FabFabes

That is really great to know, as IVIG would be a very last measure for us. I have an appointment with our regular pediatrician next week and I plan on trying to talk to him about P.A.N.D.A.S., hopefully he has some knowledge. Otherwise I am going to at least ask for the blood work so I can see my son's levels. Thanks again Nancy.

Thank you both very much. I appreciate the quick reply. I guess because the OCD symptoms are so minimal that I was trying to convince myself otherwise. I will check out the pinned posts and see if I have further questions. How did you both feel about working with Dr. K?

Hi, my son, who is 4 years old, has begun to have the following OCD like behaviors: Does not feel clean after wiping (did not always have this problem), he will ask repeatedly if he did it good enough. Will change his underwear if he has a slight drop of pee in them. Also rushes to the bathroom 50% of the time, almost like he really didn't realize he had to go. Has begun to tell me "bad words" that he says in his head. For example: stupid, fool, freak (3-5 times a day). Repeatedly tells on himself for very minor offenses: he accidentally bumped into the dog, he spilled a drop of orange juice etc. Constantly checks to see if his underwear is showing, even when just being with our family in the house. Tells me that he thinks he does not like people, but then tell me that he knows that is not true. Does not have any interest in going to school, he used to be excited about it. All of these behaviors are not constant - he will wipe himself with no complaining with a reward incentive. He does not fixate on the bad words that he thinks about - he says he said the word in his head and moves on. I feel that these symptoms have developed over the past two months. He has not been this way his whole life. He has always been moody and stubborn, but that tends to run in the family. My question is, what step do I take first? Do I need to have him tested for strep? I realize that he may not have it currently, from what I have read it seems that blood work can be done to see if he had it in the past. I know for a fact that he was in contact with his cousin who had strep in February and for the life of me I can't recall if he had any of these symptoms before then. If I were to go to my current pediatrician, what tests do I need to ask for specifically? I'd like to get his opinion before I move on the seeing Dr. K who is within driving distance. Lastly, if I do go to see Dr. K, can anyone give me a general idea of how much office visits and consultations cost? It states on his website that he does not accept more insurance, so I would love a ballpark figure! Any help or guidance you can lend me would be amazing.