Today I am returning to Children's Hospital with Handsome for more testing. He turns three at the end of this month and still deals with increasingly worse reflux and, at our last visit to the hospital, was diagnosed with oral pharyngeal dysphagia. Basically every time he swallows liquid, he aspirates part of it into his lungs...and, given that he has reflux, he also is aspirating stomach acid into his lungs. Needless to say, this is not good!
It is especially bad because he's pretty much at the end of the window of opportunity for outgrowing these things--and dysphagia (he has two types) in a child his age is quite worrying. I'm not sure what is in his future, but I'm worried. Currently all we're doing is thickening all his liquids (which he seems to appreciate--not the reaction I was expecting from him!) and giving him inhaled steroids to strengthen his lungs. Future options include occupational therapy for his mouth, brain scans, and some very very invasive tests. We'll know more after his repeat fluroscopy and appointment with his pulmonologists.
We go back to Children's again on Friday to meet with our GI specialist and talk more about our options for addressing his reflux--which is worsening again. He's now on 30mg of Prevacid in the morning, 4 ml of Zantac and 15mg of Prevacid at night. Even at these increased dosages, he wakes up all night long and his sheets are covered with stomach acid in the morning. Poor little guy. He does a bit better with it during the day, but it still bothers him--and he is soooo tired from his poor sleeping.
Edit: On a different note, today my make-your-own puzzle post is being featured on No Time for Flashcards!