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Old 04-23-2012, 03:06 PM
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Zmom Zmom is offline
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Default Increased Secretions with Pollen?

Hi Everyone,

I am wondering if it is normal to have increased secretions this time of year. Zachary rarely needs suctioning, but the past few weeks we have had many plugs which are difficult to suction - though we are able to eventually get the plugs with suctioning. He also seems to be gagging and coughing more. I think the gagging is leading to projectile vomiting, though it is tough to tell because Zachary also has reflux. It just seems that he is vomiting now after gagging/coughing when before it seemed it was from being fed to fast or more obvious reflux signs. (To be honest it is tough for me to read this kid.)

Is it possible that the increased plugs/secretions are from pollen in the air? Could that be leading to more projectile vomit? The doctors do not want to put him on reflux meds (which we stopped months ago) because they do not think he reflux is severe enough at this time. He is projectile vomiting AT LEAST once a day - but often two or three times a day. He is fed five times a day.

Thoughts?

Erin
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Last edited by Zmom; 04-23-2012 at 03:41 PM.
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Old 04-23-2012, 03:37 PM
Sweet Harrison's mommy Sweet Harrison's mommy is offline
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A couple of things...

1. I would absolutely push for Zachary to be on reflux meds if he is vomiting daily. Many trached kids WITHOUT reflux symptoms are on medications like prevacid just as a safety precaution to protect the airway. That much vomit could potentially hurt the lining of the esophagus.

2. Yes, I think the pollen could definitely have something to do with it. Harrison also has had increased suctioning the past month or so with no other signs of a cold. Although, he does have reflux, so I am going through the same battle as you...trying to determine what is causing the secretions and gagging, reflux or allergies??

I think you won't know for certain that it isn't reflux unless you attempt some reflux medications for a bit. If you don't notice a difference after a certain period of time, you could always stop them, but I would think it would be worth a try.
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Old 04-24-2012, 09:48 AM
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kadiera kadiera is offline
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We're hearing from hospital #3 that "some trached kids, and lots of vented kids, just vomit, and if they vomit, they should be on reflux meds"

I know here, weather swings this time of year play a part in secretions, not just the pollen.

Both of my kiddos have needed an allergy med while trached to manage mucous - Alexander vomited 5-6 times a day originally, and we worked our way down to 1-2 a day (and each one had whatever he'd eaten, plus mucous), and then we added claritin and it was zero....until we missed a dose of claritin. We had to be a little cautious about too much meds causing plugs. Bethany is much the same way, though we haven't gotten to zero yet, we know mucous plays a part (and we're hoping switching her gj-button to a plain g-button yesterday will make a difference too).
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Old 04-24-2012, 01:33 PM
Christamae Christamae is offline
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Sounds like allergies. I would try Claritin & see if that helps. Also, he could be having nasal drip down his throat so you might need a nasal spray like Rhinoquart or Nasonex. If those don't help I would push for a reflux med. Zofran is great for nausea.
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Old 04-25-2012, 03:03 PM
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Thank you for the responses. We were at the pediatrician yesterday morning and she still does not want him on reflux meds - she thinks for Zachary the side effects would be worse (all his other specialists seem to agree). I have not thought about allergies though. I will ask about that and it is worth a try. I hope it helps! Thank you!
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