Hi everyone,
First of all I’d like to thank all of you who take the time to write in and share your stories,offering advice and support.I have spent countless hours on this site and it’s been so helpful.I live in Canada and unfortunately it’s very difficult to find someone that will actually treat this terrifying and heartbreaking condition.On Dec.13,2016 my 11 year old son was perfectly healthy other than some tics that he’s had for several years which were mild and didn’t bother him too much.He started eating some fish and said he thought he swallowed a bone.He wasn’t choking,seemed fine and I just told him to drink something and thought he’d be fine.Well,within the next hour he had a major panic attack so we took him to the children’s hospital where they done an X-ray and no bone was seen.As the days went by he got worse,slowly stopped eating,had panic attacks,rages where he’d punch his head,beat up my house and cry so hard because he couldn’t eat and was starving.We made several visits to the hospital,saw an ENT specialist and nothing came of it.My child also had severe ocd where he thought all his family members have germs and he wouldn’t come near us.We finally took him once again to the hospital and they finally admitted him,he had lost 15 lbs in 6 weeks.Prior to this he’s never shown any signs of anxiety or ocd and normally loves to eat.They diagnosed him with ARFID,ocd and anxiety and put him on Prozac.Pans/pandas was never mentioned and I had never heard of it before.He spent 8 weeks on a children’s psychiatric unit and still wasn’t eating much when he was discharged on March31,2017.He did slowly start to eat again and is eating fine now but still has very bad ocd,can’t sit to the table with us,covers his face when we’re near him and has to use plastic utensils to eat.His tics are also very bad,he has tried clonidine but didn’t seem to help.Hes currently on Prozac 30 mg but may need to be increased because it doesn’t seem to be helping too much.I discovered pandas 6 months ago while I was doing some research on sudden onset,ocd and anorexia.I couldn’t believe that this was probably what caused all my child’s problems.However,when I asked his paediatrician and psychiatrist about pans/pandas ,they said it’s possible he may have it but the treatment is the same,ssri and cbt.Ive took so much information to these Dr.s about this condition and how it needs to be treated so they did some blood work but no signs of infection.The psychiatrist did give me a month of azithromycin to try but didn’t see much improvement.Im hoping to try augmenting soon and see if that will help.I emailed Dr.K and he said my sons symptoms fit perfectly with a diagnosis of pans/pandas.I’m scared of just leaving him without treatment because he may not get better and all his Dr.s want to do is keep increasing the psychiatric meds.I tried to get an appt. in Ontario with a paediatrician that will treat but there’s a 1 1/2-2 year wait.I really believe this is what my son has because there’s no other reasonable explanation of a healthy child suddenly developing ocd,anxiety and anorexia.I tried weaning him off Prozac last summer and the psychiatrist was fine with this but by the end of September,the ocd was back then he stopped eating again.So,he was put right back on the Prozac.He was doing well last fall on 20 mg,mild tics,ocd was fairly controlled so we decided to go to Florida on holiday.When we got there,I came down with a very sore throat and cough.My son didn’t get it but his symptoms went crazy,terrible behaviour,tics increased where he was spitting hundreds of times a day and barely ate anything on the cruise.I then had to go ahead and increase his Prozac to 30 mg.So,now it’s June,the 30 mg isn’t working so I guess it’s another increase to 40 mg,he’s 12 and weighs 90 lbs now.I’m hoping that the augmentin will improve his symptoms but if not try another antibiotic,omnicef or cefdinir.I’m so sorry for such a long post.I feel mentally exhausted from dealing with this,always researching for more information but don’t seem to be getting anywhere with it.I may order the Cunningham panel but I know he’s not in an active flair so I’m not sure if that will affect the results.We may end up taking him to the states to see a specialist.If anyone can offer any advice ,that would be great and much appreciated.