O-Boy(s)!: Trampoline Fracture

Wednesday, September 21, 2011

Trampoline Fracture

Off to the ER once again. Scotty has a "trampoline fracture" just below his knee on his right leg. It turns out this is a special fracture occurring in children ages 3-5 years old. It happens generally from being double bounced on a trampoline. He was in unusual screaming pain after a few bounces at a birthday party on Friday. I called Peter at work, informing him that I thought I needed to take him to get his leg checked after observing him for a couple hours. Peter took the other kids to birthday party #2. The fracture does not turn up an an x-ray, but both Attendings agreed that it was there. Eventually they decided not to splint his leg because he was able to walk on it so well as the many hours progressed.

We had to keep him off his leg on Saturday. Our wii was broken. Peter decided it was time to replace it (being that they were also on sale....and knowing that would keep him down all day!). The big boys happily thanked Scotty for breaking his leg. Scotty replied, "I will break it every week!".

1 comment:

Alex and Whitney said...: Poor Scotty!! Alex's fractures don't show up on x-rays either, only from bone scans. Glad he is doing okay, and looks so sweet in the picture! :) Love that boy!; September 21, 2011

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What is FPIES?

I have 2 children that are recently healed from FPIES - Food Protein Induced Enterocolitis Syndrome. Scotty is 5 years old - and fought this disorder for about 3.5 hard years. Colin is a 20 month old baby - and had a quick recovery. He is recently cleared of all of his symptoms, calling him FPIES free!

FPIES is a severe delayed food allergy of the gut, it is understood to be a T-cell mediated response in which food is considered a foreign invader and the body “fights” it until it can violently expel it; although the exact mechanisms are still not well understood.

Symptoms include: profound vomiting (often to bile), diarrhea and/or constipation. These can lead to: lethargy, low body temp or fever, hypotension, and in severe cases, sepsis and shock. Reactions to food are often delayed - a couple hours or even days.

Many children also experience a combination of discomforting symptoms while the body "fights" this reaction and these can include: extreme stomach pains, gas, runny stools with or without mucous or blood, persistent hiccups, acid reflux, rashes, sleep disturbance, and agitation. Other atypical symptoms I see in my own children are persistent runny noses and ear infections. Sypmtoms can last a couple hours or even weeks after the initial ingestion of a trigger food.

FPIES is a clinical diagnosis (based on symptoms), there is currently no test for it.

FPIES common trigger foods as listed in the literature include, but are certainly not limited to: Dairy, Soy, Rice, Oats, Barley, Green Beans, Sweet Potatoes, Squash, Chicken, Turkey, Corn, Eggs.

Safe foods for these children to eat are determined by food challenges either at home or the doctor's office, as directed by the child's physician.

Children diagnosed with FPIES are treated in part with a strict elimination diet - keeping all trigger foods 100% out of their bodies. It is hoped that this will give their gut time to "heal".

Read and learn more in Joy's collection of articles:
FPIES File Cabinet

Also see her great collection of articles at The FPIES Foundation:
Medical Resource Articles

Check out this new great website with tons of FPIES info:
International Association for Food Protein Enterocolitis