The Specialist

Karston finally had his appointment with the pediatric gastroenterologist specialist this afternoon. (Finally! Over three months of waiting!) This morning when Karston said tummy hurting, we told him he would see the doctor today. This evening, Karston asked why his tummy was still hurting after he saw the doctor. Heart-rending!

Overall, my sense is that Dr. Litchtmann isn't too worried about Karston. Karston doesn't "show" well to doctors. He starts off shy, hiding his face in Daddy's lap. Then he warms up, starts laughing and then working the crowd. He's so happy that when we say he often screams at night from his tummy pain ... what we say (crying from pain) doesn't match what Karston presents (extra happy, energetic kid) to the doctor. The doctor's not worried about his small size (nor would I if I didn't think it were a direct consequence of his food aversion that's almost certainly due to his tummy pain). He wasn't even too concerned with the poor eating habits -- but he's going to help us look for the root cause of the pain, so this doctor is reading off the right page.

The positive outcome is that we have an imaging appointment Monday afternoon. First Karston will have an abdominal ultrasound to see that all his organs are the right sizes in the right places. Immediately after that, he'll have a barium swallow (or so they think ... swallowing is close to eating and Karston would rather not) and an upper GI x-ray. We really should see something; if not, the doctor will send a 'scope down to look (requires general anesthesia, can biopsy to check level of esophageal damage from reflux). So, as I expected, nothing got resolved today, but we're on the path to see what's wrong.

Like all of his recent doctor's appointments, Karston absolutely did not want to have his vitals measured, least of all his weight. I suppose he has heard too many times that he should eat more after he's weighed. After much resistance, we learned that he's 26.7 pounds dressed in winter clothes, and 35.75 inches tall. And he looks healthy.