All About Primary Complex

[zeejay]

hi mga mommies.. newbie here, I just want to ask experiences of those who have kids with healed primary complex, my bunso got infected with PC  and she finishedher treatment January of last year, and after series of follow ups from our pedia, and xray , she was declared cleared, however lately i noticed that she still has that lymph node (bukol, kulani .. ) in her neck, when we visited her pedia last Saturday she just told me that it will normally takes for the "bukol" to disappear.  Do you have same experience? i mean your kids after completing the treatment stil have this lympnode? how long will it take for it to completely disappear? or worst probably my kid's pc was not completed cured?  otherewise, Is there any vitamins or medications to take to make it completely disappear?.

My concern now is that she might get PC again    or is the presence of the lymph node conclusive to a PC condition? , i'm really confused, that why i'm planning to bring her to other pulmonary pedia to get 2nd opinion.

Would appreciate your feedback.

thansk

[mommydheng]

Hi!my first time here. My son's case naman is this; mga 1-3 months old yung baby ko, na  diagnosed ng pedia niya is he has a skin asthma, so medyo dry yung skin niya then may mild sipon at "harok" sa likod na maririnig.. the pedia prescribed some antibiotics,creams, ointments, antihistamines pero may mild sipon at ubo pa rn, i taut dahil lang sa skin asthma yun then nung dumating yung time na 1 week na pabalik balik yun ubo at sipon niya plus fever, dun pina xray and skin test na siya and boom! positive for PC nga. 6 months siyang uminom and tapos after nung medz cleared na daw pero after a month bumalik ulit at pina xray ulit namin siya positve na naman. My husband and I decided na tumira muna sa province kasi medyo congested at polluted nga yung area na tinitirhan namin (somewhere in sampaloc) and probably hindi talga kaya ng resistensiya ng bata. Nung dun na kami sa province after niya matapos yung 3 months meds.. pina xray namin ulit at cleared na daw at stop na ang meds kasi kawawa naman daw yung bata.. this time ang pedia niya is a pulmonogist-pediatrician siguro after two weeks sinipon ulit siya... the pedia told us na may allergic rhinitis siya some of the indications is yung dry palm niya and parang eye bag? medyo dark yung sa ilalim ng mata niya. so nag take lang siya ng antihistamine and prescribed vit c.  As of now,  napansin ko na simula nung  nag vit. C siya hindi na siya sinisipon at inuubo.

With regards sa appetite niya, nung may PC siya mahina nga siya kumain ng solid foods pero sa gatas malakas kaya mataba (hindi mo aakalain na my PC siya) , pero ngaun he's 2 years and 3 months old malakas na kumain with the help of cherifier naman and vit c bago matulog.. right now, we're having a vacation here in sampaloc and 3 months na kmi andito sa awa ng diyos eh hindi naman siya nagkakasakit.. probably, despite na naeexpose siya sa pollution and some people here na built na siguro yung immune system niya kaya lumakas yung resistensiya niya against bad elements.

[mommydheng]

Oo nga eh baby palang siya ang dami na niyang nainum na gamot and napagdaanang sakit.. actually, sa totoo lang nagkaroon pa nga siya ng kawasaki disease last year of july.

Youre right clean and conducive environment really matters pero siympre pati na rin yung mga kasamang tao sa bahay kasi mostly babies are the victims pagdating sa transmission ng sakit. Also, malaking bagay yung breastfeed talga from the start and baby.. in my case kasi one month lang ako nagpabreastfeed, mix pa yun kasi inverted nipple ako.. with that,. i think kaya yung early age ng baby ko eh medyo mahina ang immune system niya.. pero right now, by God's mercy nakakabawi na talga siya.

normal lang naman ata minsan maging paranoid ang mga mommies  eh! my mga prevalent signs and symptoms naman siya like loss appetite for food, ubo at sipon na hindi gumagaling. lymph nodes.. among others

pero if u feel worried talga pwede u nman ipacheckup si baby for sure para objective ang results and sure talga kung may PC baby mo. Naku, pareho pala tau ng case, ako naman with my papa.. heavy smoker kasi yun then ubo ng ubo.. minsan pinapalapit ko naman yung baby ko, pag mag smoke siya pinapalabas ko siya ng bahay para di ma inhale ng bata.. since hindi talga maiwasan na may contact siya that's one thing i really observe now kung yung mga signs and symptoms na naman eh babalik. hopefully and praying na ok naman na sana.

[youngmom]

i think that's one of the hardest part,living under one roof with someone who is sick,or who smokes.victims talaga ang mga babies for their immature immune system.di naman natin pwede sila pagbawalan lapitan baby natin.wala naman nag ssmoke samin,yung brother ko naman cleared na sa PC a long time ago,pero diba yung virus na dala ng mga carriers pwede nila makuha yun in one contact lang?or am i just really being paranoid? i saw kc one time when my mom's "sick" visitor came to visit,he was touching my son's hands,then i noticed later on,the guy was coughing. hindi na gumaling galing ang colds and coughs nun.,e xmpre my son thumbsucks pa,nataranta ako nun,i immediately washed my son's hands.pero nasubo na nya kamay nya nun. :(a week after nahawa pa mom ko ng colds!xmpre i can't stop her from touching and kissing my baby.then another week after, my baby was coughing na.  next week pa check up sa pedia.sana paranoid lang ako.mahal ng meds ngaun!hay.bfeeding ako so kahit papano tipid kami sa gatas. i'm happy to have bfeed him now (almost)exclusively for (going)six months.

mommydheng,good for you and your baby na he's coping up na with his health status. dami pala pinagdaanan ng baby mo ng illnesses, buti nalang he's very strong to recover.kawasaki disease?my mom's officemate has a son na nagkaron din non.mahal ang gamutan nun diba?and upto now,di padin daw matukoy ang cause at mailap ang symptoms pero boys under 5yrs old lang daw tinatamaan nun.plants ba ang cause nun?sabi sabi nila yun daw cause nun.nakakatakot kc my baby is a boy din.

[mommydheng]

the best way talga to relieve u from being confuse is to have a check up with the pedia siya lang naman makaassess kung ano health stat ng baby mo..

grabe sobra mahal nga ng gamot. It cost us a thousand depende kasi sa weight ng baby yung ibibigay na Immuno Gobulin Intravenous or yung IGIV. usually nga boys ang nagkakaroon below 5 years old.. pero meron din sa babae like sa naging case ng pedia ni baby may naging patient din siyang baby gurl. Actually, yun ang nakaka paranoid kasi u dont even know the cause tapos grabe pa yung effect niya pag hindi naagapan.. sabi ng pedia ko heart daw ang tinitira niya kaya kahit naka labas na anak ko nun, nag underwent pa siya ng 2d echo every month to check if his heart condition is ok na. sa ngaun every two years na lang daw kasi last december ok na yung heart arteries niya.. nung nagkaroon kasi siya ng kawasaki ng dilate talga uyung heart arteries niya and nagka tubig. Thank God for his mercy.

nag check me sa websites.. puro theories lang ang cause pero not yet proven pa rin up to this time.. pero sabi nila sa ukay ukay daw nakuha yun.. and i remember during my pregnancy kasi mga ukay yung mga damit ko.. Well, that's my assumption. isa pa medyo mahina rin siguro tlaga yung immune system niya nun kasi puro gatas lang siya tas one month breast feed mixed pa yun.. kaya next time ill try talga to breastfeed.

Good for u at six months nagpapabreast feed ka pa.. sana until one year old mo siya mapabreast feed.. kasi nabasa ko rin na matalino ang baby pag breast feed hehe.. 

[youngmom]

Godsent talga sayo baby mo mommydheng,very strong to recover.treatable disease daw yun kung maaagapan.kindly post for it's signs and symptoms para aware ang mga mommies. ;Dhehe.pero not here this topic is for PC.i'll have my baby's well check up next week.sabi ng mom ko paranoid lang daw ako,kaya daw naubo si baby dahil nasasamid siya.hehe.pero i still wanted to make sure.

[youngmom]

yan ang hirap pa di natin alam ang cause ng isang certain disease.we don't know how to prevent them,regarding sa kawasaki disease,may theory na sa plants daw yun galing?how true ba yun?
so how do we prevent our babies from getting infected by TB bacteria?may brother nga diba kc cleared na siya sa PC pero since nagiging dormant lang pala yung bacteria and pwede ulit maging active once na  bumaba ang immune system nya(since super active yun,maulanan lang lagnat agad,tas pag napagod after volleyball aun bumibigay na katawan),nakakatakot lang na baka magkahawaan dito,lalo na may baby na dito.may BCG naman siya pero diba it only prevents TB bacteria from spreading sa other parts of the body?tips naman jan medyo paranoid mom ako sa health ng baby ko e hehe.thanks.

[youngmom]

yan ang dilemma ko!! the people around us,especially those people holding my son. buti nalang yung brother ko, bihira lapitan baby ko saka lagi namang wala dito sa bahay. pero bothered padin ako, hindi naman kc yun maalagain sa katawan nya e,cleared na nga sa PC pero panay naman ang strenuous activities,magpapawis,magkakasakit,kaya mababa ang immune system,di pa mahilig sa gulay,doesn;t drink his vitamins!pasaway.pati pala nagka typhiod fever nagiging carrier nadin,yung mom ko nag karon nun years ago,na hospital pa nga siya e!tas ngaun pabalik balik asthma beacuse of the changing whether,yung friend nya nagpupunta dito sakitin din,nag smoke pa nga daw yun sbi ng tita ko tas pag nandito grabe hawakan baby ko,hawak pa sa kamay,kaya kinukuha ko agad tas wash agad ng hands.ang hirap talaga maging paranoid hehe.

last wednesday,we attended a graduation,xmpre naexcite mga relatives sakanya,karga dito kaga dun,halik dito,hawak sa pisngi,i cant even stand to watch them doing it! pero auko naman maging rude lalo na tagal na nila di nakita si baby.hay. e nasa labas kami,di ko mawash hands nya,ok lang ba to wipe it with alcohol since water is not available for the moment? kc xmpre mahilig nga naman sila mag thumbsuck diba.pati hands hinahawakan e. we can never tell kung sino ang carrier ng diseases sa hindi diba?

[mommydheng]

hi mommy kizzia! thanks for the info regarding kawasaki disease. Ask ko lang kasi yung last 2d echo ng baby ko (dec 2007) sabi ng pedia cardio niya nasa normal stat na daw yung heart niya. wala naman pinagbawal na kainin or any activities.. next na balik pa namin is dec 2008 then kung ok naman ang result every two years na ang 2d echo niya..
Ask ko lang na since july last year siya nagkaroon ng kawasaki and normal naman ang heart niya, is there a possibility na magkaroon ulit siya nun? and also magkaroon ba siya ng possibility na magkaroon ng heart problem prior to kawasaki disease?
Thanks for the suggestion, siguro need ko nga mag aral ng CPR.. medyo natakot tuloy ako..

[kizzia]

            hi mommydheng sorry medyo tgal reply hehe busy kc me mag watch ng mga anime haha isip bata eh. about your question po some children without treatment for Kawasaki Disease get better on their own, 15 to 25% have damage to the coronary arteries, the coronary arteries are the most vulnerable kc one of the main artery po sya nang heart, making Kawasaki disease a leading cause of childhood heart disease after birth.
             Kawasaki disease is a self-limited illness, which means the symptoms go away on their own  pero if the coronary artery is already been damage po the effect can already be a lifetime. meron pong category ang kawasaki which is acute, sub acute, and convalescent phases.

acute phase- starts with fever, which lasts for at least 5 days. dapat po kng sino yung pediatrician nyo stick to it nlng kasi this is the most challenging stage minsan the kid has symptoms na kala natin ordinaryong fever lang then it will just disappappear tapos may another symptom n naman na lalabas. eh kng magpapacheck up si baby from one doctor to another hindi po masyadong ma ti trace kng ordinary fever nga lang ba or kasawaki disease na. An ultrasound of the heart (echocardiography or ECHO) is done at the time of diagnosis to look at the way the heart squeezes (heart contractility) and to get baseline measurements of the coronary arteries. may ibang bata po na may mild or moderately decreased heart output due to poor contraction of inflamed heart muscle; some may have a small amount of fluid around the heart (pericardial effusion). Very rarely, cardiac rhythm (electrical) disturbances may occur.

sub acute phase begins when the fever stops. dito naman po makikita natin na mayroong peeling of skin or pamamalat sa palad at sa paa. affected din po yung mga weight-bearing joints in which meron silang nararamdaman na pain like yung balakang and yung knees nila. yung mga doctors they order blood test so yung mga makikita mostly sa Laboratory data is high platelet count (one of the cells in the blood that helps clotting) and an increase in blood proteins that promotes clotting. The sedimentation rate, a blood test that shows the overall degree of inflammation, continues to be high and anemia (fewer red blood cells than usual) is common. Widening (dilation) or bubble formation (aneurysm) in the coronary arteries can be seen by echocardiogram in this phase.
   

convalescent phase the child continues to recover and labs return to normal. Although the child is usually feeling better, coronary aneurysms may continue to enlarge, reaching their biggest size 4 to 6 weeks from the first day of fever.

          Genes may also play a role in Kawasaki disease individuals of Japanese origin. 85% of cases occur in children 5 yrs old and below mostly in toddlers (1- to 2-year-olds). Infants often have atypical symptoms, without fulfilling diagnostic criteria; however, this age group (especially infant males) has the highest risk of developing severe coronary artery disease. Males are more likely to get the disease than females.Children with Kawasaki disease die, almost all deaths are related to its effects on the heart.

           So mommy dheng yung baby mo since may kawasaki meron din talaga syang heart problem kc parang kambal yan sila na palaging magkasama. So what we could do is supportive measures lang during the illness and hospitalization and sympre monitor din yung heart ni baby kasi thats the most vital part yung ma damage pa lalo yung heart nya. and your asking if magkaroon sya ulit noon? actually meron na talaga sya mommydheng and it is a lifetime process wala pang na di discover na medicine for Kawasaki. Meron akong schoolmate he has kawasaki he could never join any strenous activities. Your son is much more fortunate kasi walang pinag babawal na activity sa knya.

           Ask your doctor about the result of your 2D ECHO if his heart is doing well and if there are no damages cause by kawasaki. your yearly schedule of 2D ECHO is to monitor your baby's heart activity and to see also if there are progressive damages if a heart damage is already present.

[mommydheng]

mommy kizzia, thanks again for the infos, i really appreciated. .. naisip ko tuloy magpa second opinion regarding his heart condition and im thinking sa st.lukes ko siya dalhin for his 2d echo.kasi yung mga followup checkups niya ng 2d echo sabi ng doctor normal naman na daw ang heart niya kya wala naman pinagbawal sa knya na fud or any activities.napansin ko lang nun based sa result may nakaindicate kasi dun kung ano ang normal values.. naalala me na meron data (nakalimutan ko na) na exceeed siya sa normal value.. hindi ko kasi dala yung med records niya now, andito kami sa manila for a vacation at sa davao kasi siya naconfined. so im planning to ask for his previous records para pagbasehan din nila ang history.
Yung sa case kasi ng anak ko high fever at iritable siya for 4 days, then may kulani siya bandang throat or likod ng tenga ata nun, nung pinacheck up ko siya nun hindi pa diagnosed na may kawasaki siya, since may history siya ng PTB, pina xray siya at pinainom ng antibiotic pero hindi pa rin bumaba lagnat niya..yung pag ka 5th day nag red naman yung eyes niya at dry na yung lips at medyo reddish at may mga rashes na lumabas sa arms at hands niya medyo dry na rin ang skin niya.. since nanlalambot na talga anak ko nun pinacheck up ko ulit siya, pedia niya that time is a pedia-pulmonologist pagkakita palang sa knya sabi niya kawasaki disease na daw kala ko measles nga lang  so since hindi niya specialzation yun, nirefer niya kami sa pedia-infectious disease, dun talga confirm na kawasaki nga daw. Nung na admit na siya pang 6th day na yun at need na daw talga mabigyan ng IGIV para maprevent na magkaroon ng heart disease, that day din also pina 2d echo siya at lumabas nga na dilated na ang coronary artery niya at may tubig din ang heart niya.. pinakuha rin siya ng blood test at mataas ang wbc (ata yun) at ang sabi above normal values daw.. Naibigay naman agad yung IGIV sa knya nag start ng gabi then natapos ng lunch the next day..mga 4 days din kami nag stay sa hospital.. after mag subside nga yung fever niya tsaka nag peel yung skin niya pero sa bandang tummy lang. hindi agad kmi pinalabas sa hospital kasi may chance nga daw na bumalik ulit yun. So in short pagkadischarge namin  niresita sa knya aspirin for 1 month tsaka antacid. after one month, pinatigil na yung aspirin kasi ok naman na daw yung stat ng heart niya based sa 2d echo niya.. the next na followup namin is another one month, then after two months. Since yung last na 2d echo nga niya is ok naman na daw..

What i worried is parang may feeling kasi ako na need ko talga mag pasecond opinion since limited ang binigay na info sa kin..Mga mommies, baka may mairefer kayong doctor na approachable nakabase sa st.lukes or any hospital na makakasagot sa concern ko.. and also kung magpapasecond opinion ako ano ba ang mga important infos na dapat kung malaman at itanong sa knya? Since ang sked niya for 2d echo is on dec pa, im planning to have his check up this May before going back to davao. Thank you in advance.

[enricogael]

hi mommy.. kahpon kasi nag skin test din anak ko.. after 3 days pa daw malalaman yung result.. ask ko lang.. kung ano sukat ba nun pantal para malaman na positive si baby.. naawa tuloy ako sa anak ko.. hindi ko maimagine na magkakaroon siya (if ever positive) ng ganon.. thanks

[momiNihannah]

naku...lalo ako ngworry yung baby ko kasi 6 months na and parang 4x na sya ngkakron ng ubo at sipon and napakahina nyang dumede...pwede na ba sya ipaxray kahit 6months...parang napakabata nya pa para maexpose sa radiation..

[momiNihannah]

ceelin lang sis..ok po ba yun? dati nutrillin tapos pinalitan ng growee tapos binalik nutrillin tapos ferlin...sabi nga ng daddy ko itiki-tiki ko na lang daw kasi sure and tested na daw yon...di ko nga lam if dalhin ko na sya sa specialist sa manila kasi dito kami batangas...kaso ayaw ng husband ko ibyahe ng ganun kalayo kasi 6months pa lang si hannah...wala kasi ditong pedia-pulmonologist..

[youngmom]

one reason siguro sis kaya pabalik balik yung ubo at sipon niya is first because of the weather na pa iba iba.second mahina ang immune system niya so give him vitamins rich in zinc and vitamin C.ano ba milk niya?ang vitamins ng baby ko since nag 2 mos siya upto now tiki tiki and ceelin and ferlin(pero ngayon lang i stopped giving him ferlin)and we never changed it.baka kc sis papalit palit ka ng vitamins kaya hindi umeepekto yung ceelin sa immune system ng baby mo.stick ka muna sa ceelin,o kaya pedzinc kc zinc helps build the body's immune system.consult mo muna sa pedia kung pwede sa kanya ang pedzinc+ceelin.hope this helps.