I brought Lil Isaac for his follow up with the NUH specialist this morning. Our appointment is at Clinic A, the same clinic which jiejie had her follow up 3 years ago. It brought back lots of memories. Then, Popo will tag along for every single follow up appointment and I enjoyed her company. Now, she is far too busy with the other 4 kids at home to tag along. So, it was just Lil Isaac and me. I was actually a little anxious at first but reminded myself that it will be the few occasions that I have time alone with Lil Isaac and I should enjoy him.
We had a fairly easy time, even when we were caught in a traffic jam on the way to NUH. The hotdog bun fulfilled its purpose. Lil Isaac was very noisy when the PD was reviewing him bcos it was his nap time and he was thus not very happy to be poked and had his backside examined. He fell asleep when I latch him at the clinic after the PD’s review and slept all the way home.
I had thought that we will be seeing a skin specialist for his eczema. This was what the PD at NUH A&E’s referral about. Interestingly, a PD saw us and she did a thorough examination on Lil Isaac, asking about his hives, his eczema, his constipation, etc. I am actually quite glad. She asked me a ton of questions on his eating and bowel habits, which I found myself inadequate to answer. I wish Popo was there with me. She appeared to be more concern with his constipation problem than eczema. I supposed so too since his eczema looks very much OK today but his constipation problem had been plaguing us and today is day 5 of Mr Poo Poo’s absence, adding on to the trouble that he passed out pellet size poo poo yday and he bled. Poor boy.
The PD said that she could feel hard stools in his tummy and ordered suppository to help get rid of the hard ones that blocked the exit. The usual conversation about improving his diet, lacing it with more vegetables followed. I didn’t really catch all of what she said bcos Lil Isaac was moving around and performing his stances. We were again given lactulose to ease his constipation. The PD guessed that his hives were likely to be a result of a viral infection than allergic to lactulose. Then again, we were asked to go easy with lactulose and to monitor him closely. We can also opt for prick test for allergies that trigger his eczema. I haven’t decided on that. We can also start giving him fish to see if he is really allergic to fish as per his first hives reaction to probably anchovies. All in all, there is no conclusive evidence to prove that Lil Isaac is allergic to a particular food/ medicine. We could order prick tests or simply try again and monitor. This is on the account that his reactions were pretty mild on both occasions. We are given a follow-up appointment 2 months down the road and I am happy to realize that the referral from NUH A&E PD entitles us to subsidized rates. Yippee.
We were given the same suppository which that locum failed to stuff into Lil Isaac’s backside. I was worried at first. However, I actually got it in very easily at Centris with Popo helping to distract him. I suppose Lil Isaac is a little more relax with Mummy poking his backside than some big size uncle, which helps greatly. Popo called shortly after I left to inform that the suppository came out with another pellet size poo poo. It didn’t look as if it has dissolved. She was suggesting giving him the lactulose and I was thinking of giving him suppository no. 2 tonight.
I received another call a while later to tell me that Lil Isaac poo poo on his own, before Popo managed to give him the lactulose and there was a lot of poo poo. I bet the smell was overwhelming too. The best part, Lil Isaac pushed out the poo poo with ease, with no sign of pain, discomfort or tears. Hmm.. I don’t know what worked, the lubricant, the suppository, the papaya that he had last night or the plum this morning. Anyway, it is news worth celebrating!
I hope things get better. I really hope. This poo poo war is very taxing.
Mummy Lim