Saturday, September 13, 2008

Medical Update on the Boys...

This past week, Austin had a visit to the dentist. He had 5 cavities!! That seems so unbelievable to me as we go to the dentist every six months. It turned out that they were all mini cavities, therefore, he didn't even need Novocaine. Wow! What a brave boy! They put sealants on all of his molars so hopefully we won't have to deal with this in the future.

Gavin seen a Urologist down at Children's Hospital in Minneapolis. He tends to have a real issue with "urgency" since he's been potty trained at age 3. It turns out that he has:
1) An unusually small bladder. The usual bladder holds at least 90ml's of urine, his is lucky to hold 40ml's.
2) He has a thickened bladder wall, causing it to "spasm" which, in turn, causes the urgency he experiences. Seriously, this little guy will go to the bathroom 4-6 times an hour. I swear he spends half of his day in the bathroom.
3) They believe that he is constipated. This also puts pressure on his bladder, making his issue worse. I am not that convinced that he has an issue with constipation as he doesn't have accidents and goes 1-2 times a day. (sorry if this was TMI-he! he!).
PLAN: Start him on Miralax (a stool softener) for his constipation and Detrol LA (a muscle relaxant) to help with the bladder spasms.

Ummm....Not sure I agree with the plan above. Especially with the Detrol LA as it hasn't been trialed in the pediatric patient. Gavin only weighs 39#. He seems so little to be taking a big boy medication. I have a call out to his primary pediatrician to get her thoughts on it.

1 comment:

Jill said...

Hey Tracy,

Have you heard of daytime frequency of urination? It's a common problem with kids, especially around 4 or 5 years of age. I think KC or NW first told me about it. Here's some info about it:
http://www.uofmchildrenshospital.org/library/content/pa_urinary_hhg.htm

(Love keeping track of you on your blog!)
Jill