I called Jer as I drove the short distance home and he made a "nest" for her on the couch. It's really sad that even though this has only happened 3 times in the past year, he still knew the drill: couch covered in towels, lots of rags handy, tupperware for the puke, all lights out and TV ready. This time she requested an icepack too- for her face.
|She didn't move from this position for 8 hours|
I sat with her the whole time, holding her hand, blowing on her sweaty head and asking her to tell me where it hurt. She just insisted that it was her face. As the night wore on she'd whisper "I love you mommy" and around 10pm after she puked she smiled under the icepack and whispered, "It's getting better mommy!"
Around 10 hours in I was getting worried as she still was not done puking. When these episodes stop it's literally like a light is switched and she's bouncing off the walls, making up for lost time. Finally at 5 am she woke up screaming and demanding yogurt (pretty typical these days) and opened her eyes. As she did so she stopped, looked at me and squealed, "Mommy! I'm all better now!" She proceeded to CHUG tons of water and wolf down some saltines (I was way too sleep deprived to fight the whole ease-into-food-and-drink routine) and she puked it alllll up. This is where Jeremy took over. He was able to nurse her stomach back to working capacity and allowed me to get some uninterrupted sleep.
When I woke up I talked to Sam about her headache. I asked why she wouldn't open her eyes (the only question she wouldn't answer during the episode itself). She stopped and furrowed her brow, "Everything was green. My whole face was green.*" she said.
After reporting all of this to our amazing nurse practitioner, Kathy Carter, she confirmed my suspicions- classic migraines. Not too surprising, though, as I grew up with my dad puking from migraines and I still get some now and again that will block out my vision for a few hours. What really made my stomach churn was realizing that my poor baby has been experiencing migrains since she was tree-months-old.
I was quite relieved when she told me there was no need to schedule any MRI or further testing since the migraines only happen very rarely now and she's perfectly fine in between them. The next step is to see if we can curb the nausea during the migraines with some zofran which would allow her to keep down some Ibuprofen for the pain and loooots of Gatorade to keep her hydrated. (Sam has a bladder the size of a walnut. If she drinks a tsp of water, a 1/4 cup will come out. She's ALWAYS peeing. During the migraine she didn't pee for 9 hours despite us allowing her to sip some fluids).
Anyway, she's pretty excited to drink "Daddy's sick-juice" (Gatorade) the next time she has a migraine. She tried the whole "my head hurts" routine to get some today, but she couldn't keep a straight face and I was able to trick her into opening her eyes while she was playing sick.
So, I'm glad we have some answers now, something to do when another one comes around again and a child with the ability to communicate when a migraine is coming. Now to figure out the trigger...**
*Kathy said she's getting an "aura" before her migraines
**Current theory is sinus infections. That's the only constant that we can think of that she's had every time she's gotten a migraine- at least a week of heavy duty sinus gunk