Guest guest Posted August 23, 2008 Report Share Posted August 23, 2008 PANDAS, is an abbreviation for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. The term is used to describe a subset of children who have Obsessive Compulsive Disorder (OCD) and/or tic disorders such as Tourette's Syndrome, and in whom symptoms worsen following strep. infections such as "Strep throat" and Scarlet Fever. The children usually have dramatic, "overnight" onset of symptoms, including motor or vocal tics, obsessions, and/or compulsions. In addition to these symptoms, children may also become moody, irritable or show concerns about separating from parents or loved ones. This abrupt onset is generally preceeded by a Strep. throat infection. PANDAS is similar to that of Rheumatic Fever, an autoimmune disorder triggered by strep. throat infections. In every bacterial infection, the body produces antibodies against the invading bacteria, and the antibodies help eliminate the bacteria from the body. However in Rheumatic Fever, the antibodies mistakenly recognize and "attack" the heart valves, joints, and/or certain parts of the brain. This phenomenon is called "molecular mimicry", which means that proteins on the cell wall of the strep. bacteria are similar in some way to the proteins of the heart valve, joints, or brain One part of the brain that is affected in PANDAS is the Basal Ganglia, which is believed to be responsible for movement and behavior. Thus, the antibodies interact with the brain to cause tics and/or OCD clinicians use 5 diagnostic criteria for the diagnosis of PANDAS (see below). At the present time the clinical features of the illness are the only means of determining whether or not a child might have PANDAS. Q. What are the diagnostic criteria for PANDAS? A. They are: Presence of Obsessive-compulsive disorder and/or a tic disorder Pediatric onset of symptoms (age 3 years to puberty) Episodic course of symptom severity Association with group A Beta-hemolytic streptococcal infection (a positive throat culture for strep. or history of Scarlet Fever.) Association with neurological abnormalities (motoric hyperactivity, or adventitious movements, such as choreiform movements) Q. What is an episodic course of symptoms? A. Children with PANDAS seem to have dramatic ups and downs in their OCD and/or tic severity. Tics or OCD which are almost always present at a relatively consistent level do not represent an episodic course. Many kids with OCD or tics have good days and bad days, or even good weeks and bad weeks. However, patients with PANDAS have a very sudden onset or worsening of their symptoms, followed by a slow, gradual improvement. If they get another strep. infection, their symptoms suddenly worsen again. The increased symptom severity usually persists for at least several weeks, but may last for several months or longer. The tics or OCD then seem to gradually fade away, and the children often enjoy a few weeks or several months without problems. When they have another strep. throat infection the tics or OCD return just as suddenly and dramatically as they did previously. Q. Are there any other symptoms associated with PANDAS episodes? A. Yes. Children with PANDAS often experience one or more of the following symptoms in conjunction with their OCD and/or tics: ADHD symptoms (hyperactivity, inattention, fidgety) Separation anxiety (Child is "clingy" and has difficulty separating from his/her caregivers. For example, the child may not want to be in a different room in the house from his/her parents.) Mood changes (irritability, sadness, emotional lability) Sleep disturbance Night- time bed wetting and/or day- time urinary frequency Fine/gross motor changes (e.g. changes in handwriting) Joint pains here is another list from another site Red flagsThe biggest difference between regular OCD and PANDAS OCD is the sudden onset. OCD usually develops slowly over weeks, months or even years; however, PANDAS OCD seems to come out of the blue with parents saying one day their child woke up a different kid. There are also other symptoms that help differentiate the 2 types of OCD. PANDAS OCD is also characterized by: Choreiform movements: involuntary or irregular writhing movements of the legs, arm or face Presence of tics and/or hyperactivity Irritability, temper tantrums, or mood lability Nighttime difficulties Severe nightmares and new bedtime rituals or fears Separation anxiety Age regression: going back to younger developmental stage New handwriting problems, loss of math skills, sensory sensitivities Q. My child has had strep. throat before, and he has tics and/or OCD. Does that mean he has PANDAS? A. No. Many children have OCD and/or tics, and almost all school aged children get strep. throat at some point in their lives. In fact, the average grade-school student will have 2 – 3 strep. throat infections each year. PANDAS is considered when there is a very close relationship between the abrupt onset or worsening or OCD and/or tics, and a preceding strep. infection. If strep. is found in conjunction with two or three episodes of OCD/tics, then it may be that the child has PANDAS What to do if you suspect your child has PANDAS Contact your pediatrician. Advocate for your child by being clear about what you want your doctor to do. In some cases, you may have to find a sympathetic doctor who is willing to learn about PANDAS. The PANDAS Clinic at NIMH may be willing to consult with doctors. Have your pediatrician do a throat culture of group A B-hemolytic strep. Ask that the specimen be cultured, not just the rapid test. Your doctor may also do a blood test to assess elevated streptococcal antibodies (Anti-DNAse B and Antistreptolysin titers (ASO)). You and/or your doctor can get information and treatment guidelines from the National Institute of Mental Health (www.nih.gov); type in PANDAS to access the appropriate link. Contact the OC Foundation to help locate an expert in OCD in your area. Have your child retested if there is a resurgence in OCD symptoms. yes my son and best friend both have PANDAS< my son had scarlet fever and strep throat and deteriorated what felt like over night almost 2 years ago, which we have then seen a pattern with 3 other episodes, which gives him the dx of PANDAS, he gets very OCD over letter and turns extreamly hyperlexic, his hand writting goes, he has melt downs over nothings, lots of tantrums, gets mean and will hurt his sisters for no reason ect. my aspie friend well get really depressed, and emotional, have melt downs, becomes unfunctionable, her immune system crashes and she will over night new allergies to the place she can bearly eat. (she is an adult and it looks a bit different) she was previously dxed with tourettes which I pushed her to get tested as I saw it come and go like my son with his PANDAS flares and sure enough she tested possitive, so now with treatment OLE (olive leaf extract) she is tic free as well. she has the history of tons of strep infection as a child and being on spectrum as well but wasn't caught till this last year. so her peices are coming together now. I hope this helps you some with examples of both a child and an adult, If I can help you futher please don't hesitate to contact me agian christel king Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwishes Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 STREP hi,my son has had 3 bouts of strep since march. the doctor believes that the strep has "colonized" in my son's throat and thinks that the tonsils should be removed. i personally don't think thats the answer.i asked him if we could do a blood lab and he said that there wouldn't be anything in the blood. logically that sounds correct but i don't feel its the right answer.what are the labs that they do for PANDAS? my son doesn't get OCD or anything and the last time he had strep, he was asymptomatic. any assistance would help. thank youteresaNo virus found in this incoming message. 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Guest guest Posted August 23, 2008 Report Share Posted August 23, 2008 hi cristel, thanks for the great info. as a follow up, how is the strep treated? if an antibiotic is given, which one? during the antibiotic treatment should the child receive probiotics? if so, does it have to be devoid of the strep strains? thanks, teresa > > PANDAS, is an abbreviation for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. The term is used to describe a subset of children who have Obsessive Compulsive Disorder (OCD) and/or tic disorders such as Tourette's Syndrome, and in whom symptoms worsen following strep. infections such as " Strep throat " and Scarlet Fever. > > The children usually have dramatic, " overnight " onset of symptoms, including motor or vocal tics, obsessions, and/or compulsions. In addition to these symptoms, children may also become moody, irritable or show concerns about separating from parents or loved ones. This abrupt onset is generally preceeded by a Strep. throat infection. > > PANDAS is similar to that of Rheumatic Fever, an autoimmune disorder triggered by strep. throat infections. In every bacterial infection, the body produces antibodies against the invading bacteria, and the antibodies help eliminate the bacteria from the body. However in Rheumatic Fever, the antibodies mistakenly recognize and " attack " the heart valves, joints, and/or certain parts of the brain. This phenomenon is called " molecular mimicry " , which means that proteins on the cell wall of the strep. bacteria are similar in some way to the proteins of the heart valve, joints, or brain > > One part of the brain that is affected in PANDAS is the Basal Ganglia, which is believed to be responsible for movement and behavior. Thus, the antibodies interact with the brain to cause tics and/or OCD > > clinicians use 5 diagnostic criteria for the diagnosis of PANDAS (see below). At the present time the clinical features of the illness are the only means of determining whether or not a child might have PANDAS. > > Q. What are the diagnostic criteria for PANDAS? > > A. They are: > > 1.. Presence of Obsessive-compulsive disorder and/or a tic disorder > 2.. Pediatric onset of symptoms (age 3 years to puberty) > 3.. Episodic course of symptom severity > 4.. Association with group A Beta-hemolytic streptococcal infection (a positive throat culture for strep. or history of Scarlet Fever.) > 5.. Association with neurological abnormalities (motoric hyperactivity, or adventitious movements, such as choreiform movements) > Q. What is an episodic course of symptoms? > > A. Children with PANDAS seem to have dramatic ups and downs in their OCD and/or tic severity. Tics or OCD which are almost always present at a relatively consistent level do not represent an episodic course. Many kids with OCD or tics have good days and bad days, or even good weeks and bad weeks. However, patients with PANDAS have a very sudden onset or worsening of their symptoms, followed by a slow, gradual improvement. If they get another strep. infection, their symptoms suddenly worsen again. The increased symptom severity usually persists for at least several weeks, but may last for several months or longer. The tics or OCD then seem to gradually fade away, and the children often enjoy a few weeks or several months without problems. When they have another strep. throat infection the tics or OCD return just as suddenly and dramatically as they did previously. > > Q. Are there any other symptoms associated with PANDAS episodes? > > A. Yes. Children with PANDAS often experience one or more of the following symptoms in conjunction with their OCD and/or tics: > 1.. ADHD symptoms (hyperactivity, inattention, fidgety) > 2.. Separation anxiety (Child is " clingy " and has difficulty separating from his/her caregivers. For example, the child may not want to be in a different room in the house from his/her parents.) > 3.. Mood changes (irritability, sadness, emotional lability) > 4.. Sleep disturbance > 5.. Night- time bed wetting and/or day- time urinary frequency > 6.. Fine/gross motor changes (e.g. changes in handwriting) > 7.. Joint pains > here is another list from another site > > Red flags > The biggest difference between regular OCD and PANDAS OCD is the sudden onset. OCD usually develops slowly over weeks, months or even years; however, PANDAS OCD seems to come out of the blue with parents saying one day their child woke up a different kid. There are also other symptoms that help differentiate the 2 types of OCD. PANDAS OCD is also characterized by: > > a.. Choreiform movements: involuntary or irregular writhing movements of the legs, arm or face > b.. Presence of tics and/or hyperactivity > c.. Irritability, temper tantrums, or mood lability > d.. Nighttime difficulties > e.. Severe nightmares and new bedtime rituals or fears > f.. Separation anxiety > g.. Age regression: going back to younger developmental stage > h.. New handwriting problems, loss of math skills, sensory sensitivities > > > Q. My child has had strep. throat before, and he has tics and/or OCD. Does that mean he has PANDAS? > > A. No. Many children have OCD and/or tics, and almost all school aged children get strep. throat at some point in their lives. In fact, the average grade-school student will have 2 - 3 strep. throat infections each year. PANDAS is considered when there is a very close relationship between the abrupt onset or worsening or OCD and/or tics, and a preceding strep. infection. If strep. is found in conjunction with two or three episodes of OCD/tics, then it may be that the child has PANDAS > > What to do if you suspect your child has PANDAS > > a.. Contact your pediatrician. Advocate for your child by being clear about what you want your doctor to do. In some cases, you may have to find a sympathetic doctor who is willing to learn about PANDAS. The PANDAS Clinic at NIMH may be willing to consult with doctors. > b.. Have your pediatrician do a throat culture of group A B- hemolytic strep. Ask that the specimen be cultured, not just the rapid test. > c.. Your doctor may also do a blood test to assess elevated streptococcal antibodies (Anti-DNAse B and Antistreptolysin titers (ASO)). > d.. You and/or your doctor can get information and treatment guidelines from the National Institute of Mental Health (www.nih.gov); type in PANDAS to access the appropriate link. > e.. Contact the OC Foundation to help locate an expert in OCD in your area. > f.. Have your child retested if there is a resurgence in OCD symptoms. > yes my son and best friend both have PANDAS< my son had scarlet fever and strep throat and deteriorated what felt like over night almost 2 years ago, which we have then seen a pattern with 3 other episodes, which gives him the dx of PANDAS, he gets very OCD over letter and turns extreamly hyperlexic, his hand writting goes, he has melt downs over nothings, lots of tantrums, gets mean and will hurt his sisters for no reason ect. my aspie friend well get really depressed, and emotional, have melt downs, becomes unfunctionable, her immune system crashes and she will over night new allergies to the place she can bearly eat. (she is an adult and it looks a bit different) she was previously dxed with tourettes which I pushed her to get tested as I saw it come and go like my son with his PANDAS flares and sure enough she tested possitive, so now with treatment OLE (olive leaf extract) she is tic free as well. she has the history of tons of strep infection as a child and being on spectrum as well but wasn't caught till this last year. so her peices are coming together now. > > I hope this helps you some with examples of both a child and an adult, If I can help you futher please don't hesitate to contact me agian > > christel king > Recovering from Autism is a marathon > NOT a sprint, but FULLY possible! > Read more about it on my BLOGs at > http://www.myspace.com/christelking > http://foggyrock.com/MyPage/recoveringwishes > > > Recovering from Autism is a marathon > NOT a sprint, but FULLY possible! > Read more about it on my BLOGs at > http://www.myspace.com/christelking > http://foggyrock.com/MyPage/recoveringwishes > http://www.facebook.com/profile.php?id=677063169 > > STREP > > > hi, > > my son has had 3 bouts of strep since march. the doctor believes that > the strep has " colonized " in my son's throat and thinks that the > tonsils should be removed. i personally don't think thats the answer. > > i asked him if we could do a blood lab and he said that there wouldn't > be anything in the blood. logically that sounds correct but i don't > feel its the right answer. > > what are the labs that they do for PANDAS? my son doesn't get OCD or > anything and the last time he had strep, he was asymptomatic. > > any assistance would help. thank you > teresa > > > > > No virus found in this incoming message. > Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2008 Report Share Posted August 23, 2008 yes I would NOT do probotics with any strep lines in it if you are suseptiable....for us OLE knocked it out, even after 3 rounds of antibotics didn't OLIVE LEAF EXTRACT 500 mgs 3 times a day from new beggingings, we have also used solary's 410 mgs Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 STREP> > > hi,> > my son has had 3 bouts of strep since march. the doctor believes that > the strep has "colonized" in my son's throat and thinks that the > tonsils should be removed. i personally don't think thats the answer.> > i asked him if we could do a blood lab and he said that there wouldn't > be anything in the blood. logically that sounds correct but i don't > feel its the right answer.> > what are the labs that they do for PANDAS? my son doesn't get OCD or > anything and the last time he had strep, he was asymptomatic. > > any assistance would help. thank you> teresa> > > > > No virus found in this incoming message.> Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM>No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2008 Report Share Posted August 23, 2008 christel, one last question, how long did it take for you to get rid of the strep? i'm going to get the OLE tomorrow. thanks!!!!!!!!!! teresa > > > > PANDAS, is an abbreviation for Pediatric Autoimmune > Neuropsychiatric Disorders Associated with Streptococcal Infections. > The term is used to describe a subset of children who have Obsessive > Compulsive Disorder (OCD) and/or tic disorders such as Tourette's > Syndrome, and in whom symptoms worsen following strep. infections > such as " Strep throat " and Scarlet Fever. > > > > The children usually have dramatic, " overnight " onset of symptoms, > including motor or vocal tics, obsessions, and/or compulsions. In > addition to these symptoms, children may also become moody, irritable > or show concerns about separating from parents or loved ones. This > abrupt onset is generally preceeded by a Strep. throat infection. > > > > PANDAS is similar to that of Rheumatic Fever, an autoimmune > disorder triggered by strep. throat infections. In every bacterial > infection, the body produces antibodies against the invading > bacteria, and the antibodies help eliminate the bacteria from the > body. However in Rheumatic Fever, the antibodies mistakenly recognize > and " attack " the heart valves, joints, and/or certain parts of the > brain. This phenomenon is called " molecular mimicry " , which means > that proteins on the cell wall of the strep. bacteria are similar in > some way to the proteins of the heart valve, joints, or brain > > > > One part of the brain that is affected in PANDAS is the Basal > Ganglia, which is believed to be responsible for movement and > behavior. Thus, the antibodies interact with the brain to cause tics > and/or OCD > > > > clinicians use 5 diagnostic criteria for the diagnosis of PANDAS > (see below). At the present time the clinical features of the illness > are the only means of determining whether or not a child might have > PANDAS. > > > > Q. What are the diagnostic criteria for PANDAS? > > > > A. They are: > > > > 1.. Presence of Obsessive-compulsive disorder and/or a tic > disorder > > 2.. Pediatric onset of symptoms (age 3 years to puberty) > > 3.. Episodic course of symptom severity > > 4.. Association with group A Beta-hemolytic streptococcal > infection (a positive throat culture for strep. or history of Scarlet > Fever.) > > 5.. Association with neurological abnormalities (motoric > hyperactivity, or adventitious movements, such as choreiform > movements) > > Q. What is an episodic course of symptoms? > > > > A. Children with PANDAS seem to have dramatic ups and downs in > their OCD and/or tic severity. Tics or OCD which are almost always > present at a relatively consistent level do not represent an episodic > course. Many kids with OCD or tics have good days and bad days, or > even good weeks and bad weeks. However, patients with PANDAS have a > very sudden onset or worsening of their symptoms, followed by a slow, > gradual improvement. If they get another strep. infection, their > symptoms suddenly worsen again. The increased symptom severity > usually persists for at least several weeks, but may last for several > months or longer. The tics or OCD then seem to gradually fade away, > and the children often enjoy a few weeks or several months without > problems. When they have another strep. throat infection the tics or > OCD return just as suddenly and dramatically as they did previously. > > > > Q. Are there any other symptoms associated with PANDAS episodes? > > > > A. Yes. Children with PANDAS often experience one or more of the > following symptoms in conjunction with their OCD and/or tics: > > 1.. ADHD symptoms (hyperactivity, inattention, fidgety) > > 2.. Separation anxiety (Child is " clingy " and has difficulty > separating from his/her caregivers. For example, the child may not > want to be in a different room in the house from his/her parents.) > > 3.. Mood changes (irritability, sadness, emotional lability) > > 4.. Sleep disturbance > > 5.. Night- time bed wetting and/or day- time urinary frequency > > 6.. Fine/gross motor changes (e.g. changes in handwriting) > > 7.. Joint pains > > here is another list from another site > > > > Red flags > > The biggest difference between regular OCD and PANDAS OCD is the > sudden onset. OCD usually develops slowly over weeks, months or even > years; however, PANDAS OCD seems to come out of the blue with parents > saying one day their child woke up a different kid. There are also > other symptoms that help differentiate the 2 types of OCD. PANDAS OCD > is also characterized by: > > > > a.. Choreiform movements: involuntary or irregular writhing > movements of the legs, arm or face > > b.. Presence of tics and/or hyperactivity > > c.. Irritability, temper tantrums, or mood lability > > d.. Nighttime difficulties > > e.. Severe nightmares and new bedtime rituals or fears > > f.. Separation anxiety > > g.. Age regression: going back to younger developmental stage > > h.. New handwriting problems, loss of math skills, sensory > sensitivities > > > > > > Q. My child has had strep. throat before, and he has tics and/or > OCD. Does that mean he has PANDAS? > > > > A. No. Many children have OCD and/or tics, and almost all school > aged children get strep. throat at some point in their lives. In > fact, the average grade-school student will have 2 - 3 strep. throat > infections each year. PANDAS is considered when there is a very close > relationship between the abrupt onset or worsening or OCD and/or > tics, and a preceding strep. infection. If strep. is found in > conjunction with two or three episodes of OCD/tics, then it may be > that the child has PANDAS > > > > What to do if you suspect your child has PANDAS > > > > a.. Contact your pediatrician. Advocate for your child by being > clear about what you want your doctor to do. In some cases, you may > have to find a sympathetic doctor who is willing to learn about > PANDAS. The PANDAS Clinic at NIMH may be willing to consult with > doctors. > > b.. Have your pediatrician do a throat culture of group A B- > hemolytic strep. Ask that the specimen be cultured, not just the > rapid test. > > c.. Your doctor may also do a blood test to assess elevated > streptococcal antibodies (Anti-DNAse B and Antistreptolysin titers > (ASO)). > > d.. You and/or your doctor can get information and treatment > guidelines from the National Institute of Mental Health > (www.nih.gov); type in PANDAS to access the appropriate link. > > e.. Contact the OC Foundation to help locate an expert in OCD in > your area. > > f.. Have your child retested if there is a resurgence in OCD > symptoms. > > yes my son and best friend both have PANDAS< my son had scarlet > fever and strep throat and deteriorated what felt like over night > almost 2 years ago, which we have then seen a pattern with 3 other > episodes, which gives him the dx of PANDAS, he gets very OCD over > letter and turns extreamly hyperlexic, his hand writting goes, he has > melt downs over nothings, lots of tantrums, gets mean and will hurt > his sisters for no reason ect. my aspie friend well get really > depressed, and emotional, have melt downs, becomes unfunctionable, > her immune system crashes and she will over night new allergies to > the place she can bearly eat. (she is an adult and it looks a bit > different) she was previously dxed with tourettes which I pushed her > to get tested as I saw it come and go like my son with his PANDAS > flares and sure enough she tested possitive, so now with treatment > OLE (olive leaf extract) she is tic free as well. she has the > history of tons of strep infection as a child and being on spectrum > as well but wasn't caught till this last year. so her peices are > coming together now. > > > > I hope this helps you some with examples of both a child and an > adult, If I can help you futher please don't hesitate to contact me > agian > > > > christel king > > Recovering from Autism is a marathon > > NOT a sprint, but FULLY possible! > > Read more about it on my BLOGs at > > http://www.myspace.com/christelking > > http://foggyrock.com/MyPage/recoveringwishes > > > > > > Recovering from Autism is a marathon > > NOT a sprint, but FULLY possible! > > Read more about it on my BLOGs at > > http://www.myspace.com/christelking > > http://foggyrock.com/MyPage/recoveringwishes > > http://www.facebook.com/profile.php?id=677063169 > > > > STREP > > > > > > hi, > > > > my son has had 3 bouts of strep since march. the doctor believes > that > > the strep has " colonized " in my son's throat and thinks that the > > tonsils should be removed. i personally don't think thats the > answer. > > > > i asked him if we could do a blood lab and he said that there > wouldn't > > be anything in the blood. logically that sounds correct but i > don't > > feel its the right answer. > > > > what are the labs that they do for PANDAS? my son doesn't get OCD > or > > anything and the last time he had strep, he was asymptomatic. > > > > any assistance would help. thank you > > teresa > > > > > > > > > > No virus found in this incoming message. > > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM > > > > > > > No virus found in this incoming message. > Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 How to determine strep lines in probiotics? > > > > PANDAS, is an abbreviation for Pediatric Autoimmune > Neuropsychiatric Disorders Associated with Streptococcal Infections. > The term is used to describe a subset of children who have Obsessive > Compulsive Disorder (OCD) and/or tic disorders such as Tourette's > Syndrome, and in whom symptoms worsen following strep. infections > such as " Strep throat " and Scarlet Fever. > > > > The children usually have dramatic, " overnight " onset of symptoms, > including motor or vocal tics, obsessions, and/or compulsions. In > addition to these symptoms, children may also become moody, irritable > or show concerns about separating from parents or loved ones. This > abrupt onset is generally preceeded by a Strep. throat infection. > > > > PANDAS is similar to that of Rheumatic Fever, an autoimmune > disorder triggered by strep. throat infections. In every bacterial > infection, the body produces antibodies against the invading > bacteria, and the antibodies help eliminate the bacteria from the > body. However in Rheumatic Fever, the antibodies mistakenly recognize > and " attack " the heart valves, joints, and/or certain parts of the > brain. This phenomenon is called " molecular mimicry " , which means > that proteins on the cell wall of the strep. bacteria are similar in > some way to the proteins of the heart valve, joints, or brain > > > > One part of the brain that is affected in PANDAS is the Basal > Ganglia, which is believed to be responsible for movement and > behavior. Thus, the antibodies interact with the brain to cause tics > and/or OCD > > > > clinicians use 5 diagnostic criteria for the diagnosis of PANDAS > (see below). At the present time the clinical features of the illness > are the only means of determining whether or not a child might have > PANDAS. > > > > Q. What are the diagnostic criteria for PANDAS? > > > > A. They are: > > > > 1.. Presence of Obsessive-compulsive disorder and/or a tic > disorder > > 2.. Pediatric onset of symptoms (age 3 years to puberty) > > 3.. Episodic course of symptom severity > > 4.. Association with group A Beta-hemolytic streptococcal > infection (a positive throat culture for strep. or history of Scarlet > Fever.) > > 5.. Association with neurological abnormalities (motoric > hyperactivity, or adventitious movements, such as choreiform > movements) > > Q. What is an episodic course of symptoms? > > > > A. Children with PANDAS seem to have dramatic ups and downs in > their OCD and/or tic severity. Tics or OCD which are almost always > present at a relatively consistent level do not represent an episodic > course. Many kids with OCD or tics have good days and bad days, or > even good weeks and bad weeks. However, patients with PANDAS have a > very sudden onset or worsening of their symptoms, followed by a slow, > gradual improvement. If they get another strep. infection, their > symptoms suddenly worsen again. The increased symptom severity > usually persists for at least several weeks, but may last for several > months or longer. The tics or OCD then seem to gradually fade away, > and the children often enjoy a few weeks or several months without > problems. When they have another strep. throat infection the tics or > OCD return just as suddenly and dramatically as they did previously. > > > > Q. Are there any other symptoms associated with PANDAS episodes? > > > > A. Yes. Children with PANDAS often experience one or more of the > following symptoms in conjunction with their OCD and/or tics: > > 1.. ADHD symptoms (hyperactivity, inattention, fidgety) > > 2.. Separation anxiety (Child is " clingy " and has difficulty > separating from his/her caregivers. For example, the child may not > want to be in a different room in the house from his/her parents.) > > 3.. Mood changes (irritability, sadness, emotional lability) > > 4.. Sleep disturbance > > 5.. Night- time bed wetting and/or day- time urinary frequency > > 6.. Fine/gross motor changes (e.g. changes in handwriting) > > 7.. Joint pains > > here is another list from another site > > > > Red flags > > The biggest difference between regular OCD and PANDAS OCD is the > sudden onset. OCD usually develops slowly over weeks, months or even > years; however, PANDAS OCD seems to come out of the blue with parents > saying one day their child woke up a different kid. There are also > other symptoms that help differentiate the 2 types of OCD. PANDAS OCD > is also characterized by: > > > > a.. Choreiform movements: involuntary or irregular writhing > movements of the legs, arm or face > > b.. Presence of tics and/or hyperactivity > > c.. Irritability, temper tantrums, or mood lability > > d.. Nighttime difficulties > > e.. Severe nightmares and new bedtime rituals or fears > > f.. Separation anxiety > > g.. Age regression: going back to younger developmental stage > > h.. New handwriting problems, loss of math skills, sensory > sensitivities > > > > > > Q. My child has had strep. throat before, and he has tics and/or > OCD. Does that mean he has PANDAS? > > > > A. No. Many children have OCD and/or tics, and almost all school > aged children get strep. throat at some point in their lives. In > fact, the average grade-school student will have 2 - 3 strep. throat > infections each year. PANDAS is considered when there is a very close > relationship between the abrupt onset or worsening or OCD and/or > tics, and a preceding strep. infection. If strep. is found in > conjunction with two or three episodes of OCD/tics, then it may be > that the child has PANDAS > > > > What to do if you suspect your child has PANDAS > > > > a.. Contact your pediatrician. Advocate for your child by being > clear about what you want your doctor to do. In some cases, you may > have to find a sympathetic doctor who is willing to learn about > PANDAS. The PANDAS Clinic at NIMH may be willing to consult with > doctors. > > b.. Have your pediatrician do a throat culture of group A B- > hemolytic strep. Ask that the specimen be cultured, not just the > rapid test. > > c.. Your doctor may also do a blood test to assess elevated > streptococcal antibodies (Anti-DNAse B and Antistreptolysin titers > (ASO)). > > d.. You and/or your doctor can get information and treatment > guidelines from the National Institute of Mental Health > (www.nih.gov); type in PANDAS to access the appropriate link. > > e.. Contact the OC Foundation to help locate an expert in OCD in > your area. > > f.. Have your child retested if there is a resurgence in OCD > symptoms. > > yes my son and best friend both have PANDAS< my son had scarlet > fever and strep throat and deteriorated what felt like over night > almost 2 years ago, which we have then seen a pattern with 3 other > episodes, which gives him the dx of PANDAS, he gets very OCD over > letter and turns extreamly hyperlexic, his hand writting goes, he has > melt downs over nothings, lots of tantrums, gets mean and will hurt > his sisters for no reason ect. my aspie friend well get really > depressed, and emotional, have melt downs, becomes unfunctionable, > her immune system crashes and she will over night new allergies to > the place she can bearly eat. (she is an adult and it looks a bit > different) she was previously dxed with tourettes which I pushed her > to get tested as I saw it come and go like my son with his PANDAS > flares and sure enough she tested possitive, so now with treatment > OLE (olive leaf extract) she is tic free as well. she has the > history of tons of strep infection as a child and being on spectrum > as well but wasn't caught till this last year. so her peices are > coming together now. > > > > I hope this helps you some with examples of both a child and an > adult, If I can help you futher please don't hesitate to contact me > agian > > > > christel king > > Recovering from Autism is a marathon > > NOT a sprint, but FULLY possible! > > Read more about it on my BLOGs at > > http://www.myspace.com/christelking > > http://foggyrock.com/MyPage/recoveringwishes > > > > > > Recovering from Autism is a marathon > > NOT a sprint, but FULLY possible! > > Read more about it on my BLOGs at > > http://www.myspace.com/christelking > > http://foggyrock.com/MyPage/recoveringwishes > > http://www.facebook.com/profile.php?id=677063169 > > > > STREP > > > > > > hi, > > > > my son has had 3 bouts of strep since march. the doctor believes > that > > the strep has " colonized " in my son's throat and thinks that the > > tonsils should be removed. i personally don't think thats the > answer. > > > > i asked him if we could do a blood lab and he said that there > wouldn't > > be anything in the blood. logically that sounds correct but i > don't > > feel its the right answer. > > > > what are the labs that they do for PANDAS? my son doesn't get OCD > or > > anything and the last time he had strep, he was asymptomatic. > > > > any assistance would help. thank you > > teresa > > > > > > > > > > No virus found in this incoming message. > > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 we did it till symptoms disappeared, with PANDAS You have OCD symptoms that come and go with it, if we backed off and saw those things reappear we would go back on. for strep thraot i am not sure how you would gadge that. remember that treating with OLE CAN flare yeast so you may also want to do GSE with it as well. I do wonder if SINCE you have what sounds like cronic strep if it wouldn't be good to get PANDAS titers done to see if it's gone autoimmune on you now. are you seeing OCD issues at all? Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 STREP> > > > > > hi,> > > > my son has had 3 bouts of strep since march. the doctor believes > that > > the strep has "colonized" in my son's throat and thinks that the > > tonsils should be removed. i personally don't think thats the > answer.> > > > i asked him if we could do a blood lab and he said that there > wouldn't > > be anything in the blood. logically that sounds correct but i > don't > > feel its the right answer.> > > > what are the labs that they do for PANDAS? my son doesn't get OCD > or > > anything and the last time he had strep, he was asymptomatic. > > > > any assistance would help. thank you> > teresa> > > > > > > > > > No virus found in this incoming message.> > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM> >> > > > > No virus found in this incoming message.> Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM>No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 are you asking which ONES are strep?? most start with the words strepto on them Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 STREP> > > > > > hi,> > > > my son has had 3 bouts of strep since march. the doctor believes > that > > the strep has "colonized" in my son's throat and thinks that the > > tonsils should be removed. i personally don't think thats the > answer.> > > > i asked him if we could do a blood lab and he said that there > wouldn't > > be anything in the blood. logically that sounds correct but i > don't > > feel its the right answer.> > > > what are the labs that they do for PANDAS? my son doesn't get OCD > or > > anything and the last time he had strep, he was asymptomatic. > > > > any assistance would help. thank you> > teresa> > > > > > > > > > No virus found in this incoming message.> > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM> >>No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 Christel, Is the OLE 500mg 3x day for a broad weight range? My pandas kid is about 95 lbs-how much to give? I recently bought some Natural factors OLE-is this an OK brand? And is the GSE grape or grapefruit? How much? Do you use drops or capsules? We have been using threelac for a while with him-have used several others thru the years-I need to check it for strep strains. His strep number was over 600 I believe. Thank you so much. Best-Janice O. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 yicks, yup threelac DOES have strep strains in it, I will save you the time on that one, my son is 48 pounds and did the OLE at 500 mgs 3 times a day, my aspie friend weights 120 and did the same dose, the GSE is grapeFRUIT seed extract. Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 Re: STREP Christel,Is the OLE 500mg 3x day for a broad weight range? My pandas kid is about 95lbs-how much to give? I recently bought some Natural factors OLE-is this anOK brand? And is the GSE grape or grapefruit? How much? Do you use dropsor capsules? We have been using threelac for a while with him-have usedseveral others thru the years-I need to check it for strep strains. Hisstrep number was over 600 I believe. Thank you so much. Best-Janice O.No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 Aside from the ASO and AntiDNaseB titers I highly recommend the PANDAS profile from NeuroScience labs www.neurorelief.com Kerrie yes, i agree with you. where can we get PANDAS testing done? is itdone thru a regular lab or thru a specialty lab where i sent the sample somewhere?ps-no ocd issues that i can seeIt's only a deal if it's where you want to go. Find your travel deal here. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 Christel on this post you mentioned if it was chronic strep and if it has gone autoimmune. If it has does this mean the OLE wouldn't work? What if it has gone to OCD does this make a difference also? Nonie > > > > > > PANDAS, is an abbreviation for Pediatric Autoimmune > > Neuropsychiatric Disorders Associated with Streptococcal > Infections. > > The term is used to describe a subset of children who have > Obsessive > > Compulsive Disorder (OCD) and/or tic disorders such as Tourette's > > Syndrome, and in whom symptoms worsen following strep. infections > > such as " Strep throat " and Scarlet Fever. > > > > > > The children usually have dramatic, " overnight " onset of > symptoms, > > including motor or vocal tics, obsessions, and/or compulsions. In > > addition to these symptoms, children may also become moody, > irritable > > or show concerns about separating from parents or loved ones. > This > > abrupt onset is generally preceeded by a Strep. throat infection. > > > > > > PANDAS is similar to that of Rheumatic Fever, an autoimmune > > disorder triggered by strep. throat infections. In every > bacterial > > infection, the body produces antibodies against the invading > > bacteria, and the antibodies help eliminate the bacteria from the > > body. However in Rheumatic Fever, the antibodies mistakenly > recognize > > and " attack " the heart valves, joints, and/or certain parts of > the > > brain. This phenomenon is called " molecular mimicry " , which means > > that proteins on the cell wall of the strep. bacteria are similar > in > > some way to the proteins of the heart valve, joints, or brain > > > > > > One part of the brain that is affected in PANDAS is the Basal > > Ganglia, which is believed to be responsible for movement and > > behavior. Thus, the antibodies interact with the brain to cause > tics > > and/or OCD > > > > > > clinicians use 5 diagnostic criteria for the diagnosis of > PANDAS > > (see below). At the present time the clinical features of the > illness > > are the only means of determining whether or not a child might > have > > PANDAS. > > > > > > Q. What are the diagnostic criteria for PANDAS? > > > > > > A. They are: > > > > > > 1.. Presence of Obsessive-compulsive disorder and/or a tic > > disorder > > > 2.. Pediatric onset of symptoms (age 3 years to puberty) > > > 3.. Episodic course of symptom severity > > > 4.. Association with group A Beta-hemolytic streptococcal > > infection (a positive throat culture for strep. or history of > Scarlet > > Fever.) > > > 5.. Association with neurological abnormalities (motoric > > hyperactivity, or adventitious movements, such as choreiform > > movements) > > > Q. What is an episodic course of symptoms? > > > > > > A. Children with PANDAS seem to have dramatic ups and downs in > > their OCD and/or tic severity. Tics or OCD which are almost > always > > present at a relatively consistent level do not represent an > episodic > > course. Many kids with OCD or tics have good days and bad days, > or > > even good weeks and bad weeks. However, patients with PANDAS have > a > > very sudden onset or worsening of their symptoms, followed by a > slow, > > gradual improvement. If they get another strep. infection, their > > symptoms suddenly worsen again. The increased symptom severity > > usually persists for at least several weeks, but may last for > several > > months or longer. The tics or OCD then seem to gradually fade > away, > > and the children often enjoy a few weeks or several months > without > > problems. When they have another strep. throat infection the tics > or > > OCD return just as suddenly and dramatically as they did > previously. > > > > > > Q. Are there any other symptoms associated with PANDAS > episodes? > > > > > > A. Yes. Children with PANDAS often experience one or more of > the > > following symptoms in conjunction with their OCD and/or tics: > > > 1.. ADHD symptoms (hyperactivity, inattention, fidgety) > > > 2.. Separation anxiety (Child is " clingy " and has difficulty > > separating from his/her caregivers. For example, the child may > not > > want to be in a different room in the house from his/her > parents.) > > > 3.. Mood changes (irritability, sadness, emotional lability) > > > 4.. Sleep disturbance > > > 5.. Night- time bed wetting and/or day- time urinary frequency > > > 6.. Fine/gross motor changes (e.g. changes in handwriting) > > > 7.. Joint pains > > > here is another list from another site > > > > > > Red flags > > > The biggest difference between regular OCD and PANDAS OCD is > the > > sudden onset. OCD usually develops slowly over weeks, months or > even > > years; however, PANDAS OCD seems to come out of the blue with > parents > > saying one day their child woke up a different kid. There are > also > > other symptoms that help differentiate the 2 types of OCD. PANDAS > OCD > > is also characterized by: > > > > > > a.. Choreiform movements: involuntary or irregular writhing > > movements of the legs, arm or face > > > b.. Presence of tics and/or hyperactivity > > > c.. Irritability, temper tantrums, or mood lability > > > d.. Nighttime difficulties > > > e.. Severe nightmares and new bedtime rituals or fears > > > f.. Separation anxiety > > > g.. Age regression: going back to younger developmental stage > > > h.. New handwriting problems, loss of math skills, sensory > > sensitivities > > > > > > > > > Q. My child has had strep. throat before, and he has tics > and/or > > OCD. Does that mean he has PANDAS? > > > > > > A. No. Many children have OCD and/or tics, and almost all > school > > aged children get strep. throat at some point in their lives. In > > fact, the average grade-school student will have 2 - 3 strep. > throat > > infections each year. PANDAS is considered when there is a very > close > > relationship between the abrupt onset or worsening or OCD and/or > > tics, and a preceding strep. infection. If strep. is found in > > conjunction with two or three episodes of OCD/tics, then it may > be > > that the child has PANDAS > > > > > > What to do if you suspect your child has PANDAS > > > > > > a.. Contact your pediatrician. Advocate for your child by being > > clear about what you want your doctor to do. In some cases, you > may > > have to find a sympathetic doctor who is willing to learn about > > PANDAS. The PANDAS Clinic at NIMH may be willing to consult with > > doctors. > > > b.. Have your pediatrician do a throat culture of group A B- > > hemolytic strep. Ask that the specimen be cultured, not just the > > rapid test. > > > c.. Your doctor may also do a blood test to assess elevated > > streptococcal antibodies (Anti-DNAse B and Antistreptolysin > titers > > (ASO)). > > > d.. You and/or your doctor can get information and treatment > > guidelines from the National Institute of Mental Health > > (www.nih.gov); type in PANDAS to access the appropriate link. > > > e.. Contact the OC Foundation to help locate an expert in OCD > in > > your area. > > > f.. Have your child retested if there is a resurgence in OCD > > symptoms. > > > yes my son and best friend both have PANDAS< my son had scarlet > > fever and strep throat and deteriorated what felt like over night > > almost 2 years ago, which we have then seen a pattern with 3 > other > > episodes, which gives him the dx of PANDAS, he gets very OCD over > > letter and turns extreamly hyperlexic, his hand writting goes, he > has > > melt downs over nothings, lots of tantrums, gets mean and will > hurt > > his sisters for no reason ect. my aspie friend well get really > > depressed, and emotional, have melt downs, becomes > unfunctionable, > > her immune system crashes and she will over night new allergies > to > > the place she can bearly eat. (she is an adult and it looks a bit > > different) she was previously dxed with tourettes which I pushed > her > > to get tested as I saw it come and go like my son with his PANDAS > > flares and sure enough she tested possitive, so now with > treatment > > OLE (olive leaf extract) she is tic free as well. she has the > > history of tons of strep infection as a child and being on > spectrum > > as well but wasn't caught till this last year. so her peices are > > coming together now. > > > > > > I hope this helps you some with examples of both a child and an > > adult, If I can help you futher please don't hesitate to contact > me > > agian > > > > > > christel king > > > Recovering from Autism is a marathon > > > NOT a sprint, but FULLY possible! > > > Read more about it on my BLOGs at > > > http://www.myspace.com/christelking > > > http://foggyrock.com/MyPage/recoveringwishes > > > > > > > > > Recovering from Autism is a marathon > > > NOT a sprint, but FULLY possible! > > > Read more about it on my BLOGs at > > > http://www.myspace.com/christelking > > > http://foggyrock.com/MyPage/recoveringwishes > > > http://www.facebook.com/profile.php?id=677063169 > > > > > > STREP > > > > > > > > > hi, > > > > > > my son has had 3 bouts of strep since march. the doctor > believes > > that > > > the strep has " colonized " in my son's throat and thinks that > the > > > tonsils should be removed. i personally don't think thats the > > answer. > > > > > > i asked him if we could do a blood lab and he said that there > > wouldn't > > > be anything in the blood. logically that sounds correct but i > > don't > > > feel its the right answer. > > > > > > what are the labs that they do for PANDAS? my son doesn't get > OCD > > or > > > anything and the last time he had strep, he was asymptomatic. > > > > > > any assistance would help. thank you > > > teresa > > > > > > > > > > > > > > > No virus found in this incoming message. > > > Checked by AVG - http://www.avg.com > > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > > 8/23/2008 1:16 PM > > > > > > > > > > > > > No virus found in this incoming message. > > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM > > > > > > > No virus found in this incoming message. > Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 yes if you are seeing OCD issues you need to have him tested for PANDAS and then for sure stay away from probotics with strep strains in it, that IS what cronic autoimmune strep is, and yes OLE does treat this Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 STREP> > > > > > > > > hi,> > > > > > my son has had 3 bouts of strep since march. the doctor > believes > > that > > > the strep has "colonized" in my son's throat and thinks that > the > > > tonsils should be removed. i personally don't think thats the > > answer.> > > > > > i asked him if we could do a blood lab and he said that there > > wouldn't > > > be anything in the blood. logically that sounds correct but i > > don't > > > feel its the right answer.> > > > > > what are the labs that they do for PANDAS? my son doesn't get > OCD > > or > > > anything and the last time he had strep, he was asymptomatic. > > > > > > any assistance would help. thank you> > > teresa> > > > > > > > > > > > > > > No virus found in this incoming message.> > > Checked by AVG - http://www.avg.com > > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > > 8/23/2008 1:16 PM> > >> > > > > > > > > > No virus found in this incoming message.> > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM> >> > > > > No virus found in this incoming message.> Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM>No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1631 - Release Date: 8/24/2008 12:15 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 yes, i agree with you. where can we get PANDAS testing done? is it done thru a regular lab or thru a specialty lab where i sent the sample somewhere? ps-no ocd issues that i can see > > > > > > PANDAS, is an abbreviation for Pediatric Autoimmune > > Neuropsychiatric Disorders Associated with Streptococcal > Infections. > > The term is used to describe a subset of children who have > Obsessive > > Compulsive Disorder (OCD) and/or tic disorders such as Tourette's > > Syndrome, and in whom symptoms worsen following strep. infections > > such as " Strep throat " and Scarlet Fever. > > > > > > The children usually have dramatic, " overnight " onset of > symptoms, > > including motor or vocal tics, obsessions, and/or compulsions. In > > addition to these symptoms, children may also become moody, > irritable > > or show concerns about separating from parents or loved ones. > This > > abrupt onset is generally preceeded by a Strep. throat infection. > > > > > > PANDAS is similar to that of Rheumatic Fever, an autoimmune > > disorder triggered by strep. throat infections. In every > bacterial > > infection, the body produces antibodies against the invading > > bacteria, and the antibodies help eliminate the bacteria from the > > body. However in Rheumatic Fever, the antibodies mistakenly > recognize > > and " attack " the heart valves, joints, and/or certain parts of > the > > brain. This phenomenon is called " molecular mimicry " , which means > > that proteins on the cell wall of the strep. bacteria are similar > in > > some way to the proteins of the heart valve, joints, or brain > > > > > > One part of the brain that is affected in PANDAS is the Basal > > Ganglia, which is believed to be responsible for movement and > > behavior. Thus, the antibodies interact with the brain to cause > tics > > and/or OCD > > > > > > clinicians use 5 diagnostic criteria for the diagnosis of > PANDAS > > (see below). At the present time the clinical features of the > illness > > are the only means of determining whether or not a child might > have > > PANDAS. > > > > > > Q. What are the diagnostic criteria for PANDAS? > > > > > > A. They are: > > > > > > 1.. Presence of Obsessive-compulsive disorder and/or a tic > > disorder > > > 2.. Pediatric onset of symptoms (age 3 years to puberty) > > > 3.. Episodic course of symptom severity > > > 4.. Association with group A Beta-hemolytic streptococcal > > infection (a positive throat culture for strep. or history of > Scarlet > > Fever.) > > > 5.. Association with neurological abnormalities (motoric > > hyperactivity, or adventitious movements, such as choreiform > > movements) > > > Q. What is an episodic course of symptoms? > > > > > > A. Children with PANDAS seem to have dramatic ups and downs in > > their OCD and/or tic severity. Tics or OCD which are almost > always > > present at a relatively consistent level do not represent an > episodic > > course. Many kids with OCD or tics have good days and bad days, > or > > even good weeks and bad weeks. However, patients with PANDAS have > a > > very sudden onset or worsening of their symptoms, followed by a > slow, > > gradual improvement. If they get another strep. infection, their > > symptoms suddenly worsen again. The increased symptom severity > > usually persists for at least several weeks, but may last for > several > > months or longer. The tics or OCD then seem to gradually fade > away, > > and the children often enjoy a few weeks or several months > without > > problems. When they have another strep. throat infection the tics > or > > OCD return just as suddenly and dramatically as they did > previously. > > > > > > Q. Are there any other symptoms associated with PANDAS > episodes? > > > > > > A. Yes. Children with PANDAS often experience one or more of > the > > following symptoms in conjunction with their OCD and/or tics: > > > 1.. ADHD symptoms (hyperactivity, inattention, fidgety) > > > 2.. Separation anxiety (Child is " clingy " and has difficulty > > separating from his/her caregivers. For example, the child may > not > > want to be in a different room in the house from his/her > parents.) > > > 3.. Mood changes (irritability, sadness, emotional lability) > > > 4.. Sleep disturbance > > > 5.. Night- time bed wetting and/or day- time urinary frequency > > > 6.. Fine/gross motor changes (e.g. changes in handwriting) > > > 7.. Joint pains > > > here is another list from another site > > > > > > Red flags > > > The biggest difference between regular OCD and PANDAS OCD is > the > > sudden onset. OCD usually develops slowly over weeks, months or > even > > years; however, PANDAS OCD seems to come out of the blue with > parents > > saying one day their child woke up a different kid. There are > also > > other symptoms that help differentiate the 2 types of OCD. PANDAS > OCD > > is also characterized by: > > > > > > a.. Choreiform movements: involuntary or irregular writhing > > movements of the legs, arm or face > > > b.. Presence of tics and/or hyperactivity > > > c.. Irritability, temper tantrums, or mood lability > > > d.. Nighttime difficulties > > > e.. Severe nightmares and new bedtime rituals or fears > > > f.. Separation anxiety > > > g.. Age regression: going back to younger developmental stage > > > h.. New handwriting problems, loss of math skills, sensory > > sensitivities > > > > > > > > > Q. My child has had strep. throat before, and he has tics > and/or > > OCD. Does that mean he has PANDAS? > > > > > > A. No. Many children have OCD and/or tics, and almost all > school > > aged children get strep. throat at some point in their lives. In > > fact, the average grade-school student will have 2 - 3 strep. > throat > > infections each year. PANDAS is considered when there is a very > close > > relationship between the abrupt onset or worsening or OCD and/or > > tics, and a preceding strep. infection. If strep. is found in > > conjunction with two or three episodes of OCD/tics, then it may > be > > that the child has PANDAS > > > > > > What to do if you suspect your child has PANDAS > > > > > > a.. Contact your pediatrician. Advocate for your child by being > > clear about what you want your doctor to do. In some cases, you > may > > have to find a sympathetic doctor who is willing to learn about > > PANDAS. The PANDAS Clinic at NIMH may be willing to consult with > > doctors. > > > b.. Have your pediatrician do a throat culture of group A B- > > hemolytic strep. Ask that the specimen be cultured, not just the > > rapid test. > > > c.. Your doctor may also do a blood test to assess elevated > > streptococcal antibodies (Anti-DNAse B and Antistreptolysin > titers > > (ASO)). > > > d.. You and/or your doctor can get information and treatment > > guidelines from the National Institute of Mental Health > > (www.nih.gov); type in PANDAS to access the appropriate link. > > > e.. Contact the OC Foundation to help locate an expert in OCD > in > > your area. > > > f.. Have your child retested if there is a resurgence in OCD > > symptoms. > > > yes my son and best friend both have PANDAS< my son had scarlet > > fever and strep throat and deteriorated what felt like over night > > almost 2 years ago, which we have then seen a pattern with 3 > other > > episodes, which gives him the dx of PANDAS, he gets very OCD over > > letter and turns extreamly hyperlexic, his hand writting goes, he > has > > melt downs over nothings, lots of tantrums, gets mean and will > hurt > > his sisters for no reason ect. my aspie friend well get really > > depressed, and emotional, have melt downs, becomes > unfunctionable, > > her immune system crashes and she will over night new allergies > to > > the place she can bearly eat. (she is an adult and it looks a bit > > different) she was previously dxed with tourettes which I pushed > her > > to get tested as I saw it come and go like my son with his PANDAS > > flares and sure enough she tested possitive, so now with > treatment > > OLE (olive leaf extract) she is tic free as well. she has the > > history of tons of strep infection as a child and being on > spectrum > > as well but wasn't caught till this last year. so her peices are > > coming together now. > > > > > > I hope this helps you some with examples of both a child and an > > adult, If I can help you futher please don't hesitate to contact > me > > agian > > > > > > christel king > > > Recovering from Autism is a marathon > > > NOT a sprint, but FULLY possible! > > > Read more about it on my BLOGs at > > > http://www.myspace.com/christelking > > > http://foggyrock.com/MyPage/recoveringwishes > > > > > > > > > Recovering from Autism is a marathon > > > NOT a sprint, but FULLY possible! > > > Read more about it on my BLOGs at > > > http://www.myspace.com/christelking > > > http://foggyrock.com/MyPage/recoveringwishes > > > http://www.facebook.com/profile.php?id=677063169 > > > > > > STREP > > > > > > > > > hi, > > > > > > my son has had 3 bouts of strep since march. the doctor > believes > > that > > > the strep has " colonized " in my son's throat and thinks that > the > > > tonsils should be removed. i personally don't think thats the > > answer. > > > > > > i asked him if we could do a blood lab and he said that there > > wouldn't > > > be anything in the blood. logically that sounds correct but i > > don't > > > feel its the right answer. > > > > > > what are the labs that they do for PANDAS? my son doesn't get > OCD > > or > > > anything and the last time he had strep, he was asymptomatic. > > > > > > any assistance would help. thank you > > > teresa > > > > > > > > > > > > > > > No virus found in this incoming message. > > > Checked by AVG - http://www.avg.com > > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > > 8/23/2008 1:16 PM > > > > > > > > > > > > > No virus found in this incoming message. > > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM > > > > > > > No virus found in this incoming message. > Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 strepcoccus thermophilous is a common strain found in the probiotics > > > > > > PANDAS, is an abbreviation for Pediatric Autoimmune > > Neuropsychiatric Disorders Associated with Streptococcal > Infections. > > The term is used to describe a subset of children who have > Obsessive > > Compulsive Disorder (OCD) and/or tic disorders such as Tourette's > > Syndrome, and in whom symptoms worsen following strep. infections > > such as " Strep throat " and Scarlet Fever. > > > > > > The children usually have dramatic, " overnight " onset of > symptoms, > > including motor or vocal tics, obsessions, and/or compulsions. In > > addition to these symptoms, children may also become moody, > irritable > > or show concerns about separating from parents or loved ones. This > > abrupt onset is generally preceeded by a Strep. throat infection. > > > > > > PANDAS is similar to that of Rheumatic Fever, an autoimmune > > disorder triggered by strep. throat infections. In every bacterial > > infection, the body produces antibodies against the invading > > bacteria, and the antibodies help eliminate the bacteria from the > > body. However in Rheumatic Fever, the antibodies mistakenly > recognize > > and " attack " the heart valves, joints, and/or certain parts of the > > brain. This phenomenon is called " molecular mimicry " , which means > > that proteins on the cell wall of the strep. bacteria are similar > in > > some way to the proteins of the heart valve, joints, or brain > > > > > > One part of the brain that is affected in PANDAS is the Basal > > Ganglia, which is believed to be responsible for movement and > > behavior. Thus, the antibodies interact with the brain to cause > tics > > and/or OCD > > > > > > clinicians use 5 diagnostic criteria for the diagnosis of PANDAS > > (see below). At the present time the clinical features of the > illness > > are the only means of determining whether or not a child might have > > PANDAS. > > > > > > Q. What are the diagnostic criteria for PANDAS? > > > > > > A. They are: > > > > > > 1.. Presence of Obsessive-compulsive disorder and/or a tic > > disorder > > > 2.. Pediatric onset of symptoms (age 3 years to puberty) > > > 3.. Episodic course of symptom severity > > > 4.. Association with group A Beta-hemolytic streptococcal > > infection (a positive throat culture for strep. or history of > Scarlet > > Fever.) > > > 5.. Association with neurological abnormalities (motoric > > hyperactivity, or adventitious movements, such as choreiform > > movements) > > > Q. What is an episodic course of symptoms? > > > > > > A. Children with PANDAS seem to have dramatic ups and downs in > > their OCD and/or tic severity. Tics or OCD which are almost always > > present at a relatively consistent level do not represent an > episodic > > course. Many kids with OCD or tics have good days and bad days, or > > even good weeks and bad weeks. However, patients with PANDAS have a > > very sudden onset or worsening of their symptoms, followed by a > slow, > > gradual improvement. If they get another strep. infection, their > > symptoms suddenly worsen again. The increased symptom severity > > usually persists for at least several weeks, but may last for > several > > months or longer. The tics or OCD then seem to gradually fade away, > > and the children often enjoy a few weeks or several months without > > problems. When they have another strep. throat infection the tics > or > > OCD return just as suddenly and dramatically as they did > previously. > > > > > > Q. Are there any other symptoms associated with PANDAS episodes? > > > > > > A. Yes. Children with PANDAS often experience one or more of the > > following symptoms in conjunction with their OCD and/or tics: > > > 1.. ADHD symptoms (hyperactivity, inattention, fidgety) > > > 2.. Separation anxiety (Child is " clingy " and has difficulty > > separating from his/her caregivers. For example, the child may not > > want to be in a different room in the house from his/her parents.) > > > 3.. Mood changes (irritability, sadness, emotional lability) > > > 4.. Sleep disturbance > > > 5.. Night- time bed wetting and/or day- time urinary frequency > > > 6.. Fine/gross motor changes (e.g. changes in handwriting) > > > 7.. Joint pains > > > here is another list from another site > > > > > > Red flags > > > The biggest difference between regular OCD and PANDAS OCD is the > > sudden onset. OCD usually develops slowly over weeks, months or > even > > years; however, PANDAS OCD seems to come out of the blue with > parents > > saying one day their child woke up a different kid. There are also > > other symptoms that help differentiate the 2 types of OCD. PANDAS > OCD > > is also characterized by: > > > > > > a.. Choreiform movements: involuntary or irregular writhing > > movements of the legs, arm or face > > > b.. Presence of tics and/or hyperactivity > > > c.. Irritability, temper tantrums, or mood lability > > > d.. Nighttime difficulties > > > e.. Severe nightmares and new bedtime rituals or fears > > > f.. Separation anxiety > > > g.. Age regression: going back to younger developmental stage > > > h.. New handwriting problems, loss of math skills, sensory > > sensitivities > > > > > > > > > Q. My child has had strep. throat before, and he has tics and/or > > OCD. Does that mean he has PANDAS? > > > > > > A. No. Many children have OCD and/or tics, and almost all school > > aged children get strep. throat at some point in their lives. In > > fact, the average grade-school student will have 2 - 3 strep. > throat > > infections each year. PANDAS is considered when there is a very > close > > relationship between the abrupt onset or worsening or OCD and/or > > tics, and a preceding strep. infection. If strep. is found in > > conjunction with two or three episodes of OCD/tics, then it may be > > that the child has PANDAS > > > > > > What to do if you suspect your child has PANDAS > > > > > > a.. Contact your pediatrician. Advocate for your child by being > > clear about what you want your doctor to do. In some cases, you may > > have to find a sympathetic doctor who is willing to learn about > > PANDAS. The PANDAS Clinic at NIMH may be willing to consult with > > doctors. > > > b.. Have your pediatrician do a throat culture of group A B- > > hemolytic strep. Ask that the specimen be cultured, not just the > > rapid test. > > > c.. Your doctor may also do a blood test to assess elevated > > streptococcal antibodies (Anti-DNAse B and Antistreptolysin titers > > (ASO)). > > > d.. You and/or your doctor can get information and treatment > > guidelines from the National Institute of Mental Health > > (www.nih.gov); type in PANDAS to access the appropriate link. > > > e.. Contact the OC Foundation to help locate an expert in OCD > in > > your area. > > > f.. Have your child retested if there is a resurgence in OCD > > symptoms. > > > yes my son and best friend both have PANDAS< my son had scarlet > > fever and strep throat and deteriorated what felt like over night > > almost 2 years ago, which we have then seen a pattern with 3 other > > episodes, which gives him the dx of PANDAS, he gets very OCD over > > letter and turns extreamly hyperlexic, his hand writting goes, he > has > > melt downs over nothings, lots of tantrums, gets mean and will hurt > > his sisters for no reason ect. my aspie friend well get really > > depressed, and emotional, have melt downs, becomes unfunctionable, > > her immune system crashes and she will over night new allergies to > > the place she can bearly eat. (she is an adult and it looks a bit > > different) she was previously dxed with tourettes which I pushed > her > > to get tested as I saw it come and go like my son with his PANDAS > > flares and sure enough she tested possitive, so now with treatment > > OLE (olive leaf extract) she is tic free as well. she has the > > history of tons of strep infection as a child and being on spectrum > > as well but wasn't caught till this last year. so her peices are > > coming together now. > > > > > > I hope this helps you some with examples of both a child and an > > adult, If I can help you futher please don't hesitate to contact me > > agian > > > > > > christel king > > > Recovering from Autism is a marathon > > > NOT a sprint, but FULLY possible! > > > Read more about it on my BLOGs at > > > http://www.myspace.com/christelking > > > http://foggyrock.com/MyPage/recoveringwishes > > > > > > > > > Recovering from Autism is a marathon > > > NOT a sprint, but FULLY possible! > > > Read more about it on my BLOGs at > > > http://www.myspace.com/christelking > > > http://foggyrock.com/MyPage/recoveringwishes > > > http://www.facebook.com/profile.php?id=677063169 > > > > > > STREP > > > > > > > > > hi, > > > > > > my son has had 3 bouts of strep since march. the doctor > believes > > that > > > the strep has " colonized " in my son's throat and thinks that > the > > > tonsils should be removed. i personally don't think thats the > > answer. > > > > > > i asked him if we could do a blood lab and he said that there > > wouldn't > > > be anything in the blood. logically that sounds correct but i > > don't > > > feel its the right answer. > > > > > > what are the labs that they do for PANDAS? my son doesn't get > OCD > > or > > > anything and the last time he had strep, he was asymptomatic. > > > > > > any assistance would help. thank you > > > teresa > > > > > > > > > > > > > > > No virus found in this incoming message. > > > Checked by AVG - http://www.avg.com > > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > > 8/23/2008 1:16 PM > > > > > > > > > > No virus found in this incoming message. > Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2008 Report Share Posted August 24, 2008 if you don't have OCD issues you don't have PANDAS< that is one of the main symptoms, over night personality change with OCD> BUT you may still have strep. any ped can run them (this one can actually get covered by insurence) Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 STREP> > > > > > > > > hi,> > > > > > my son has had 3 bouts of strep since march. the doctor > believes > > that > > > the strep has "colonized" in my son's throat and thinks that > the > > > tonsils should be removed. i personally don't think thats the > > answer.> > > > > > i asked him if we could do a blood lab and he said that there > > wouldn't > > > be anything in the blood. logically that sounds correct but i > > don't > > > feel its the right answer.> > > > > > what are the labs that they do for PANDAS? my son doesn't get > OCD > > or > > > anything and the last time he had strep, he was asymptomatic. > > > > > > any assistance would help. thank you> > > teresa> > > > > > > > > > > > > > > No virus found in this incoming message.> > > Checked by AVG - http://www.avg.com > > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > > 8/23/2008 1:16 PM> > >> > > > > > > > > > No virus found in this incoming message.> > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM> >> > > > > No virus found in this incoming message.> Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM>No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1631 - Release Date: 8/24/2008 12:15 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2008 Report Share Posted August 25, 2008 Christel, This is fascinating information about PANDAS. Thanks for sharing this. This may be a " eureka " moment for me in figuring out why my son has regressed so much over the past few months. He did have some pretend play and was manding a lot more. Because of his yeast issues after he had been on anti-biotics, he had a round of Diflucan, and I then I put him on Threelac and SacBoul for maintenance. Now, he no longer picks up an airplane and pretends it's flying; instead he twirls the wheel and watches it. He gets in front of the TV and flaps his hands, or holds a string up to the tv screen and stims on it. I've read about these behaviors in children with autism, but never saw them in my son -- now age 5, dx a year and a half ago as highly-functioning, but to see him now you would think he's much lower on the spectrum. I'm not sure if any of this would qualify as tics, but when he stims in front of the TV he gets so excited that he shrivels up his nose while biting his lip and pulling one side of his mouth down (looks like Bells Palsey when he does this.) He has also developed some strange verbal stims he never had before. Do these sound like behaviors you might consider " OCD " or caused by PANDAS?He did start displaying some separation anxiety as well at about the time all this started. Used to go to the park with his ABA therapist as soon as she arrived, but then started clinging on to me whenever she would come over, and acted like he didn't want to go with her. (I chalked it up to the fact that I had just left my job and was now home with him more, but maybe it was something else.) if you don't have OCD issues you don't have PANDAS< that is one of the main symptoms, over night personality change with OCD> BUT you may still have strep. any ped can run them (this one can actually get covered by insurence) Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwishes http://www.facebook.com/profile.php?id=677063169 STREP> > > > > > > > > hi,> > > > > > my son has had 3 bouts of strep since march. the doctor > believes > > that > > > the strep has " colonized " in my son's throat and thinks that > the > > > tonsils should be removed. i personally don't think thats the > > answer.> > > > > > i asked him if we could do a blood lab and he said that there > > wouldn't > > > be anything in the blood. logically that sounds correct but i > > don't > > > feel its the right answer.> > > > > > what are the labs that they do for PANDAS? my son doesn't get > OCD > > or > > > anything and the last time he had strep, he was asymptomatic. > > > > > > any assistance would help. thank you> > > teresa> > > > > > > > > > > > > > > No virus found in this incoming message.> > > Checked by AVG - http://www.avg.com > > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > > 8/23/2008 1:16 PM> > >> > > > > > > > > > No virus found in this incoming message.> > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM> >> > > > > No virus found in this incoming message.> Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM>No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1631 - Release Date: 8/24/2008 12:15 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2008 Report Share Posted August 25, 2008 OLE did nothing for my son. His PANDAS profile showed antibrain antibodies elevated 200-400%. His strep titers that were once 6x normal are close to normal now but with no change in his issues. We had to resort to IVIG Kerrie Christel on this post you mentioned if it was chronic strep and if it has gone autoimmune. If it has does this mean the OLE wouldn't work? What if it has gone to OCD does this make a difference also?Nonie --- In mb12 valtrex , "Christel King" It's only a deal if it's where you want to go. Find your travel deal here. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2008 Report Share Posted August 25, 2008 can be, what you discribe also sounds like viral issues, vit A got rid of most of that kinda of stuff in our house. was he a measel shot regressor Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwisheshttp://www.facebook.com/profile.php?id=677063169 STREP> > > > > > > > > hi,> > > > > > my son has had 3 bouts of strep since march. the doctor > believes > > that > > > the strep has "colonized" in my son's throat and thinks that > the > > > tonsils should be removed. i personally don't think thats the > > answer.> > > > > > i asked him if we could do a blood lab and he said that there > > wouldn't > > > be anything in the blood. logically that sounds correct but i > > don't > > > feel its the right answer.> > > > > > what are the labs that they do for PANDAS? my son doesn't get > OCD > > or > > > anything and the last time he had strep, he was asymptomatic. > > > > > > any assistance would help. thank you> > > teresa> > > > > > > > > > > > > > > No virus found in this incoming message.> > > Checked by AVG - http://www.avg.com > > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > > 8/23/2008 1:16 PM> > >> > > > > > > > > > No virus found in this incoming message.> > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM> >> > > > > No virus found in this incoming message.> Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM>No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1631 - Release Date: 8/24/2008 12:15 PM No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1632 - Release Date: 8/25/2008 7:05 AM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2008 Report Share Posted August 25, 2008 Yes he was. I'll talk to my DAN about that. can be, what you discribe also sounds like viral issues, vit A got rid of most of that kinda of stuff in our house. was he a measel shot regressor Recovering from Autism is a marathonNOT a sprint, but FULLY possible!Read more about it on my BLOGs athttp://www.myspace.com/christelkinghttp://foggyrock.com/MyPage/recoveringwishes http://www.facebook.com/profile.php?id=677063169 STREP> > > > > > > > > hi,> > > > > > my son has had 3 bouts of strep since march. the doctor > believes > > that > > > the strep has " colonized " in my son's throat and thinks that > the > > > tonsils should be removed. i personally don't think thats the > > answer.> > > > > > i asked him if we could do a blood lab and he said that there > > wouldn't > > > be anything in the blood. logically that sounds correct but i > > don't > > > feel its the right answer.> > > > > > what are the labs that they do for PANDAS? my son doesn't get > OCD > > or > > > anything and the last time he had strep, he was asymptomatic. > > > > > > any assistance would help. thank you> > > teresa> > > > > > > > > > > > > > > No virus found in this incoming message.> > > Checked by AVG - http://www.avg.com > > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > > 8/23/2008 1:16 PM> > >> > > > > > > > > > No virus found in this incoming message.> > Checked by AVG - http://www.avg.com > > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: > 8/23/2008 1:16 PM> >> > > > > No virus found in this incoming message.> Checked by AVG - http://www.avg.com > Version: 8.0.138 / Virus Database: 270.6.7/1629 - Release Date: 8/23/2008 1:16 PM>No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1631 - Release Date: 8/24/2008 12:15 PM No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.138 / Virus Database: 270.6.7/1632 - Release Date: 8/25/2008 7:05 AM Quote Link to comment Share on other sites More sharing options...
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