Discussions By Condition: I cannot get a diagnosis.

small 9 year old boy

Posted In: I cannot get a diagnosis. 8 Replies
  • Posted By: answers please
  • November 13, 2008
  • 02:50 PM

I have a 9 year old son who is very small. He weighs 51 lbs and 49 inches tall. He is in the 3rd % for weight and under the 3rg % for height. I get frustrated when pople say ***l grow. He hasn't grown yet this year. He has a handfull of other problems including adhd, autism, sleep problems, asthma, stabismus (lazy eye) and clubfoot. He has had 5 surgeries to date, more to come in the future. He was supposed to have a double flatfoot surgery this summer, but was too small to do so. He has averaged 1 lb and 1 inch per year since he was about 3-4. He is now anemic and has leukopenia. He has not grown any height yet this year and is now losing hair on his head. It is very thin now, but has added 2 lbs thanks to dietary changes, boost, and flintstones vitamins with iron. His white blood cell count is back up, but he is still anemic. He has had a sleep study done this summer, but everything was normal. We also saw a geneticist this summer. Please someone help me. Cant get the doctor to be serious. about this.

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  • interesting, but no. We live in a small beach town in florida. I have tried everything. He also was born with a club foot, he has had 5 surgeries to date I am so frustrated. But I will definatley look into it. thaNK YOU SO MUCH!!! I also have a 3 year old son with autism and a 13 year old daughter with myasthenia gravis. I have some serious issues in my family, and no me and my hubby arent related LOL
    answers please 4 Replies
    • November 14, 2008
    • 01:10 AM
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  • I would suggest a referral to an endocrinologist for the purpose of determining the status of growth hormone production of the pituitary gland. Although I must also tell you that a boy 9 years of age is typically at an age where a growth spurt will likely not occur, if his stature is unusually small, then together with his other health signs, it would warrant a closer look. The ADHD and Autism might also need to be given a second look and it's always a red flag where a boy of 9 years is dual-diagnosed with both ADHD and Autism. There are many disorders such as PANDAS for example, which can be misdiagnosed for these disorders. Hair loss and other signs in a boy this age need further workup. Again, these are all issues that an endocrinologist can evaluate. A pediatric neurologist would be a good choice to get a second look at his neurological diagnosis. I would tend to doubt that he has both ADHD and Autism. It needs a closer look. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • November 14, 2008
    • 01:18 AM
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  • I have asperger's and used to be very underweight. Lots of probiotics are what helped me. I gained 30 pounds in 2 months after I took them. I didn't have any digestive symptoms either when I was underweight as a child. Probiotics are beneficial bacteria that are destroyed by antibiotics so if your son has taken antibiotics then probiotics are more likely to help. Poor digestion of food can cause numerous problems (underweight as well as many neurological symptoms) without causing digestive problems. Here's a theory of how it works: antibiotics kill off beneficial bacteria which leads to an overgrowth of harmful bacteria and yeast which then inhibit digestive enzymes. If food isn't digested properly, it can trigger an immune system response which can cause symptoms. The antibodies that attack the undigested food may also cross-react and attack brain tissue and other parts of the body, causing an autoimmune problem through what's known as molecular mimicry. In my case, I had very high anti-gliadin IgG antibodies (a protein found in wheat, also called gluten) which caused numerous symptoms that improved after taking probiotics. The anti-gliadin antibodies test is one way of testing for celiac disease (something your son could have) that also tests for food intolerance to wheat.Sorry to hear about his foot and eye problems and his surgeries. I don't know anything about what causes those problems.
    Anonymous 42789 Replies
    • November 14, 2008
    • 06:09 PM
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  • thank you for replying and all the help I have been given. Will seriously consider a new doctor. Also my son is extremely plexible. can straddle 2 chairs and do the splits!! Just started him in tae kwon do and gymnastics a month ago. He absolutely loves it. Thanks again to everyone!!!!
    answers please 4 Replies
    • November 15, 2008
    • 09:24 PM
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  • Anemia and small size as well as behavioral problems are a red flag for celiac disease. Try here: http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/index.htm Hair loss is called alopecia, and it is also associated with celiac.
    aquila 1263 Replies
    • November 17, 2008
    • 08:07 PM
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  • I was also checking into that and thought it sounded like my son. thank you very much for the reply, will check more into this. see the doctor in a few weeks, will have her test him for celiac disease
    answers please 4 Replies
    • November 18, 2008
    • 00:38 PM
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  • I hope celiac is the problem because while the diet is difficult, the problem is still very fixable. Best wishes and good luck!
    aquila 1263 Replies
    • November 18, 2008
    • 05:15 PM
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  • Yes, I would definitely rule out celiac disease - becoming increasingly common...it sounds like he may have multiple nutritional deficiencies compounding his problem. Elisa tests for allergies may be helpful. IMO a test and treatment protocol called NAET would be helpful (Nambudripad Allergy Elimination Techniques). He may have dairy sensitivities - what are his stools like? Does he have digestive discomfort - gas/bloating/etc? Since he has anemia, please make sure he also has his B12 levels checked, as this often gets missed with iron deficiency anemia diagnosis. B12 def will cause a lot of his symptoms, including ADHD, hair loss and others. If he is found to be celiac, then he should definitely be tested for pernicious anemia, which is a more serious form of B12 def. The very best form of B12 to supplement is METHYLCOBALAMIN B12. I agree with Dr. Cottle that a pediatric endocrinologist would be helpful to test for thyroid and other hormonal issues. Lastly, IMO Boost is a very poor form of nutrition and should not be used regularly. If he has dairy issues this would make his symptoms worse. I would recommend finding a pea based protein or rice based protein supplement as they are less allergen producing. I also highly agree with Stanley Ipcus's posting on PROBIOTICS. Get your son a good chewable children's probiotic and have him take this daily - find one that is non dairy based. www.vitacost.com or www.iherb.com are two very good websites for this as well as the protein supplements. Best wishesDOM
    acuann 3080 Replies
    • December 1, 2008
    • 03:59 AM
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