this for their child? My dd has never had an ear infection that we know about. But she does have major balance issues... Thanks tara > > --------------------------------- > Never miss a thing. Make your homepage. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2008 Report Share Posted February 6, 2008 They may have jumped the gun b/c it is easy to do and with a child that has no speech it is very hard to test hearing. ENTs really like tubes for kids with no speech b/c then everyone KNOWS it's not hearing loss causing the speech delay....ugh. My son had no speech, not walking at three -- it was very hard to do hearing test. They do have a way to do it where they have speakers in the room and play low sounds or parts of songs and if the child turns toward the sound - then they've " heard it " . I would push for a hearing test - they will do a tympanogram on that day too (or they SHOULD) just to see if there is fluid that day. If there is any hearing loss then you can arrange the tubes. As always - take their suggestions and make your own decisions. > > When we had our NACD evaluation, the evaluator suggested that my dd...who has a diagnosis of global apraxia...almost 3...not walking or no speech...get a tympanogram done. we went today and the results showed some fluid in her ears. The doctor (at CHOP) reccomended tubes in her ears. She did had a cold last week and is still congested. i was surprised she suggested it so quickly. I think I would feel more comfortable to retest to see if the fluid is there in a few weeks and then make a decision. Has anyone done this for their child? My dd has never had an ear infection that we know about. But she does have major balance issues... Thanks tara > > --------------------------------- > Never miss a thing. Make your homepage. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2008 Report Share Posted February 6, 2008 Exactly, one of the telling things was he had good hearing with the fluid. I think the ENT did the tubes to address future peekaboo fluid. Nice idea but as he now agrees, allergin removal would have done the same thing. > > > > When we had our NACD evaluation, the evaluator suggested that my > dd...who has a diagnosis of global apraxia...almost 3...not walking > or no speech...get a tympanogram done. we went today and the results > showed some fluid in her ears. The doctor (at CHOP) reccomended tubes > in her ears. She did had a cold last week and is still congested. i > was surprised she suggested it so quickly. I think I would feel more > comfortable to retest to see if the fluid is there in a few weeks and > then make a decision. Has anyone done this for their child? My dd > has never had an ear infection that we know about. But she does have > major balance issues... Thanks tara > > > > --------------------------------- > > Never miss a thing. Make your homepage. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2008 Report Share Posted February 7, 2008 I would get the tubes if a re-test shows fluid in the ears. This is a very common reason for auditory processing issues. Also, I forget - - are you dairy free? We haven't had any congestion since we gave up dairy. In the NACD dvd " Learning and Attention Problems " , Bob Doman suggests getting a tympanagram every two weeks for two months to see if chronic fluid is a problem (vs. related to a cold virus, etc.) That might be the way to go before tubes. I always want to know the CAUSE of the problem, too. Tubes fix the symptom, not the cause. Is it dairy? Is it structural? Is it another allergy? in NJ > > When we had our NACD evaluation, the evaluator suggested that my dd...who has a diagnosis of global apraxia...almost 3...not walking or no speech...get a tympanogram done. we went today and the results showed some fluid in her ears. The doctor (at CHOP) reccomended tubes in her ears. She did had a cold last week and is still congested. i was surprised she suggested it so quickly. I think I would feel more comfortable to retest to see if the fluid is there in a few weeks and then make a decision. Has anyone done this for their child? My dd has never had an ear infection that we know about. But she does have major balance issues... Thanks tara > > --------------------------------- > Never miss a thing. Make your homepage. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2008 Report Share Posted February 7, 2008 Thanks to everyoe for your posts. It may make sense what Sherry said, Eva does have sensory issues...she is not walking at almost three...some days her balance seems worse than others...and she DOES pull at het ears a lot and also itch her nose constantly (don't know what that means), but she's never had an ear infection that I've known about. But you have a good point, maybe she has had a lot, but the pain just never registered the way it would for a neurotypical child. Another thing that is strange...she loves to lean back in the tib with her ears under the water....I tried this one time and thought it was such an uncomfortable feeling in my ears...this is one of the reasons why she loves her baths so much. And Lizzy, we don't have any casein in her diet.. and also, what would be the alternative to nitrous oxide if we would do the surgery? Thanks so much. :-) tara --------------------------------- Never miss a thing. Make your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2008 Report Share Posted February 7, 2008 Another consideration is genetic. Hubby and both kids have a specific ear wax gene allegedly. Did not play into this for us though. > > > > When we had our NACD evaluation, the evaluator suggested that my > dd...who has a diagnosis of global apraxia...almost 3...not walking > or no speech...get a tympanogram done. we went today and the results > showed some fluid in her ears. The doctor (at CHOP) reccomended tubes > in her ears. She did had a cold last week and is still congested. i > was surprised she suggested it so quickly. I think I would feel more > comfortable to retest to see if the fluid is there in a few weeks and > then make a decision. Has anyone done this for their child? My dd > has never had an ear infection that we know about. But she does have > major balance issues... Thanks tara > > > > --------------------------------- > > Never miss a thing. Make your homepage. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2008 Report Share Posted February 7, 2008 Itchy nose could be allergy or metals. In my daughter we do think it was metals. There is reading on that. I did not chase the reading as it left. > > Thanks to everyoe for your posts. It may make sense what Sherry said, Eva does have sensory issues...she is not walking at almost three...some days her balance seems worse than others...and she DOES pull at het ears a lot and also itch her nose constantly (don't know what that means), but she's never had an ear infection that I've known about. But you have a good point, maybe she has had a lot, but the pain just never registered the way it would for a neurotypical child. Another thing that is strange...she loves to lean back in the tib with her ears under the water....I tried this one time and thought it was such an uncomfortable feeling in my ears...this is one of the reasons why she loves her baths so much. And Lizzy, we don't have any casein in her diet.. and also, what would be the alternative to nitrous oxide if we would do the surgery? Thanks so much. > :-) tara > > > > > --------------------------------- > Never miss a thing. Make your homepage. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2008 Report Share Posted February 7, 2008 and Lizzy, She is off all casein, gluten and soy and all her allergy testing showed nothing. Could the cause be maybe a structural thing? I'm all about finding the cause too things...I totally agree. Lizzy,I'm not sure what you mean about the " off pain response " by claudia. I searched it, but I think I need more specific key words. thanks. tara --------------------------------- Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2008 Report Share Posted February 8, 2008 Allergy testing in immature immune systems is not always reliable. Feast Without Yeast is a book that will help you sort of test diet to see what issues are involved. Another book, Is this your child? by Doris Rapp, covers atypical allergy reactions. It may help you see things that were her norm in a whole new light. I will do my best to find a recent message from Dr. that sort of explains it more. For testing I think it is in the Apraxia labs folder. Yeast can be an aggravator so while the diet she is on may help her not produce as much overgrowth she may need to be treated for what is in there. That I cannot know. There is a checklist in the book The Yeast Connection that may be helpful. If yeast is part of the puzzle a whole food diet would help your cause but that would not be the panacea, just another part of this. Are you seeing Dr. Agin? She could help more I think if this is your deal. I will find the post and that may help you further. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2008 Report Share Posted February 8, 2008 I don't think I've gotten all the emails in this thread but I'm going to chime in again - usually the reason a young kid gets ear infections or gets fluid build-up is because there is a structural immaturity - the ear canal is aimed in the wrong direction so it causes fluid to build, and thus infections to set in - a good ENT will have explained that all to you and used those wonderful pictures they have on the office walls! LOL! Whether the kid has a sensory issue on top of that, affecting whether s/he can feel the pain, is another story and aspect to the whole thing. Sherry and Josh Tara Romanowich <tvromanowich@...> wrote: and Lizzy, She is off all casein, gluten and soy and all her allergy testing showed nothing. Could the cause be maybe a structural thing? I'm all about finding the cause too things...I totally agree. Lizzy,I'm not sure what you mean about the " off pain response " by claudia. I searched it, but I think I need more specific key words. thanks. tara --------------------------------- Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2008 Report Share Posted February 8, 2008 My first son had so much fluid in his ears that he wasn't hearing correctly. In hindsight, I would have pushed more at 9mo for tubes when he wasn't sitting up and not rolling over etc... than saying oh he's a big boy lets wait. UGH I ended up with a 2 yr old with the verbal skills of a 9 mo old. We didn't really start to see progress with therapy until we got 100% casin free; vit e,carnintine and fish oil. We are now 2 yrs into very intensive therapy and are making progress but no where near where we could be. I know this as the baby (3rd son) got tubes at 9 months and is now speaking in 2-3 word utterances at 17 months. Just amazing at the turnaround since getting tubes in the baby and giving up casin. Our Ped said the baby is " 1000 times better " than when she first met him last April at 7 mo. no supplements for the baby. Second son has had 2 sets of tubes and is doing much better off of dairy as well. no supplements It is hard to make progress and learn if you do not feel well. the vestibular sense is such an important one, that if it doesn't develop correctly - be prepared for YEARS of therapy to recover it. > > When we had our NACD evaluation, the evaluator suggested that my dd...who has a diagnosis of global apraxia...almost 3...not walking or no speech...get a tympanogram done. we went today and the results showed some fluid in her ears. The doctor (at CHOP) reccomended tubes in her ears. She did had a cold last week and is still congested. i was surprised she suggested it so quickly. I think I would feel more comfortable to retest to see if the fluid is there in a few weeks and then make a decision. Has anyone done this for their child? My dd has never had an ear infection that we know about. But she does have major balance issues... Thanks tara > > --------------------------------- > Never miss a thing. Make your homepage. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2008 Report Share Posted February 8, 2008 On the diet, figuring out the supplements, tubes in there now, TLP in progress and language coming along. Fluoride is part of our beat. Any hope for me avoiding a second set? > > > > When we had our NACD evaluation, the evaluator suggested that my > dd...who has a diagnosis of global apraxia...almost 3...not walking or > no speech...get a tympanogram done. we went today and the results > showed some fluid in her ears. The doctor (at CHOP) reccomended tubes > in her ears. She did had a cold last week and is still congested. i > was surprised she suggested it so quickly. I think I would feel more > comfortable to retest to see if the fluid is there in a few weeks and > then make a decision. Has anyone done this for their child? My dd has > never had an ear infection that we know about. But she does have > major balance issues... Thanks tara > > > > --------------------------------- > > Never miss a thing. Make your homepage. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2008 Report Share Posted February 8, 2008 Apparently I did not have a good ENT from the explaining part. Could he tell me, now that tubes are in there, id there is an abnormality? We had fluid but no infection and tubes were inserted. > and Lizzy, She is off all casein, gluten and soy and all her allergy testing showed nothing. Could the cause be maybe a structural thing? I'm all about finding the cause too things...I totally agree. Lizzy,I'm not sure what you mean about the " off pain response " by claudia. I searched it, but I think I need more specific key words. thanks. tara > > --------------------------------- > Looking for last minute shopping deals? Find them fast with Search. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2008 Report Share Posted February 8, 2008 I thought you were already on the diet. Hmmm. What else could it be? I don't know enough about this topic, but perhaps environmental allergies? My (limited) understanding is that congestion leads to fluid, so it could be anything that causes congestion: allergies of any kind, cold viruses, etc. I do think anatomy plays a part, though. Many/most kids outgrow this fluid problem around six years old, I think because the angle of the middle ear changes over time from horizontal to more diagonal/vertical, allowing for drainage. (Does that sound right to someone who knows about these things?) My son had congestion for about six months of the year for a couple of years. Allergy testing came up with nothing, so we went to a homeopathic (also medical) doctor in Rumson who was recommended by a friend of mine. I'm not a true believer in homeopathy, but what he did worked for . We started seeing him in May, which is the end of 's congestion season. He gave us something like nine different things to take (two liquids and seven of those tiny pellets), and NEVER HAD CONGESTION AGAIN! My friend and I call him the witch doctor -- we don't know why it works, but it does. That said, I stopped seeing him when he prescribed what is basically arsenic and mercury for 's GI issues and other delays. Maybe he would be over all this by now if we stuck with it, but I lost my trust. in NJ > > and Lizzy, She is off all casein, gluten and soy and all her allergy testing showed nothing. Could the cause be maybe a structural thing? I'm all about finding the cause too things...I totally agree. Lizzy,I'm not sure what you mean about the " off pain response " by claudia. I searched it, but I think I need more specific key words. thanks. tara > > --------------------------------- > Looking for last minute shopping deals? Find them fast with Search. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2008 Report Share Posted February 8, 2008 I put coconut oil on the ears to help with congestion. Not a cure all but seemed to do something. > > > > and Lizzy, She is off all casein, gluten and soy and all her > allergy testing showed nothing. Could the cause be maybe a structural > thing? I'm all about finding the cause too things...I totally agree. > Lizzy,I'm not sure what you mean about the " off pain response " by > claudia. I searched it, but I think I need more specific key words. > thanks. tara > > > > --------------------------------- > > Looking for last minute shopping deals? Find them fast with > Search. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2008 Report Share Posted February 9, 2008 I don't know, I am just a mom, BUT I honestly believe that if I had gotten #2 son off of milk he wouldn't have gotten either set. The first set was due to upper respiratory distress and 6 double ear infections over a 2 month period. The milk really added congestion and he has a predisposition to upper respiratory distress. We had another ER visit at the beg of January. #2 son is not on the supplements as he is an Ear infection kid which I think is different from an ear fluid kid - which #1 son is. I do know since going casin free we haven't been to either the new great ped or our fab. ENT except for well baby checks. Which has been fab on the pocket book. I just wish the lousy ped dr I went to with those two had gotten to the underlying symptom of the eczema rather than give me several very expensive topical creams to clear it up. I wish someone had said to me, Just try dairy free for two weeks to see if you notice a difference 4 yrs 10 months ago. Maybe I could have a " normal " preschooler right now. Not to mention all that extra cash since I wouldn't be paying for intensive therapy!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2008 Report Share Posted February 9, 2008 Gosh, everyone has been so helpful. Thank you for ALL of your responses. We have decided to go ahread with the surgery and get the tubes. I was considering checking a few more times with a tympanogram, but there are too many things that point to fluid in the ears being a problem, and with the level of delays she has....it just seems like the right choice. I am now on the abmd board figuring out alternatives to nitrous oxide. i am learning so much. Aren't we all leanring so much from our kids.... thanks again. tara --------------------------------- Never miss a thing. Make your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2008 Report Share Posted February 9, 2008 While I warned you at first I learned a lot. I think you made the right choice and I think you can find the right anesthesia. Hang tough and keep us posted. > > Gosh, everyone has been so helpful. Thank you for ALL of your responses. We have decided to go ahread with the surgery and get the tubes. I was considering checking a few more times with a tympanogram, but there are too many things that point to fluid in the ears being a problem, and with the level of delays she has....it just seems like the right choice. I am now on the abmd board figuring out alternatives to nitrous oxide. i am learning so much. Aren't we all leanring so much from our kids.... thanks again. tara > > --------------------------------- > Never miss a thing. Make your homepage. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2008 Report Share Posted February 11, 2008 NO KIDDING!!!! I so wish that I knew the things back when my child was 2 that I know now..... my son's life would be 100% different! I blame lousy professionals with their continuous 'wait and see' attitude.... now I 'SEE'.... I really do. Janice Mother of Mark, 13 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2008 Report Share Posted February 11, 2008 Tara - where are you having the surgery? I think you and I chatted a while back about doctors. Are you in NJ? We went to Dr Samadi at Hackensack University. Awesome guy - highly recommended. tina in NJ > > Gosh, everyone has been so helpful. Thank you for ALL of your responses. We have decided to go ahread with the surgery and get the tubes. I was considering checking a few more times with a tympanogram, but there are too many things that point to fluid in the ears being a problem, and with the level of delays she has....it just seems like the right choice. I am now on the abmd board figuring out alternatives to nitrous oxide. i am learning so much. Aren't we all leanring so much from our kids.... thanks again. tara > > --------------------------------- > Never miss a thing. Make your homepage. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 I ended up going to CHOP... Dr. Zur. I do muscle testing and I had 4 people respond to my post with 4 different doctors, so I just tested and the doctor from CHOP came up strong... All the doctors seemed great from what I read about them. :-) tara --------------------------------- Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2008 Report Share Posted February 12, 2008 We've seen two ENTs from CHOP, and both were excellent. We've seen a number of other docs there, too, and I really liked all of them except Spergel in allergy. in NJ > > I ended up going to CHOP... Dr. Zur. I do muscle testing and I had 4 people respond to my post with 4 different doctors, so I just tested and the doctor from CHOP came up strong... > > All the doctors seemed great from what I read about them. :-) tara > > > --------------------------------- > Be a better friend, newshound, and know-it-all with Mobile. Try it now. > > Quote Link to comment Share on other sites More sharing options...
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