supporting the families of children born unable to swallow

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Anyone else been diagnosed with bronchiectasis?
Posted: 18 November 2009 03:42 PM   [ Ignore ]  
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Dear all,
A young TOF adult who is struggling to receive ‘knowledgable’ follow up care would like to hear from/make contact with others.  This is what she says:  “I often get things stuck but as I have been discharged from paediatric care all follow up has been lost.  I have also struggled since I came to university as I don’t seem to be able to get hospital appointments either here, or at home without a brand new referral. 
In terms of associated problems, I have a VSD which was diagnosed prenatally on Ultrasound scan.  Aged 10 I suffered back pain and an XR revealed lumbar and thoracic scoliosis, which often stops me sleeping due to the pain.  I was diagnosed with asthma as a child and despite never having had an asthma attack this label stayed with me into my 20’s until I found a very good practice nurse who finally got me referred to a respiratory clinic - it turns out I have an obstructive airways disease known as bronchiectasis.  This predisposes me to chronic chest infections - I am still waiting to find out what has caused this as I am 21, and have never smoked.  The most common cause in the developed world is Cystic Fibrosis - I haven’t had any GI symptoms, but it can still be diagnosed without that on the basis of genetic testing.  I failed to thrive as a child and had repeated chest infections (a cardinal sign of CF), but this was put down to my TOFS.  I do not yet know if it is related to the lung problem, but would be interested to hear from anyone else who has experienced anything similar. 
I also had a congenital hip problem known as FAI (femoro-acetabular impingement) which is where the ball is the wrong shape for the socket in short.  I had it corrected in 2005 but have been in pain ever since and have been told I will need a hip replacement in my late 20’s early 30’s.  Again, I would be interested to hear from anyone else with a similar problem.”  Please call the office if you can offer any advice to this TOF Adult, tel: 0115 961 3092.

Thank you in advance,
Diane

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Posted: 27 May 2010 11:35 AM   [ Ignore ]   [ # 1 ]  
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I would suspect your bronchiectasis is due to chronic reflux. Microaspiration of acid into the lungs tends to nobble it in two ways- either bronchiectasis or COPD, depending on individuals reactions. I would recommend a referral to Prof Maurice at Hull, who is expert on such things and has a number of TOFs with bronchiectasis (though fortunately for me my lungs are still ok)

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