Raising children is stressful enough. What are you to do if your child develops uncharacteristic behavioral issues out of the clear blue, appears anxious or irritable, starts acting younger than their age, or is displaying unusual food restrictions and other ritualistic behaviors? You might want to have them tested for PANS and PANDAS.
PANS (Pediatric Acute Onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections) are both severe types of obsessive-compulsive disorder (OCD). While both are typically caused by infections, PANDAS is specifically due to strep.
Thankfully, treatments are available to address both conditions. In some patients, herbal and/or prescription antibiotics may be able to fully resolve symptoms. For others, they may need additional protocols to balance neurotransmitters and brain chemistry, either in the form of a supplement or sometimes even prescriptions or talk therapy. However, the journey begins with a diagnosis that identifies the symptoms and rules out other conditions.
Dr. Schertell, Dr. Moran and Dr. Mauss have the tools to help you navigate through these conditions. To schedule your consultation with doctors who have successfully treated PANS in Portsmouth, NH, please call ☎ (603) 610-8882 or contact us online today!
Children with PANS display neuropsychiatric symptoms that can arise (seemingly) overnight or within 48 hours.
PANS cases are typically thought to be due to an infection that causes an unusual inflammatory or autoimmune response in the brain. The condition has been linked to infections like H1N1 flu, chickenpox, and Lyme disease. Other causes may include toxic mold exposure, metabolic disturbances, and psychological trauma.
Symptoms may include:
PANDAS is the only known subset of PANS. PANDAS is caused by streptococcal infections, like strep throat or scarlet fever, which too affects the brain. Symptoms may present within 3 days.
To diagnose PANS, a Vibrant Health specialist will review the child’s symptoms and rule out other conditions. Doing so may require a(n):
A diagnosis of PANS can likely be made if two of the seven following symptom criteria are found:
Treatment for PANS and PANDAS involves both the addressing of symptoms and future episodes. Dr. Schertell, Dr. Moran and Dr. Mauss will work with you to find the best treatment plan for your family.
Herbal and/or prescription antibiotics are used to help treat symptoms in each occurrence of PANS and PANDAS. If antimicrobials are given soon after symptoms appear, the higher likelihood of the symptoms dissipating quickly.
The initial course of antimicrobials may last for about 3 weeks, and the child may respond within a week of treatment. Some patients may need long-term treatment; those with PANDAS will need long-term antimicrobials to prevent future infections (prophylaxis).
Some children need supportive interventions (such as school accommodations) and other protocols besides antibiotics. Dr. Schertell, Dr. Moran or Dr. Mauss will discuss additional treatment options with you, which may include:
PANS can affect your child’s life in many ways. If you notice sudden compulsive symptoms or a change in your child’s personality, consider having your child tested for PANS and PANDAS. Call ☎ (603) 610-8882 or contact us online to find Vibrant Health Naturopathic Medical Center Specialists in Portsmouth, NH, today.
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