I'm really worried about my niece. She is 8 years old.
Last year, she was diagnosed with ADD. This diagnosis was based on her not paying attention in school, not being able to concentrate. I don't agree with the diagnosis, but I have accepted it. She has been placed on Vyvanse to treat the ADD, but there have not been real lifestyle modifications. Her house, her room is always a total disaster. I would be scattered if I had to live like that too. She does pay more attention on the med, it does help her concentrate. But...taking stimulants helps me concentrate too, and I'm not ADD. I'm just not convinced the benefits of this diagnosis and treatment outweigh the side-effects. But, as she is not my child and I just offer the help of a caring Aunt...it's not up to me.
She is underweight and now has little or no appetite. Well, maybe not underweight, but she is the smallest girl in the grade. She is very fit; she is involved in many sports/recreational activities that keep her active. But she has trouble maintaining her weight. She is hyper now, where she was not before. She is also developing increased displays of anxiety. She's only 8!! She has always been a bit reserved and somewhat of a perfectionist, but now it's out of control. It seems all situations make her nervous and she's just not happy unless it's 'perfect'. She is very intelligent and a bit of a know-it-all at this age. Could this just be an expression of anxiety? Is the increased anxiety a side-effect of the ADD medication? How do we tell if it's a side-effect or just the way she is?
The real problem is now with incontinence. She has, within the last week, not been able to make it to the bathroom in time. She says she doesn't get the urge to go until it's too late. She has never before wet her pants (post potty-training, that is). It happens during the day, never at night while she sleeps. Could this be unrelated to the ADD and just be a bladder infection? She states that it does not burn or hurt to urinate. It also seems like she has a good output...as in, she is urinating a normal amount, not just a dribble or problems with not voiding completely. But, she is very much embarrassed by this problem, so it's entirely possible that she is hiding symptoms.
When it happened while I was baby-sitting yesterday (which I do often), she had a drink and immediately--within 2 minutes-- wet her pants. It was almost like the drink went straight through her. Before I gave her the drink I asked her if she had to go, she said no. Of course, I should have taken her to the bathroom anyway, but it had only been one hour since she had last voided. How can the urine build so much in one hour (without food or drink until mere minutes before the issue) that she just can't hold it?
My brother, her dad, thinks this is a sign of diabetes. We have absolutely no family history of diabetes and she has no other symptoms, so my thinking is that it's either anxiety or a UTI. What questions should he ask the doctor to rule diabetes in or out? What test need to be done, just a glucose? Does she have to fast for that test to be accurate?
They are not taking her to the doc until next week. What can they ask the doc to help her the most? What tests can be run? Any suggestions? We are a very close family...I can't stand to see her suffering. What can I do to help?
I really appreciate any and all replies. I would be happy to answer any questions I can to get to a solution for her. Thank you very much!