Bed Wetting two nights in a row & New behaviors-tics? Compulsions?

[AmySLP]

My 5 1/2 daughter has had bedwetting for the last 2 nights in a row now (she hasn't done this since prior to potty-training 3 years ago). My first thought was that I need to get a urinalysis to r/o UTI but then realized that she's been taking the azith prophylaxis until we see Dr Bouboulis on June 9. So I would imagine that this is not the problem. I know that this can be a symptom of some kids with PANDAS. I wonder if it could also be a sign of a possible yeast infection, although she doesn't have any other traditional yeast symptoms (I have her on alot of probiotics).

 

In addition, she has been free of tics since a few days into the antibiotics, but on Monday evening had some strange behaviors and then I noticed some new tics. I'm not sure if that's that correct term for these, as before she had just eye blinking, mouth pulling/twitching, and vocal tics-pretty clear cut. Now she does what I'll call a bug swatting like motion-arms in the air, two pinkie fingers up, elbows bent, and then brings the right hand down to her chest level, followed by the left-she seems to always do this 3 times. She does still have a vocal tic-just voicing onset-kind of like a hum for 1 second. Last evening she sniffed each finger on her had in a cycle threee times, then put her index finger to her nose, pulled it dow through her lips-three times and then shoulder shrugs three times. She did this "routine" a few times while watching a movie. Certainly not constant, but intermittent. She has not exhibited her "typical" tics of the facial movements.

So would you say these are tics or are they more OCD- like compulsions/obsessions?

 

As always, I am so appreciative of any insight you all can share,

Thanks, Amy

Edited May 26, 2010 by AmySLP

[kimballot]

Amy - I would say that you are ramping up for some reason. Sometimes it is difficult to tell if something is a tic or compulsion (these sound more like compulsions to me), and I don't know if it really matters if it is a tic or a compulsion. I would call Dr. Bs office and make sure he knows about it. He may want to do some tests or try other meds before your June 9 visit.

[matis_mom]

My 5 1/2 daughter has had bedwetting for the last 2 nights in a row now (she hasn't done this since prior to potty-training 3 years ago). My first thought was that I need to get a urinalysis to r/o UTI but then realized that she's been taking the azith prophylaxis until we see Dr Bouboulis on June 9. So I would imagine that this is not the problem. I know that this can be a symptom of some kids with PANDAS. I wonder if it could also be a sign of a possible yeast infection, although she doesn't have any other traditional yeast symptoms (I have her on alot of probiotics).

 

In addition, she has been free of tics since a few days into the antibiotics, but on Monday evening had some strange behaviors and then I noticed some new tics. I'm not sure if that's that correct term for these, as before she had just eye blinking, mouth pulling/twitching, and vocal tics-pretty clear cut. Now she does what I'll call a bug swatting like motion-arms in the air, two pinkie fingers up, elbows bent, and then brings the right hand down to her chest level, followed by the left-she seems to always do this 3 times. She does still have a vocal tic-just voicing onset-kind of like a hum for 1 second. Last evening she sniffed each finger on her had in a cycle threee times, then put her index finger to her nose, pulled it dow through her lips-three times and then shoulder shrugs three times. She did this "routine" a few times while watching a movie. Certainly not constant, but intermittent. She has not exhibited her "typical" tics of the facial movements.

So would you say these are tics or are they more OCD- like compulsions/obsessions?

 

As always, I am so appreciative of any insight you all can share,

Thanks, Amy

Amy,

I would be concerned she might have something going. Some strains of strep are resistant to Zithromax. I would take her to the pediatrician (hope you have a good one!) and see if they will prescribe something stronger/different. Make sure they check her well. My PANDAS ds had an ear infection while on high-dose Augmentin + low dose Zithromax, so they had to add Rifampin for 10 days. So yes, prophilactic antibiotics are good, but they are not bullet-proof. I would also check ALL other family members (at the time of that ear infection, I had 3 w/strep throat + 2 w/ear infections, all WITHOUT ANY SYMPTOMS, the only reason I brought them all in was because I saw an up-swing in PANDAS symptoms)

 

Isabel

[norcalmom]

Alot of kids, mine included, have a ramp in symtoms when they are fighting a viral illenss. My son will get symptoms BEFORE getting a cough, cold or the flu. Once the the cough/cold is a few days in he gets better. Its like a mini exacerbation, it isn't as long and it isn't as bad. I don't know if this is becasue of the antibiotics he is on, or if becasue it isn't really strep if just doesn't get as bad.

 

Night time disturbances and increase in tics is usually our first signs something is up. I still take him in for strep tests...but he is nver positive. We didn't take him the the last time - the had some pandas symtpoms, and then one morning complained of very minor sore throat when he woke up(no fever, nothing else excpept ramp in tics and insomina three days prior to this), that evening he vomited in the middle of the night, the next day he was almost back to normal, I'd say he had slight increase in tics that totally dissappeared within a week. That was probably the shortest "blip" he ever had. With the coughs and colds his symptoms seem to last longer...maybe 10 days - 3 weeks.

[thereishope]

Bed wetting is a symptoms of my son's. What I worry about is that he has wet his bed 3 times this week....... However, the ped did say strep has been bad the last 2 weeks. I haven't seen the OCD, meltdowns, or anything. I'm hoping with my son it is just a growth spurt.