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Forum Name: Pediatric Topics

Question: Central Sleep Apnea in 18 month old


 kimmad - Wed Feb 27, 2008 12:34 pm

I have an 18 month old son who has had multiple health problems since birth: Severe reflux, DGE, swallowing problems, frequent infections (URIs, ears, throat, etc.-more than other kids his age), thrush, strep...and others I'm sure I'm missing. He has had his adenoids removed due to severe hypertrophy and bilateral ear tubes. He was also born with a Linear Epidermal Nevus on his left thumb/wrist. When biopsied, showed no connective tissue effects. Blood testing has revealed nothing other than a mild Class 2 allergy to egg whites. He's been tested for celiac, immune deficiency, wbc, RAST, etc.

He went for a sleep study last week due to severe difficulty falling and staying asleep. It showed mild Central Sleep Apnea, which, quite honestly, doesn't really surprise me. I had a feeling that was why he was waking up.

We've been to (almost) every specialist - GI, allergist, ENT, Dermatologist...

So, I have a couple of questions: What is the next step with the results of this study? What kind of specialist or other doctor should we go to next? What other testing should we have done? Is it likely, between the results of this study and his multiple health problems, that there is an underlying condition, such as a heart or brain problem?

He is currently taking Prevacid (15mg/day), Carafate (2ml every 6 hrs), Erythromycin (30mg 3x/day) due to the reflux which is STILL very severe.

We haven't slept well in months (with is constant waking) and he is really becoming irritable due to his lack of sleep. I am willing to test to the limits to find out what is wrong, and fix it!

Thanks.
 Dr. Chan Lowe - Wed Feb 27, 2008 9:56 pm

User avatar Hello Kimmad,

I would suggest you have your son evaluated by a pediatric neurologist. He may need some further evaluation of his brain, such as an MRI to see if there are any issues. I wonder if he has some weakness of his muscular tone, termed hypotonia. This may contribute to his severe reflux and sometimes goes along with a nervous system problem.

Best wishes.

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