Tattoomom Posted October 11, 2012 Report Share Posted October 11, 2012 DS (11.5) and DD (9) have BOTH had flares of tics, OCD, crying, rage, etc... this week. I am convinced they've been exposed to strep and are reacting since they both are affected. DD (4) is on Augmentin for PANDAS treatment so she seems unaffected. What's the protocol for flares?? Do they both need abx? If so, for how long? Link to comment Share on other sites More sharing options...
dcmom Posted October 11, 2012 Report Share Posted October 11, 2012 We have developed a protocol for flares for my kids. There is no OFFICIAL protocol. If we see a flare up, asap we give them a course of full strength antibiotics, plus 5 days of regular advil dosing (3x/day). We then wean that down for another 5 days of prophylactic antibiotics and one advil per day. We also make sure they get a full night's sleep (melatonin as needed), eat well, and we don't overschedule (if possible). It sometimes makes sense to have them swabbed for strep- we used to do that all of the time, now much less. If they complain at all of stomachaches, headaches or fatigue- I would get them swabbed. Hope this helps. Hope the flare passes soon. Link to comment Share on other sites More sharing options...
Tattoomom Posted October 11, 2012 Author Report Share Posted October 11, 2012 They're not complaining of any symptoms you mentioned, it's all mental issues. Unfortunately, the Ped didn't want to give abx for a "flare." Ugh. We have developed a protocol for flares for my kids. There is no OFFICIAL protocol. If we see a flare up, asap we give them a course of full strength antibiotics, plus 5 days of regular advil dosing (3x/day). We then wean that down for another 5 days of prophylactic antibiotics and one advil per day. We also make sure they get a full night's sleep (melatonin as needed), eat well, and we don't overschedule (if possible). It sometimes makes sense to have them swabbed for strep- we used to do that all of the time, now much less. If they complain at all of stomachaches, headaches or fatigue- I would get them swabbed. Hope this helps. Hope the flare passes soon. Link to comment Share on other sites More sharing options...
dcmom Posted October 11, 2012 Report Share Posted October 11, 2012 Do you see a pandas doc? I have found they are the only ones who understand. We are able to have antibiotics on hand for a flare up. If you cannot get antibiotics, I would def still do the advil. I would consider oil of oregano in absence of abs. Link to comment Share on other sites More sharing options...
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