Hi,
From what you said he has some delay in development,
epilepsy and constipation- these 3 are interrelated- epilepsy and constipation are very common in delayed children, and we can control with anti-epileptics and laxatives as he might already been on.
The main worry now seems to be
asthma and high IgE levels. Asthma basically is an allergic disorder. Some has intrinsic asthma (
allergy not related to environmental allergens but part of our inherent body habit) and some have extrinsic one(allergy to environmental allergens like dust, pollen, certain food). Extrinsic one can be controlled if we can identify and eliminate the trigger, but intrinsic is somewhat difficult- here our body over reacts to minute insults / triggers because of inherent characteristics which we cannot alter much.
In both types, IgE will be high and symptoms can be managed with inhalers and certain drugs. Treatment is a step wise process needing regular followups and gradual up-gradation of treatment depending on the level of control.
Meanwhile take care of few things- avoid dust, tobacco / other smokes, playing in
cold environment, feather, woollen clothes etc. Keep the bedroom free of dust. Use wet mopping for cleaning. strictly adhere to treatment protocol advised.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Muhammed Aslam TK, Pediatrician