7 days later OCD is Back

[ibcdbwc]

Very bad OCD 5/2 -5/7. (Negative culture, normal ASO-- but brother tested positvie). Antibiotics started 5/7. Great improvement by 1- 2 days later. Compulsions subtle and mild ( but still present) 4 -5 days later-- mood was calm. Now 7 days later symptoms are increasing again (but he's also away on a trip with his father and friends-- so different diet, different sleep, not routine). Do you think the increase in symptoms is because of the change in environment and/or is it the antibiotic effect is wearing off? Or maybe this is the natural course of things. We had not a flare of this magnitude in over year so I don't know what to expect in terms of what to see as time goes on. I wasn't expecting an immediate full remission but I didn't think I'd see another uptick so soon. Is it "normal" to see increase in symptoms after only 7 days? Does this negate the possibility of PANDAS (Dr. had said probably PANDAS because he responded so well and so immediately to antibiotics).

[SSS]

Is he still on the antibiotics?

[ibcdbwc]

YES, Omnicef twice daily

[thereishope]

If he's away on a trip, do you trust those with him to dose him correctly and at the right times? Is he taking a probiotic as well, spaced a minimum 2 hours from antibiotic?

 

Is the brother that tested positive with him? Perhaps his strep wasn't cleared.

 

Now, for another reason...yes, travelling can cause an increase in symptoms. Just the excitement, maybe nerves, diet, it can all effect it.When is he expected back? If he can take Ibuprofen, it something to consider until he comes back and things get back into routine.

Edited May 14, 2011 by Vickie

[ibcdbwc]

Yes, I trust that he is getting the right dose at the right time and no he is not with his brother. BUT we are not giving a probiotic. Dr. said to do that if he were to stay on antbx longer than 2 weeks??? But we can add one. He had been eating yogurt everyday (prior to this whole PANDAS journey) but Dr. said most yogurt had strep cltx in it. So we stopped that (seemed silly to me at the time and dr. admitted that it might not be a problem--- but better safe than sorry). Good idea about the motrin-- I'll call them tonight and add that too. Luckily he will back tomorrow night. He was soooo bad last week before -- I just hope he doesn't come home in similar shape. Again, I still have trouble accepting this diagnosis-- and still wonder if its "regular" OCD just starting to wax and wane. But I can't ignore that he didn't have an episode for over a year. And his brother had strep. And he did -- at least initially respond to antbx. So we continue on the journey I guess. Logging everything (and driving myself insane in the meantime :-)

[thereishope]

Some kids are sensitive. My older son went on 10 days of Omnicef (dosed twice a day like your son), I gave him Pearl probiotics spaced out and he still had occassional stomach issues and I had to increase the probiotic and give him yogurt in his school lunch.