outbursts for unknown reasons

[Guest guest]

How do you figure out what is causing outursts? My son is very inconsistent and

it has always been a problem. He has PANDAS and is finally i believe getting the

right treatment plan by being on the protocol.

He started on valtrex and for a week he was amazing. Then he kind of plateaued.

He started diflucan and he was even more amazing. After 2 weeks he starts with

the outbursts and turns out he has a double ear infection. He starts

antibiotics, he's better, then he's freaking out with the outbursts again. All

along he still has high ASO strep titers.

How do you figure out the cause. Is the diflucan causing a die off and the

antibiotic is making it worse? Or is the PANDAS set off because of the ear

infection.

The outbursts are like major temper tantrums, they do look anxiety and

internally related initially then he lashes out and gets worked up and even

aggressive. They stop in about 10-15 minutes and he acts totally fine like it

never happened. Those 15 minutes are very very upsetting!!!

Any parents want to give me some insight or thoughts about what might be

going on. Through it all he has made more noticeable progress in the past 3

months on then any other time. I just wish I understood what is driving the

outbursts.

Vicki