22 months in and almost NO eczema!!!

My son is 22 months in. His skin has been great since month 15, but continuing to get softer and softer. The only spots on his body that are a bit thickened still are half of the top of his feet, a tiny spot on the backs of his knees, and small spots on his wrists. I wouldn't classify him having "eczema" anymore. :)

90% healed at 19 months!!!

On topical steroids on and off for 2 years - never longer than the 2 week stretch that the doctors prescribed. Started withdrawal at age 3 on March 1, 2013 and is 90% healed at 19 months of withdrawal (age 5.5). *Used National Jewish Health for treatment of eczema.

It's been a while since I've posted but thought it's about time to update! In June, we moved to a different state to stay with family while we poise ourselves for the next step in our lives.  We left a very dry climate, high elevation, less oxygen, and we also found our dog a new home. We came to a more humid climate, basically sea level, more oxygen, and no pets. Within weeks of being here, Keegan's skin has gotten dramatically better. His bloating has subsided for the most part, and his skin has cleared drastically!

This picture of his feet below was at the beginning of June. We started using this Shea Lemongrass cream every day:

https://www.etsy.com/listing/178853667/lemongrass-healing-balm?ref=shop_home_active_1&ga_search_query=Lemongrass

and the before and after pix are 4 days apart!!! 

From this point on, his feet have pretty much stayed looking like this. He still is quite itchy on the feet, but only in the evening. They are still dry and leathery, but not scabby and wounded like before. The worst spots now are his feet, backs of knees, and wrists - still SO much better than they used to be!

Everywhere else is baby smooth, soft supple skin. He is still also dealing with boils in random spots, and is still itchy on his feet.

For the boils, we tried a round of antibiotics at first, and they only stayed away for 2 weeks. We are now doing sovereign silver, echinacea extract, and a mushroom extract to try to kick the staph infection for good.

As for the TSW journey, the worst time for us was in the 3rd month off of steroid creams. My son had another major flare at 6 months TSW and 1 year TSW (see pics). 

Results from Endoscopy and Colonoscopy

Doc said everything from the colonoscopy scope looked normal and biopsies came back normal. However, biopsies from the endoscopy showed elevated eosinophils, which are cells that only become present during certain times - the ones in line with Keegan are allergies, adrenal suppression, eczema, and hay fever. Basically, Keegan esophagus is inflamed and irritated. 

The doctor told us that the eosinophils could be present either due to acid reflux, or an allergy issue. More likely it's an allergy issue, but the only way to know for sure is to take acid reflux meds for 2 months and re-scope. We are on the fence about both meds and re-scoping, but the doc told us if we leave it untreated, the chronic inflammation it could cause scarring of the esophagus which could lead to narrowing of the tube and even cancer. 

Our thoughts are this:

Of course Keegan has a presence of eosinophils, he's an inflamed mess right now. He feels he has a need to inhale his food - never takes the time to chew properly or eat slowly - so with his esophagus being a bit narrower due to the inflammation, he is swallowing a TON of air. This is what is causing his belly to be bloated a lot of the time, particularly toward the end of the day. 

Once his body has more time to heal, he becomes less inflamed, and his adrenals start working as they should again, his esophagus will calm down as well. 

So..... we are really on the fence about medicated for acid reflux when we REALLY don't think that's his issue. 

WE SAW A SMALL GLIMPSE OF WHAT THE FUTURE HOLDS!

Our family traveled to California on vacation in April - we currently live in Colorado. On day 4 of our 10 day vacation, we started to see MAJOR improvement in Keegan's skin. His skin was the best we had seen it since being on our topical steroid withdrawal journey. It was AMAZING! Super soft, smooth, barely flakey. He could actually walk normally without favoring his sore knees and ankles. He didn't scratch the WHOLE DAY during our 80 degree day at Disney. He didn't even complain it was hot! He swam and swam and swam in the pool / hot tub at the hotel. He played in the sand! He did not whine and complain most of the week. A different child for sure... within 2 days of being back home in Colorado, his skin reverted right back to being super itchy, cracked, sore, oozy, flakey and uncomfortable. We are connecting it to a few factors... Colorado is super dry, not humid, high elevation with less oxygen, different pollens, and we have a dog. 

A couple weeks after being home, we realized we have GOT to make a change... we saw hope in our son that we have not seen for a long time, and we feel like we are in a rut here in Colorado. We can't make a move to California right now, but are hoping in the next few years we can make it happen. My family is from Chicago - which is sea level and more humid - so we decided this would be the next logical step for us. We are moving to the Chicago area, and are also finding a new home for our dog. 

While we are sad to leave my hubby's family and our friends in Colorado, we are excited for what the future holds for us and for Keegan's health. 

As for the acid reflux meds... we decided to start them for now, but try to find a supportive doctor in the Chicago area to see what to do from here. Ideally, we'd love to find a pediatrician who is on board with TSW, who can guide us to what to do about the esophagus issue. 

Please feel free to leave comments if you have any suggestions for us! xoxo

It gets worse before it gets better?

I've been holding off taking pictures of Keegan at 1 year off topical steroids, because his skin looks really bad right now... I do need to document though, I keep telling myself. I WILL take those pictures.

We've been struggling with a bloated tummy, which basically started a year ago, when we drastically changed up Keegan's diet, and took him off topical steroids. First we tried the GAPS diet, then we tried an anti-candida diet, low fodmaps, no sugar, paleo, no cruciferous veggies, no grains, parasite cleansing, herbs, enzymes, probiotics, magnesium drinks, hydrotherapy, enemas, caster oil packs, tummy massage, it's been crazy what we've tried. He "goes" to the bathroom on a daily, regular basis, so he's not backed up either.... Nothing has worked to ease his belly from being hard and distended.

So, we've decided to take this issue back to the doctor... we took Keegan to a pediatric GI specialist last week, and long story short, doc wants to do a colonoscopy and endoscopy on him.

A couple things that bugged me about this doctor (although doctors only "know" as much as they were trained...)
1. He basically said we wasted our $ on IGG blood allergy testing - according to him it doesn't mean anything since IGG antibodies react to ALL foods.
2. He said the stool test we had done was useless because a "4" on a scale from 1-4 on candida overgrowth doesn't mean anything either. Everyone has candida to different levels, and he doesn't understand why these "natural" doctors want to blame candida overgrowth on a lot of issues people have.
3. He doesn't believe in topical steroid addiction - he says that they don't absorb enough into the skin to create problems internally. (I guess he doesn't know that steroids on the face have a 7% absorption rate, eyelids 30%, armpits 4%, genitals 30%, most everywhere else 1%). Over time of application, the amount these drugs get absorbed is crazy... Also, if bacteria can enter the bloodstream through a cut or sore and create chaos in your body, then why wouldn't a potent drug be able to do the same??

We will go through with the procedures, because we want to make sure there isn't anything we are missing. And if they do find something, it could help us work that much harder toward Keegan's end goal of complete health.
Doc said that it could be a few things... bacteria overgrown on the digestive tract, an "allergic" digestive tract (like people have allergy of the lungs or allergy of the skin - he could have allergy of the gut), or it could be a  malabsorption disorder or some sort. Doc also mention SIBO (small intestinal bacteria overgrowth), which he said there's a test for (breath test) but Keegan is too young to do the test on as we wouldn't get accurate results. Antibiotics would be the treatment for that, so we'd just have to assume he has it and treat for it. We are not going that route yet...

Doc wants to test for celiac disease while he's in there, and he can only test if Keegan has gluten in his system - at least a cracker every day for 2 weeks. He hasn't eaten gluten in over a year. 4 days in a row of eating gluten, and his eczema is as bad as it was back in May - 2 months off topical steroids. Not good. So... we decided to screw testing for celiac. We want to focus on healing Keegan NOW. If he ever wants to eat gluten in the future with HEALTHY skin, we will deal with it at that point.

We recently saw an article for the 5 foods to avoid for eczema. Gluten, Dairy, Eggs, Corn, and Nightshades.
We already do 100% no dairy and eggs, and gluten except for those 4 days. We just recently have been feeding him corn and some nightshades (tomatoes, bell peppers and white potatoes). Well since seeing this article, we are going to be strict again. We have GOT to get his skin back under control... bye bye french fries, tater tots, corn chips, and tomato sauce! Until next time. ;)

Topical Steroid Withdrawal can cause internal infections!

It's been a busy couple of months from when I posted last... mid January, Keegan started complaining of pain in his left heel and favored it greatly when walking. The same thing happened back in April (during the worst his skin had gotten), and we got xrays and blood work back then, which basically showed nothing except a slight elevation in inflammation markers and white blood cell count (which could have also been elevated due to his bad eczema). 

Over the course of a week, it went from slightly complaining about it, to not being able to function unless he had ibuprofen. He started waking up in the middle of the night screaming from the pain. We took him to his pediatrician, who referred us to the ER for immediate xrays and bloodwork. Bloodwork showed the same inflammation markers that were slightly elevated and elevated white blood cell count. Xray showed a dark spot that basically meant missing bone, where some sort of growth was taking over. 

From there, we were referred to an orthopedist at Children's Hospital. They ordered an MRI (which has to be sedated with children). I had to stress to the doctors NO STEROIDS. Apparently it is routine to administer steroids during most surgical procedures to help breathing.

MRI showed a fluid filled section of most of his heal bone, and that his whole heal bone was completely irritated. Doctor said most likely it's not anything scary (like cancer), it is either an infection or a bone cyst. So.... off to surgery to biopsy it and figure out course of treatment.

Surgery determined it was an infection - they flushed out the area and we had to stay 2 nights in the hospital while he got antibiotics through an IV, and they determined the bacteria was a strain of staph. After released from the hospital, he needs 6 weeks of oral antibiotics and weekly blood draws to make sure the inflammation markers are going down, and that the meds are messing with his organs in a bad way.

He was in a cast for 2 weeks and in a boot for 4 weeks after that... it will take at least 8 weeks for the heel bone to grow back in. We are at the 4 week mark post-op right now.

I am even more pissed at the doctors who over prescribed topical steroids to my son. They robbed him of a "normal" childhood for the past 3 years. There is no doubt in my mind that this bone infection was caused from topical steroid addiction / withdrawal. Staph is a common bacteria on the skin, and from all the scratching and making his skin open and raw from withdrawing, this caused the bacteria to enter his bloodstream and then get into the bone. I'm so over it.

Oh yeah, and since being on antibiotics, he has not has ONE boil!!! And the ones he did have cleared up. This is a far cry from getting at least 2 ones each day and have as many as 15 at any given time, spread over his entire body. We are kicking this infection in the arse! 

Keegan's 1 year journey is tomorrow - I will update then with new pictures of his new and improved skin. :)