You know, it's been about three days since Oliver came home from the hospital and began settling into normal life. Now, we're bored. So, we decided to take Elisabeth to the emergency room-- missed the medical attention, I guess.
Actually, late yesterday afternoon, Elisabeth started whining she was hungry and needed a snack. No surprise, since she ate zero lunch, so I finished changing Ben's clothes and headed for the kitchen. By the time I got some yogurt and Gatorade out of the fridge, Libby was clutching her abdomen, rocking back and forth, and yelling, "It hurts! It hurts!" I wondered if it was a stomach bug coming on, because the couple times Libby has been sick to her stomach she whines and tries to fight it. But, she said she didn't have to throw up, and the crying was escalating. I called Mom and Dad, wondering if we'd eaten something funny for lunch; Mom heard Libby screaming in the background and said they were on their way over.
In the time it took them to get to our house, Libby writhed around on the floor, kicked and screamed, tried to make herself throw up, and just kept yelling, "It hurts badder!" The grandparents pulled in, one hopped in my car and the other went in the house to wrangle the other kids. I had called Todd in a panic, so he was calling back every five minutes for updates.
Her behavior continued in the emergency room, and we were quickly bumped to the top of the list. Elisabeth had been rocking and moaning for well over an hour at this point. Once they got her situated in an E.R. bed, and the nurse examined her, she promptly fell asleep. The nurse said she probably wore herself out, but I'm still not convinced she didn't pass out from the pain.
This continued through the evening, with bouts of building pain, short dozes, and spans of, "I feel fine now. Where's my Leapster?" The doctor ran a bunch of tests, including a CT scan with contrast/dye. The only time Elisabeth actually threw up was after she got a bunch of that contrast in her. The tests didn't really show anything, and, by 10 or 10:30, Libby was chipper and wound, asking over and over again, "Why doesn't anyone come to visit me in this hospital?"
The E.R. doc ruled out problems with her appendix and gall bladder, and she didn't have a bladder infection. He said he was checking for a very serious condition called
intussusception. The CT scan showed no evidence of this, but the dye also did not work its way entirely through Libby's intestines, so the radiologist could not give a definitive answer. The doctor gave us three options: wait another hour and repeat the CT scan-- but he advised against it due to the added radiation and a hunch the test would not show anything; go to Children's Hospital for a more conclusive test called a barium enema (I think you all know, or can imagine, what this entails;) or take her home, watch her closely, and visit the pediatrician in the morning.
So, Libby went home, ate two clementines and drank some Gatorade, and begged Daddy to sleep with her. As if we'd let her be alone! So, those two cuddled while I tossed and turned and listened for signs of trouble. Oh, and if
not this life-threatening condition? Then, the doc suggested constipation. I'll tell you who's constipated.
AFTERNOON UPDATE: After a trip to the pediatrician's office, another visit to radiology, and a 45-minute phone conversation with Elisabeth's urologist, we are no closer to answers. She is acting OK today-- eating lightly, drinking and peeing more (a result of the contrast ingested last night)... but there's not much news. We decided to temporarily remove Libby's patch that has been treating spastic bladder, because constipation can be a side effect. The pediatrician and the urologist were at odds over whether to start an over-the-counter treatment for constipation; we may try a light dose, or something for gas. And, I will talk to the doctors again tomorrow after they confer with the radiologist.
MINUSES: My OCD is in overdrive, asking Libby every 30 seconds, "Does your tummy hurt?" I've now burned up two back-to-back Grandma babysitting opportunities for the other kids; I would rather have gone shopping or to the movies. My daughter has had so much radiation I expect her to be her own nightlight.
PLUSES: I've promised a trip to the market to pick out as much of whatever fruits the kids want. Libby has amassed a collection of 15 new stickers, or "bravery badges," from the various medical departments. The middle child has gotten a BIG chunk of Mommy and Daddy's undivided attention.