I'm just kind of musing here-- maybe some will agree or disagree-- but sometimes I think docs are better at saying what something isn't, than what something is.
I do a fair amount of second-opinion and consultative peds, and I hear this sort of thing a lot: they did all these tests, and they say it's not xxx and not yyy, and it can't be zzz. The docs "rule out" the stuff that we think is scariest, but meanwhile the kid is still having the symptoms and no one has told the parents what's going on. Or at least not in a way that helps the parents understand, or helps the child feel better.
Anyway, that's just a general observation. I really don't have a guess as to what might be going on with this case. Without the whole history and the physical exam and the results of all of these tests, I'm not really in a better position to give an informed opinion than the doctors right there. My best advice: return to the same docs who've seen the child already, and say, "now what?"
I don't honestly know what the guidelines or typical schedule for MMR administration in France is. I do know that they've had a huge surge of measles in both France and the UK over the last few years-- so I'll bet they're trying to ensure that kids are correctly and completely vaccinated.
All I can tell you is that in the US, a "complete" MMR series is two doses. The first can be given as early as 12 mos of life, and the second any time at least 4 weeks later. The second dose is traditionally given at age 4-6. but can be given earlier. It's encouraged to give that second dose early if exposure is expected, such as because of travel to Europe.
You've had blood tests and xrays and have been seen by several docs-- I think one of them, who has seen your child and seen these results-- would be in a much better position to answer your question than me. Why don't you ask them?View Thread
It is traditional to give one dose of MMR and one dose of V (chicken pox) at 12-15 months, and the second dose of each at 4-6 years.
However, the second dose of MMR can be given safely and effectively any time 4 weeks after the 1st. The second dose of V can be given 3 months after the 1st (for children less then 13 years.)
So your child got these at 12 and 15 months. That's fine. He's immunized and boosted, and will not need another dose of either one at school entry. Getting them early got them out the way, and got him protected early. Good!View Thread
Fatheroftwingirls, the pain may have psychological roots-- it may be related to stress, or worry-- but that doesn't mean it's not real.
Many adults get abdominal pain when they're stressed. Sometimes it's called gas, or "irritable bowel", but whatever it is it gets worse with stress. The pain, even if related to stress, is "real", because it hurts. Telling her it doesn't hurt is unlikely to help her feel better.
If you've kept a good log, and you know that the pain is pretty much only at the same times each day, that really should help reassure you and the pediatrician that there is unlikely to be a serious medical problem, so you don't need more tests and invasive procedures. Instead, work with your ped or a ped GI on strategies to help her feel better. These will include ways to reduce stress, developing new ways to deal with stress, making sure that diet/sleep/exercise habits are good, and perhaps using a medicine or other strategies to soothe the gut.
Girls stop growing at the end of puberty, usually within 6 months of their first menstrual period.
Your height at 5'4" is exactly what would be predicted from your parent's heights, and it's a perfectly respectable, normal height for a woman. You may want to ask yourself why you're so concerned about your height. Do you think your life would be very different in the long run if you were a few inches taller? Why? Perhaps there are things you can do to reach your goals, even at your current height.
It's going to be a long haul, with ups and downs and steps forward and steps back. BUT-- in the long run-- with good help and support and a lot of patience, you will see your daughter getting better.View Thread
An office dipstick urinalysis is a very simple, cheap, accurate test-- and it will just about always show an elevated glucose in a child with untreated diabetes. I suppose nothing is 100%. It would be possible to see a "false negative" if the urine were very dilute, say if the child had been drinking a ton of water. Or maybe if the little dipstick strip had been exposed to warmth or was expired or something like that. But it's a really good test, and ordinarily you can rely on it.
RE: frequent night urination (without daytime frequency), think about whether something else could be waking him. he may be urinating just as a habitual "thing to do" after he wakes, even if a full bladder isn't what woke him up (many adults do this, too.) Perhaps the cold is waking him up, or something else you might be able to fix.
I don't think this is the best place to post your question, jasper. This is a parenting board for parents to talk about things involving their children. There are probably better places on WebMD to talk about mixed connective tissue disease.
BTW, both methotrexate and prednisone can raise CPK. I'm not an adult doc and I don't treat MCTD, so I'm not sure I can personally offer much more insight.
I don't think there is going to be a quick answer or quick fix here. I'm assuming she's already had a comprehensive medical evaluation that should include input from a pediatric gastroenterologist. Assuming that there is no specific medical diagnosis that can be found, I would pursue therapy through a "feeding clinic"-- most large cities have these, often through a University teaching hospital. These are multidisciplinary clinics for feeding issues where families work with docs and therapists frequently (several times a week).