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Tics & Diagnostic Testing?


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Can anyone tell me what diagnostic tests doctors have done beyond strep cultures and titer checks (ASO & DNase) to rule out or determine a diagnosis?

 

My 8 year old daughter had a sudden onset of tics last fall. When I took her to her pediatrician she had a negative throat culture. The doctor told us they were stress related and referred us to a psychologist. I've since done lots of reading and visited several specialists all of whom told me "tics come and go in childhood." Long story short, she had a round of antibiotics (amoxycillan) two months later when the neurologist we were waiting to see saw her titer results. When the antibiotic ended, she complained of a sore throat. This was the first ever positive strep culture she'd ever had. (Until this point, I didn't follow up on sore throat complaints .....trust me, I regret that now....) She was immediately given a stronger antibiotic, cephalaxin which ended her tics. Five months later they've returned. We are having the strep/PANDAS avenue checked and specifically sought out a functional medicine practitioner/DAN! doctor. I'm waiting on test results as I write. However, I was not impressed with the labs he ordered and wonder what else he could or should be checking. Is it unreasonable to expect he'd check for inflammation, check vitamin and mineral deficiencies or check seizure activity?? Those are just ones that come to mind. Did anybody have any other testing in relation to their tics? Thanks for any guidance.

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Sorry -- I am asking, perhaps to those folks who don't have Tourette's or Pandas what diagnostic tests were done to determine that they have some OTHER health issue, if any that is causing their tics. I understand to get a PANDAS diagnosis you have to have a strep infection that brings on tics. As far as we can tell, that's not the case with my daughter only that she responded to antibiotics. I want to make sure there isn't something else going on that our doctors aren't considering. Thanks for prompting the clarification!

 

 

Hi Rachel

 

are you asking re diagnostic testing for PANDAS or for tics in general?

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