Yes, this is really true, and this is following the established guidelines. The mistake they made was in not communicating this to you clearly, but what was done was correct.
Two doses of MMR should routinely be given, the first on or after the 1st birthday, the second traditionally at school entry. however, for travel to areas with high rates of measles, giving that first dose early is recommended to provide protection from this disease (and also to prevent a child from bringing it back here.) However, vaccination prior to the 1st birthday doesn't reliable, lasting immunity. So that early dose, if given, is supposed to be "ignored"-- the child still needs another dose at 1, and another dose at 4.
This extra dose provides the benefit of disease protection, with no extra risk beyond the very small risk of any vaccine.
Doing titers is expensive and painful, and often gives equivocal results (meaning you'll still end up getting another dose of MMR to make sure your child is safe). Still, if that's what you want to do, discuss that option with your pediatrician.View Thread
Far and away, the most common cause of pain and crying with bowel movements is constipation. Even once the constipation is addressed and the stool is soft, children who've been through constipation will continue to be anxious and upset with bowel movements, and can continue to get very upset and feel genuine pain. It can take a surprisingly long time for them to "forget" that their bowel movements used to be big and hard and painful, and parents need to continue to treat the constipation for a long time so the child doesn't get reminders from the occasional hard stool.
That being said, I don't think constipation is the only cause of painful stools. There can be inflammation of the gut, perhaps from infection or allergic inflammation. There might be an anatomic issue that prevents the comfortable passage of stool.
If pain continues even when constipation has been treated, it's best to get a GI specialist involved.
There is nothing to be especially worried about. An extra dose is not more likely to cause any problems.
There are have been studies of a third dose of MMR for use during outbreaks to provide extra immunity, and some have even suggested routinely using three doses since the rates of measles and mumps are increasing (because of misguided vaccine refusal.) These studies have confirmed that a third dose is no more likely to cause any problems than the second or first doses. One study is summarized here: http://ruleof6ix.fieldofscience.com/2012/05/third-dose-of-mmr-is-safe-but-do-we.htmlView Thread
Until puberty, the genitalia of boys with Klinefelter usually look normal. At puberty, though, they don't have the expected growth of the testicles, and may also keep a small, pre-pubertal sized penis. Klinefelter is quite common, and I think often isn't diagnosed until a man seeks treatment for infertility.
Keep in mind that until puberty, the penis remains quite small. Often the penis seems especially small if it is buried in a pad of fat.
As has been said, if parents are concerned, they ought to seek an evaluation by their pediatrician or, if necessary, a ped urologist.View Thread
There is no reason to delay the MMR or any other vaccine. Rates of measles in particular -- which had been essentially eradicated in the 1990s-- have shot through the roof, especially in France and the UK where anti-vaccine hysteria has taken root.
The entire MMR-autism link was the creation of a single paper published in 1998. Not only was it bad science, but it's since been revealed that the entire paper was a fraud. It was "made up" by a single man who was taking money under the table from lawyers pursuing litigation against MMR manufacturers. It is a hideous, disgusting travesty that has created a tremendous amount of fear and distraction, and has set back the effort to fight autism. Read more: http://briandeer.com/wakefield-deer.htm.
Don't give in to baseless fear. Protect your child. And vigorously pursue the evaluation and treatment he needs-- most kids with autism do very well with therapy, improving tremendously. It is not easy, but there are very effective treatments including OT, ST, ABA, and social skills training. Best of luck.View Thread
One "symptom" of ADHD is impulsivity-- acting before thinking about the consequences. It sounds like your child is quite impulsive, even to the point of putting herself in danger.
The primary therapy usually recommended for ADHD in children < 6 is behavioral; if that doesn't help, a combination of behavioral and medicine therapy is the next step.
Certainly, I think there ought to be extra concern here because of safety issues, and I agree that aggressive management is warranted.
Are you seeing a qualified child psychiatrist, or (even better) working with a clinic that helps young children with behavioral problems and offers access to psychiatrists, medical doctors, therapists, play therapists, etc? A "team approach" is best, especially for young children.View Thread
This is a very difficult situation. Managing encopresis is difficult; managing autism is difficult; put them together, and it really can be a tremendous challenge.
Do you have access to a multidisciplinary autism or developmental clinic to help with these challenges, and to help design a specific behavioral plan that fits your child? That's the way to go here. You need someone on-scene who can really learn about your individual child, his strengths and weaknesses, and can then come up with a plan to work-- and guide you through it and the inevitable setbacks.
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