First off I agree with Mom of OCD boy, blood work is number one. I am a newbie to here but not to PANDAS and I am talking from my own personal experience. We have had both the overeating and weight loss of 30 lbs in two months for an 11 year old boy. Both improved in 36 hours with either and/ or an antibiotic, anti- viral, and a steroid burst. At 6 the week he got PANDAS, (no idea) I would call my husband over to look at our son literally shoving food in his mouth. You would of thought he had not eaten for a week. At the time we also regressed to stinging pains in penis and bed wetting. All ignored by Dr.s and therapists.
At 11 the thought pattern was if I don't eat "growing food" I won't get to tall. He was eating a little but no healthy food. This led to losing 30lbs and aggravated the problem since bad food increases inflammation and we ended up in the hospital.
From this journey for me I learned over eating was probably caused by a hormonal inbalance of Leptin, the receptor that tells you you are full or inflammation in the brain responsible. Still don't know about the genital pain but have met a few moms who did the penile scope on their boys to no avail. Comes with the disorder.
When he was 11 with anorexia too, beforeI got to an immunologist due to wait list, our pediatrician gave us a steroid burst. 36 hours huge drop in OCD and able to eat normally. Lasted about 6 weeks and then it came back.
Finally at the immunologist, our Dr. Does everything slow and methodical. As a mom watching your child disintegrate this is very difficult but it does show you what is working. Blood work was done for multiple infections and allergies. Took 5 adults to hold him down. Fortunately the Dr. Was willing to work with him or he would be in a home.
First thing addressed was diet. No dairy! Very adamant since in this immune state his Dr. believes you now have a predisposition for Diabetes. Not easy, my son craved ice cream, as in multiple times a day. I learned what they usually crave is what you need to take away. Fun! The immune response gives you a morphine like feeling giving relief to the anxiety until the next hit is needed. I found this to be true for every food he craved. The difficult one was corn because the blood panel said there was no allergy. Thru another mom I learned about GMO'S and over 90% of corn has pesticide built right in. Two different types, one blows up the stomach of bugs, what does it do to our gut? The other is systemic, can't wash off,and is a neurotoxin and endocrine disrupters. When I switched to organic corn we lost the craving. Same with soy. I have become a detective. Diet was difficult and didn't happen overnight..lots of stevia for sweetening and organic chocolate. I would say at least 6 month transition with more cooperation as he feels so much better..
Our Dr doesn't do Gluten Free or rice because he sees it still irritates the immune system so no wheat or rice and whatever is flagged on blood work panel. We do blood work every 6 weeks to look at antibodies. He has done immunology for 30 years and saw this made a big difference. Then we taught him something new!
My Pandas son started doing the Paleo/ caveman diet because that is what his big brother at college was doing and it was cool! Being the information junkie I have become I read everything and it's suppose to be very helpful for immune issues by rebalancing the body to it's more natural state from years ago.
Needless to say my son's allergy numbers went from life threatening to completely normal! His Dr. now puts all patients on Paleo but allows the kids 2 slices of very white bread or white rice once a day. Less reaction and kids can have a sandwich or wrap at lunch. We don't have celiac so I would ask your Dr first. There are cookbooks for kids that has helped. Maybe we can do a section on recipes for smoothies etc. I have found a little bit of beet hides spinach by making the smoothie bright red. I have also paid him not to drink a gatorade at sports since there is flame retardant in it not to mention corn and dyes. He regained all the weight but in muscle and looks and feels great.
Then his Dr. addressed each infection. We had strep, mycoplasma pneumonia , Herpes virus 6. I think possibly Lyme but his Dr doesn't address that. That's why I am here.
He is back on honor roll after losing ability to read with comprehension. Math is a little slower. Most important he has color back instead of that pasty white and is enjoying his friends and family again.
A word of caution. Tread carefully and slowly, watch how you present changes. You don't want your child obsessed with worry about poisons in their food. Making it a healthy transition for the whole family is better and if you don't buy it it will at least cut down on their exposure. Because of awareness a lot more is available such as non GMO and organic potatoe chips, corn chips and popcorn.
The author of Saving Sammy met a curious Dr. Who did blood work on all of his patients on the psych ward. Guess what....infections were found on a majority. The psych ward is the worse place for my son because if a person is sick they will trigger him and make him worse. Same with airplanes! At a conference a Dr. Found this hard to believe until multiple parents told them they had the same experience.
It makes sense if you think about times when you sit next to someone who has a cold. If you didn't get sick it is because your immune system did its job and revved up and got rid of the germs. Our kids immune system revs up too but since it is dysfunctional more inflammation is created in the brain and we get more OCD, ADHD,Tics etc.
Since we are on prophylactic antibiotics and anti-virals this has not been an issue and all his titers are in normal range. I would like to learn how to eventually get off them.
An interesting FYI when you get flack about antibiotics at least i do....20% of antibiotics are from medical sources and the other are pesticides such as Round Up (patented as an antibiotic ) and food sources.
Hope my journey may connect some "dots" on yours. 3bmom