I'm almost at the end of my rope and I'm thinking about accepting a TS, ADHD, and OCD diagnosis. But, something inside won't let me give up. Call it mommy's intuition or a gut feeling, but something here seems off. It's not that I am hopeful my ds7 has PANDAS, but I want to rule it out before I even begin to think about medication for my boy. But lately I'm feeling like if he indeed has PANDAS or PITAND wouldn't it be easier than this to get a diagnosis?
Here is why I'm struggling, my ds7 was developed severe allergies at 3 months old. His pedi refused to test him saying that babies don't have allergies. I had him tested anyway, allergies to milk, soy, egg whites, wheat, and dog dander. He was already on soy formula, could be why he had eczema from head to toe, even on his little eyes. I KNEW something was very wrong. He had severe GERD, had to sleep in a swing, and was put on reglan and zantac. He was put on zyrtec for allergies as well. He battled chronic asthma, sinus infections, molluscum, impetigo, herpes, strep throats, fungal infections that caused him to loose his hair, croup, bronchitis, ear infections, and had ear tubes put in and adenoids removed. I remember at 4 years old, he had 12 ear infections in 3 months, which led to his ear tubes and adenoid surgery.
As ds turned 6, his allergies calmed down quite a bit and we were able to take him off of his medication. He also showed no more signs of asthma, or bronchitis. He stopped getting sick. Now at 7 years, he woke up one day in May and had tics. First the blinking, then head jerking, now it's all vocal (sniffing and clearing his throat). His allergies are coming back with a vengence, eczema on his little eyes again. He also has a herpes outbreak that is struggling to clear even with alcyclovir. And his stomach issues are back as well, his belly is hard and destended. He's very gassy and spends hours going to the bathroom. Persistant diarrea and accidents as well. And all of the sudden he thinks he's fat and needs to loose weight. He's always been scared of the dark, but now he has bedtime rituals that take hours of preparation, always asking at least 50 times a night, "Are you going to check on me". He's scared his toys will come to life and kill us, or that I'll turn into a zombie. He is terrified to be alone in any room. He screams out when he can't find me, and follows me all over the house. He doesn't want to play outside because he says he loves me too much and will miss me. And his temper is pretty much off the charts when he gets frustrated for very small issues. He's obsessed with time and dates. His grades are stellar, he's even in the gifted program, but his handwriting is terrible, and he erases so much his paper is always black with smudges. He started having bathroom accidents, and has trouble sleeping. His behavior is off and on, I feel like I'm always walking on eggshells.
I was able to get his pedi to run his strep titers and cbc which she said both came back normal. Although, she wouldn't order allergy testing, and she doesn't think an ENT visit would be helpful (I would if it's a sinus issue). She also wouldn't run a Lyme test even though we lived in Virginia and had a dog in the house who came home with ticks, frequently. She said maybe I should just accept TS and move on, that his self esteem is suffering and I should consider medication. My question is, if it's not a strep related illness, could it be PITAND? And if his CBC is normal, does that mean that he DOESN'T have PANDAS or PITAND? She says his immune system is fine. I'm confused. Can anyone help clarify this for me? If this is an autoimmune disorder shouldn't CBC show something? I think I need some sleep, sorry to ramble.