1 Year Old With Hypotonia - No Answers Yet, looking for advice & solidarity
Hi all, I have a beautiful 1 year old daughter that has kept us on our toes this last year. I'd like to share her journey to see if anyone has/had similar experiences and hear your child's outcomes, and I'd love any advice you may have for me. It has been pretty isolating.
She is in 4 weekly therapies, sees GI, ENT and a neurologist. Neurologist ran a full genetic screen that came back normal and our daughter did have an MRI which came back normal except for the following: "Oval 4 mm focus increased T2 signal mid right corona radiata. Small focus of presume nonspecific gliosis right periventricular white matter." The neurologist has stated multiple times that she thinks this finding is "incidental" and that this finding does not explain the issues our daughter is having.
She was born full term, regular pregnancy, but she did go into brief distress right before I started to push (once I started pushing, she came within minutes). Her heart rate would also drop during my hard/fast contractions, but would come right back up - nurse said this was normal. My daughter had good APGAR scores. She was born sunny side up and did swallow a lot of amniotic fluid that she coughed up. She latched and had a normal "golden hour" I noticed a few hours later that she seemed to be "buzzing" and the nurses said that was her nervous system regulating. Again, no one was concerned. Later in the day, I noticed she wasn't latching as good and she also had issues finishing a full serving of formula. We later realized this was because she had a weak suck reflex since birth. Once we were discharged, feeding issues continued but she gained weight.
The rest of her journey: -Low tone in mainly core and neck, did not sit without support until 9 months, but with PT she has caught up on gross motor by 12 months. Her movements are jerky. -Slept constantly as newborn due to exhaustion from eating and continues to be a high sleep needs at 1 year old now. -Silent reflux and GI issues since month 1 (food intolerances as well). -Diagnosed with dysphagia. -Uncoordinated swallow which was the cause of her silent aspirating. Aspirating has slowly improved with very slow flow nipple (repeat swallow study is in 1 month). -Feeding delays, she's just now on mashables and only lasts about 10 minutes in high chair -She used to have "tremors" when she was overstimulated, but those have improved and rarely happen now. - OT reported that she is a little delayed cognitively - didn't wave until 11.5 months and is just now consistently responding to name and having joint attention at 12 months. - She does not seem to be able to focus on much of anything, and is still not "correctly" playing with toys, I call her a spider monkey bc of how fast and jerky she moves now. She is also a little delayed in fine motor skills.
I believe we may have an ADHD diagnoses in her future. Her therapists and the neurologist don't think autism is a factor. Our main hurdle is getting her to pass a swallow study so that she can start drinking water, and we are also hoping she progresses in her solids journey.
I'm thinking of going to another hospital/neurologist for a second opinion. It would be a 3 hour drive so it's not as easy of a decision to plan out. Any advice? Any similar situations out there? It's been a hard year, and I constantly feel like I'm missing something for my daughter even though she is in many weekly therapies and sees multiple doctors. Thank you for reading.