![]() Compulsions can be subtle.įor example: A patient may have a compulsion with chewing or touching things. Compulsions might be hard to recognize in toddlers and young children. Children may exhibit uncharacteristic and/or abrupt personality changes. When treated appropriately with antibiotics these behaviors disappeared. School work can suffer.įor example: Patients have been misdiagnosed with attention deficit hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD). Children may have a low frustration tolerance and difficulty focusing. A child may have pain when urinating or urinate more frequently. Stomach pain, including nausea and other digestive issues, may be present. They may have night terrors, bedtime fears and anxiety. A child may be sleeping too much or they may have difficulty falling asleep. A low-grade fever for a young child can be anywhere between 99✯ and 101✯. Fevers are usually low grade and can be associated with chills. Some patients will gently press their head up against an object or person, trying to relieve the pain. Young children often describe their headaches as a general soreness or pressure on their head.įor example: Young patients have described headaches by saying their “hair hurts” or by holding their head. He was treated and today is running around with his other siblings. The parents were told their child needed to see a psychiatrist. One young patient had difficulty walking. Some patients are unable to walk or stand due to muscle weakness.įor example: Some children are unable to walk or stand due to extreme muscle weakness. They may experience muscle stiffness and pain in their neck and upper back. Children may have morning stiffness, and muscle weakness that will impact their ability to play sports or physical activities. Muscle pain is often generalized and usually does not have a trigger point location. When questioned, the patient explained that his knees felt better when his legs were straight. ![]() The pain can also stop a child from doing a particular activity.įor example: A patient would become oppositional when asked to cross his legs while sitting on the floor during reading hour in his Pre-K class. Continuously rubbing and massaging an affected joint may be an indication that the child is having joint pain. There may also be pain in the child’s neck and back.Ī young child can have difficulty describing their pain. Pain can also occur in smaller joints, like the fingers, wrists, hands, ankles and feet. The knee joints may be painful but do not have to be swollen. Larger joints are usually impacted, including the knees, hips, shoulders, and elbows. Typically more than one joint is involved. The pain can travel between different joints or the intensity of pain may vary for the affected joints. Migratory joint pain is a hallmark of Lyme disease. This patient wasn’t sleeping all day but, he did not have the stamina that a healthy 4-year-old should have.Īnother 14-year-old patient experienced fatigue so extreme that spending a few hours out with his friends after school would land him in bed for several days just recuperating. A child can be energetic and then collapse or ‘wilt’ from exhaustion, or they can be completely bedridden with fatigue.įor example: A 4-year-old patient would run on the playground with other kids but needed to sit down after only a few minutes. Or a child may suddenly have poor stamina, unable to perform physical activities they once enjoyed. This symptom is universal in children with Lyme disease. And lastly, puberty and developmental stages may be blamed for sudden changes in the child’s behaviors and personality. Parents may have difficulty recognizing symptoms when their child is young and there’s no medical baseline to compare with. It’s difficult for young children to describe how they’re feeling, especially with a disease where symptoms are waxing and waning and changing over time. Lyme disease, which can cause a wide range of physical, psychiatric and cognitive symptoms, can be particularly difficult to identify in children and adolescents. These rashes are temporary and can be seen one minute but disappear the next.īottom line: Your child can have Lyme disease and not have the bull’s-eye rash. Charles Ray Jones has found that according to his clinical experience, only 7% of the pediatric patients report having an EM rash, while secondary EM rashes are reported in 3% to 5% of his patients. (The CDC reports the rash is present in 70% – 80% of cases.) Dr. Studies have found the EM rash is absent in more than 50% of Lyme disease cases. The number of patients who have an EM rash has been disputed.
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