Guest guest Posted December 11, 2010 Report Share Posted December 11, 2010 Our son had a positive test for m. pneumoniae (IgM). Any suggestions on the next step? What is the view on this? How does Dr. G. treat it? Thank you everyone! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2010 Report Share Posted December 12, 2010 You mainly have to have an antibiotic that targets mycoplasma pn., and any pediatrician should know which ones. You could also ask if they'd extend treatment a few days longer. You should see improvement in a specific cough (right this second I can't remember if it's a dry raspy cough or a wet one even though I had it 15 years lol) by the end of the course. Seems like it might turn from dry to a little wet - that's fine. A little mucinex dm or other expectorant (and lots and lots of water) can help it along - water is really important. I don't know which antibiotic Dr G uses. If your kid is under say age 9, you don't use tetracyclines like doxycycline - you don't use that until all their teeth are in. It's what he told me to ask for, though, as an adult, way back when. It was the first time in years I didn't wheeze or have bronchial spasms and a hack. Then, if 3-5 days after antibiotics are stopped, you start noticing the cough return, or you hear any wheezing, then it's NOT gone. Here's where you could run into problems with a typical doctor, because if I remember correctly, after the initial treatment, the tests for mycoplasma become less reliable. You'll get so many false positives that it's almost not worth testing. I'm not sure if that has improved these days, but that's a problem I used to have. More and more doctors around here have become aware of how mycoplasma can get passed around and around, so when you point out the symptoms are the same, they're more likely to treat it again. But if you get a diagnosis of asthma in the next few months, I'd find a doctor who knows more about it. I have suggested to so many parents who's kids were being treated for asthma to request a mycoplasma test, and the ones who actually did ask, so many were positive it makes me wonder just how many asthmatics are actually infected. One girl I met in an ER in Tennessee - her mom contacted me a year later and said she hadn't had an asthma attack since, and they had been in the ER several times a month since she was a little girl. I don't say that to scare you. Truly, don't stress about it and worry that she won't get rid of it. Mycoplasma goes around in cycles at my work all the time, and most people get over it and go on. There are only 2 people I'm worried about there who seem to not be getting over it. It's just always around. You just make sure it gets treated, and then be aware of symptoms lasting longer, and don't always make the assumption that it's just allergies. It's a very specific cough, which is why Dr G could recognize it over the phone. (Gosh - that might be one of my favorite sentences he ever spoke to me. I still hear the tone and I laugh at how indignant he sounded lol!!) Fortunately once I got rid of it, I didn't get it again. It was a heck of a lot easier to get over than strep. But it can trigger a milder onset of ocd and brain 'flicker', so if you clear it up, you may see some positives.  Good luck! ________________________________ From: and Freeman <freemanbk@...> Sent: Sat, December 11, 2010 8:46:28 AM Subject: Mycoplasm pneumoniae  Our son had a positive test for m. pneumoniae (IgM). Any suggestions on the next step? What is the view on this? How does Dr. G. treat it? Thank you everyone! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2010 Report Share Posted December 12, 2010 Thanks ! My doctor felt that because it was detected in the IgM that it may be from a previous infection. I went to another doctor today and he Rxd a 10 day round of Clavulin, 5.7 mls, 3x daily. My guy responded with a yeast attack (as per the course with Clavulin and our son). So we will see how it goes after 10 days. I would like to know an accurate way of testing for CURRENT infection with m. Pneumoniae. Any suggestions, as usual, are always welcomed. I have read that this can be a systematic infection passed from mother to infant in birth. Not sure but our son had a LOT of mucus as a baby. I remember thinking that I wished they would have sucked out the mucus from his nose when he was born because he went almost the whole first year with this awful wheezing and stuffy nose... From: [mailto: ] On Behalf Of Sent: December-12-10 10:08 PM Subject: Re: Mycoplasm pneumoniae You mainly have to have an antibiotic that targets mycoplasma pn., and any pediatrician should know which ones. You could also ask if they'd extend treatment a few days longer. You should see improvement in a specific cough (right this second I can't remember if it's a dry raspy cough or a wet one even though I had it 15 years lol) by the end of the course. Seems like it might turn from dry to a little wet - that's fine. A little mucinex dm or other expectorant (and lots and lots of water) can help it along - water is really important. I don't know which antibiotic Dr G uses. If your kid is under say age 9, you don't use tetracyclines like doxycycline - you don't use that until all their teeth are in. It's what he told me to ask for, though, as an adult, way back when. It was the first time in years I didn't wheeze or have bronchial spasms and a hack. Then, if 3-5 days after antibiotics are stopped, you start noticing the cough return, or you hear any wheezing, then it's NOT gone. Here's where you could run into problems with a typical doctor, because if I remember correctly, after the initial treatment, the tests for mycoplasma become less reliable. You'll get so many false positives that it's almost not worth testing. I'm not sure if that has improved these days, but that's a problem I used to have. More and more doctors around here have become aware of how mycoplasma can get passed around and around, so when you point out the symptoms are the same, they're more likely to treat it again. But if you get a diagnosis of asthma in the next few months, I'd find a doctor who knows more about it. I have suggested to so many parents who's kids were being treated for asthma to request a mycoplasma test, and the ones who actually did ask, so many were positive it makes me wonder just how many asthmatics are actually infected. One girl I met in an ER in Tennessee - her mom contacted me a year later and said she hadn't had an asthma attack since, and they had been in the ER several times a month since she was a little girl. I don't say that to scare you. Truly, don't stress about it and worry that she won't get rid of it. Mycoplasma goes around in cycles at my work all the time, and most people get over it and go on. There are only 2 people I'm worried about there who seem to not be getting over it. It's just always around. You just make sure it gets treated, and then be aware of symptoms lasting longer, and don't always make the assumption that it's just allergies. It's a very specific cough, which is why Dr G could recognize it over the phone. (Gosh - that might be one of my favorite sentences he ever spoke to me. I still hear the tone and I laugh at how indignant he sounded lol!!) Fortunately once I got rid of it, I didn't get it again. It was a heck of a lot easier to get over than strep. But it can trigger a milder onset of ocd and brain 'flicker', so if you clear it up, you may see some positives. Good luck! ________________________________ From: and Freeman <freemanbk@... <mailto:freemanbk%40ns.sympatico.ca> > <mailto:%40> Sent: Sat, December 11, 2010 8:46:28 AM Subject: Mycoplasm pneumoniae Our son had a positive test for m. pneumoniae (IgM). Any suggestions on the next step? What is the view on this? How does Dr. G. treat it? Thank you everyone! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2010 Report Share Posted December 12, 2010 I think mainly the 'first' most recent infection can be detected by a quick test in the office, and when they come back positive, doc doesn't much doubt the infection. But when you have to run titers, there isn't a way to be sure of when it was an infection, unless maybe there's an IgM portion... It's just a hard one to be sure about. I base it mostly on my wheezing - it's usually high up in the lungs too. Not much help. I don't know much about the test - just how hard it can be to get confirmation if you've had it more than the initial onset... ________________________________ From: and Freeman <freemanbk@...> Sent: Sun, December 12, 2010 9:14:34 PM Subject: RE: Mycoplasm pneumoniae  Thanks ! My doctor felt that because it was detected in the IgM that it may be from a previous infection. I went to another doctor today and he Rxd a 10 day round of Clavulin, 5.7 mls, 3x daily. My guy responded with a yeast attack (as per the course with Clavulin and our son). So we will see how it goes after 10 days. I would like to know an accurate way of testing for CURRENT infection with m. Pneumoniae. Any suggestions, as usual, are always welcomed. I have read that this can be a systematic infection passed from mother to infant in birth. Not sure but our son had a LOT of mucus as a baby. I remember thinking that I wished they would have sucked out the mucus from his nose when he was born because he went almost the whole first year with this awful wheezing and stuffy nose... From: [mailto: ] On Behalf Of Sent: December-12-10 10:08 PM Subject: Re: Mycoplasm pneumoniae You mainly have to have an antibiotic that targets mycoplasma pn., and any pediatrician should know which ones. You could also ask if they'd extend treatment a few days longer. You should see improvement in a specific cough (right this second I can't remember if it's a dry raspy cough or a wet one even though I had it 15 years lol) by the end of the course. Seems like it might turn from dry to a little wet - that's fine. A little mucinex dm or other expectorant (and lots and lots of water) can help it along - water is really important. I don't know which antibiotic Dr G uses. If your kid is under say age 9, you don't use tetracyclines like doxycycline - you don't use that until all their teeth are in. It's what he told me to ask for, though, as an adult, way back when. It was the first time in years I didn't wheeze or have bronchial spasms and a hack. Then, if 3-5 days after antibiotics are stopped, you start noticing the cough return, or you hear any wheezing, then it's NOT gone. Here's where you could run into problems with a typical doctor, because if I remember correctly, after the initial treatment, the tests for mycoplasma become less reliable. You'll get so many false positives that it's almost not worth testing. I'm not sure if that has improved these days, but that's a problem I used to have. More and more doctors around here have become aware of how mycoplasma can get passed around and around, so when you point out the symptoms are the same, they're more likely to treat it again. But if you get a diagnosis of asthma in the next few months, I'd find a doctor who knows more about it. I have suggested to so many parents who's kids were being treated for asthma to request a mycoplasma test, and the ones who actually did ask, so many were positive it makes me wonder just how many asthmatics are actually infected. One girl I met in an ER in Tennessee - her mom contacted me a year later and said she hadn't had an asthma attack since, and they had been in the ER several times a month since she was a little girl. I don't say that to scare you. Truly, don't stress about it and worry that she won't get rid of it. Mycoplasma goes around in cycles at my work all the time, and most people get over it and go on. There are only 2 people I'm worried about there who seem to not be getting over it. It's just always around. You just make sure it gets treated, and then be aware of symptoms lasting longer, and don't always make the assumption that it's just allergies. It's a very specific cough, which is why Dr G could recognize it over the phone. (Gosh - that might be one of my favorite sentences he ever spoke to me. I still hear the tone and I laugh at how indignant he sounded lol!!) Fortunately once I got rid of it, I didn't get it again. It was a heck of a lot easier to get over than strep. But it can trigger a milder onset of ocd and brain 'flicker', so if you clear it up, you may see some positives. Good luck! ________________________________ From: and Freeman <freemanbk@... <mailto:freemanbk%40ns.sympatico.ca> > <mailto:%40> Sent: Sat, December 11, 2010 8:46:28 AM Subject: Mycoplasm pneumoniae Our son had a positive test for m. pneumoniae (IgM). Any suggestions on the next step? What is the view on this? How does Dr. G. treat it? Thank you everyone! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2010 Report Share Posted December 14, 2010 igm is active infection. what's up with the pediatrician saying it is old...igg can suggest active, the labs need to be considered within a larger picture of labs, symptons and response to treatment. lisa Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2010 Report Share Posted December 16, 2010 I was diagnosed with mycoplasm pneumonia a year and a half ago...it was really weird because I didn't have the regular symptoms of pneumonia....just had itchy rash areas on my body and I felt very tired. They gave me a 5-10 day course of antibiotics...I wish that I could remember which one...but it was one of the basic ones. The testing was all handled quickly in the doctor's office within a very short time. I know that this might not help...but I haven't met very many people who have been diagnosed with this. HTH, Tricia > > Our son had a positive test for m. pneumoniae (IgM). Any suggestions on the > next step? What is the view on this? How does Dr. G. treat it? Thank > you everyone! > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2010 Report Share Posted December 16, 2010 It's usually nothing like pneumonia as we understand it. It's the name of the bacteria, not the pockets of fluid in the lungs (although it can do that of course). You can often even have a relatively clear chest x-ray, maybe signs of congestion and inflammation, and still have " walking pneumonia " . You'll often also have wheezing (so it gets mistaken for asthma or allergic bronchitis). They often don't even test for it except when it's known to be running around the community right then (actually it's always around here). Tons of cases of 'bronchitis' could actually be mycoplasma, but fortunately for most people, with luck they'll already be treated with an antibiotic that will cover it well enough. That's just my experience. I told an internal med doc once (while I was setting up his medical software, and reviewing his coding reports to get a feel for what he did a lot of in his practice, revenue, stuff like that) that I noticed in his reports that he didn't bill many of the in-office tests for it, but that he diagnosed a ton of bronchitis - one of his higher incidents. One of his insurances that he had a lot of patients with pays a decent enough reimbursement for that test that his revenue would increase by such & such (not a huge amount or anything, but worth it) if he tested for it more often when there were signs. I dialed in about 3 months later to do my follow up on our set up, and just curious, I ran a diagnosis report. There was about a 30% drop in bronchitis diagnosis, and a 30% increase in mycoplasma pneumonia. And he was only running that test about 40% of the time based on his evaluation. I've done chart and medical record studies on all kinds of things when I was curious about patterns in practices, and in mental health, it's staggering: in two psych offices, I've pulled every chart with a kid with OCD diagnosis, and over 90% of them had a mention of tonsillectomy or chronic strep or chronic tonsillitis. The doc's response was all kids get strep. So I pulled a bunch of other diagnosis, and I could only find 4 other kids where that history was mentioned in their chart. They didn't pay attention. Did the next thing at the next practice. About the same percentage (although far fewer ocd so not a big enough sample). In bipolar people who were hospitalized, a LOT of them also had a cold sore break out (HSV1) within a day or two of being admitted. The psychiatrists are very familiar with this - they say it's a result of the mania or whatever. I'm sorry, but the process of a cold sore starts at least days if not a week or two (I don't really know but I've been told that people can feel it coming at least a week before a breakout) before the sore actually manifests itself... how in the world could they rule out the possibility that the onset of a breakout didn't trigger their mania? I have a friend with both, and they are always connected. I've begged him to get on therapeutic dose of Valtrex (not the suppressive dose), but he believes the doc that says it's a result of the stress. But anyway, they'll treat the cold sore with Valtrex sometimes while in the hospital, and they may get out after stabilization as early as 5 days. Isn't that also about the time it takes to start feeling improvement on Valtrex? My son started dancing around (after months of severe fatigue) at about 3-5 days of Famvir, and I had told my husband I didn't expect to see improvement in a month. That had nothing to do with mycoplasma lol! But I'm just saying, there isn't aways a lot of concern about which bacteria is causing an illness- just treat it w/the right antibiotic that tends to cover the usual spectrums for that area. There's not much of a connection made between symptoms of infection and their resulting mental illnesses, but there are significant patterns there. ________________________________ From: " westbrook66@... " <westbrook66@...> Sent: Thu, December 16, 2010 8:47:12 AM Subject: Re: Mycoplasm pneumoniae  I was diagnosed with mycoplasm pneumonia a year and a half ago...it was really weird because I didn't have the regular symptoms of pneumonia....just had itchy rash areas on my body and I felt very tired. They gave me a 5-10 day course of antibiotics...I wish that I could remember which one...but it was one of the basic ones. The testing was all handled quickly in the doctor's office within a very short time. I know that this might not help...but I haven't met very many people who have been diagnosed with this. HTH, Tricia > > Our son had a positive test for m. pneumoniae (IgM). Any suggestions on the > next step? What is the view on this? How does Dr. G. treat it? Thank > you everyone! > > > > Quote Link to comment Share on other sites More sharing options...
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