Hi there. First time posting here though I've been reading for quite awhile. I have been dealing with what might be adult PANS for a long time now. I figured I would post to join a conversation about these issues I deal with, as well as maybe find some people in similar situations, or people with an understanding of my situation, my labs, and what medicines I'm taking.
In short, I've been sick all my life. I'm 24 now. As a kid I got sick all the time. In the 8th/9th grade I had strep (possibly more than once), as well as mono, and in 8th grade I started to develop pretty serious anxiety, OCD-like symptoms, and began restricting my food intake in 9th grade. The anxiety, as well as severe depression and other mood problems, and panic attacks as well, persisted throughout my high school years. I also dealt with what seemed to be an eating disorder throughout high school. I sought treatment, a counselor, was on multiple psychiatric medications... and really, not much actually worked in terms of the depression, though some of the time I was so medicated that I was in kind of a numb, more dissociated state. From ages 18-22 things got much worse in terms of me being always sick. I almost constantly had a cold, did not have health insurance, was somewhat overwhat, had tons of stomach issues, started having way, way more anxiety as well as severe panic attacks worse than ever before. In early 2014 I tested positive for strep 4 times in a row, even though after each time I was put on an antibiotic trial. It always came back, and sometimes there were even different strains of strep that came back in the results. I also experienced extreme weight loss at this time, food restricting, anxiety, panic attacks, depression, and other symptoms. I could not really function in my life, at 22 years old, and I felt hopeless. I didn't understand why nothing helped. Why I couldn't get better and only seemed to get worse over time. At this point I was (and still am) off of all psychiatric medications (except for Hydroxyzine which is less intense and hardly psychiatric).
Summer 2014 I was on antibiotics for two months. The only reason my doctor at the time agreed to that (she was an ND) was because my sister has pretty severe PANDAS and my family is very informed on the disease and has seen many good doctors. My step-mom was the first to say, maybe you are dealing with what your sister is dealing with, but in a slightly different way. I was also doing herbal antibiotics at this time. Less than two weeks after stopping the antibiotics I had the worst panic attack of my life, it was so severe I didn't even realize that's what it was and I went to the hospital sure I was dying. We did more labs, and finally did some tests for PANDAS. My strep and mycoplasma titers were incredibly high. I forget the exact numbers, but they were very high. We worked on the herbal antibiotics and other things to try and help, but come December I had another serious panic episode and could hardly leave my house. December 2014 I started on Augmentin and stayed on it until August of 2015. During this time I had so much improvement and for most of last summer was living the most healthily and happily I ever had and had the least anxiety of my life, though it was still present. ND took me off Augmentin, less than 2 weeks later anxiety increased as well as panic attacks, paranoia, lack of appetite and eating, and by October I ended up in the ER again. Went back on Augmentin promptly until about one month ago.
I am now seeing a different doctor who is much more informed. She did tons of blood tests and found that my strep titers have gone way, way done as well as mycoplasma and EBV, but they are still marked as high. I had to have surgery for an ovarian cyst and endometriosis and I had to go off the anti-biotics, and my doctor also wanted to to a test trial. Since March I have been sick a total of 4 times, which is more than I have been sick since summer 2014 when I started doing antibiotics and herbal antibiotics--I hardly had two colds while on antibiotics previously. However all of these sicknesses in the past few months seemed to be viral, and all of them triggered my typical anxiety, OCD, and panic symptoms. My doctor did tests for a bunch of viral stuff and found:
- tons of high IGG for Coxsackie (A9, A7, A16, A24)--all at 1:1600. Coxsackie B 1-6 were all at 1:32 or 1:64. I don't ever recall having Coxsackie.
- EBV early antigen IGG high at 15.3. EBV Ab VCA IGG at 423, and EBV Nuclear antigen Ab IGG at 172, so all very high. Even though I said I seemed to have viral stuff going on recently I didn't seem to have mono, so it seems weird it would show up as active, but it also showed up as chronic (according to her).
- Parvovirus was quite high as well at 5.9, and I did have this when I was about 10. She said since it was so long ago the IGG should not still be so extremely high.
- High CMV & HHV6 IGG.
These are just the ones she tested, but every single one she decided to test for came back positive and very high. The next step which I just started today is anti-virals. Acyclovir. I'm hopeful and very nervous. I'm also going to start Low Dose Naltrexone within the next month. Part of me is very nervous about being off of Augmentin for so long because my titers still aren't down to a normal level. My gut is telling me that I will need to be on them for longer again, but I don't want to be domineering with the doctor and I don't want to mess my gut up further if I don't have to. Probiotics help, but still. Off of the Augmentin my stomach seems so much more happy. Anxiety is definitely increased and I'm having a really rough time and I feel so alone, I have no one I can really relate to on this. I know 3 kids in the area with PANDAS, one being my sister, but they're all much younger and have a different picture and different symptoms.I just wanted to post my results, my story, and my current treatment plan to see if anyone can relate, or share ANY advice whatsoever. It would be so greatly appreciated.
I've been sick and struggling for so long. In the past year I have gained a shred of stability and have finally been able to go back to school, this past January. I was out of school for... almost 4 years. The last two quarters I was in it 3 years ago I completely failed because my brain just seemed to not work the same. I couldn't keep up, understand, focus on the reading, I couldn't write the same. I ended up giving up after my inability caused me even more anxiety. I've felt better recently than ever before in my whole life, literally, but I'm so scared that it will get worse again if I don't continue the Augmentin, or that the anti-virals and LDN won't work and I'll always have this mysterious immune system and health issues. I'm scared I don't fit into any diagnosis and won't ever get the proper help. I just want to continue living my life as I feel I've just begun to. I may have forgotten some stuff. I am also diagnosed with C-PTSD and like I previously stated Endometriosis. Just had surgery and removed very much of it as well as cysts.
I hope this was okay to post. I haven't found a forum like this anywhere and have been searching for somewhere to find anyone to relate to or anyone with advice. Thank you again for reading and for any advice ahead of time. It means a lot.
- Rachel