Adrenal and thyroid dysfunction in a 12yo boy

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Today is question day, so this is only the beginning of emails you

will see my name on this morning. Sorry, I've been stockpiling.

12yo male initially presents with pinworms x 2years. Family had tried

all kinds of OTC treatments, but he had constant sensation of crawling

in his anus and would frequently see worms. He also had periodic

abdominal pain - RUQ - not able to associate with anything in

particular. He was 4'9 " and 79 lb; small for his age. His energy is at

times lower than his mom thinks it should be and he has very little

appetite. Parents force feed sometimes. He is very picky and eats very

small portions. Only food he craves is steak. He appeared pale in the

first visit, almost yellow. He gets grumpy when he's tired, will yell,

nothing will please him. Generally bright, communicative, funny. When

11 months old, developed an infection in his left hand, was put on

antibiotics, worsened and ended up in quarantine in hospital as they

couldn't get an accurate culture. Ever since, his middle Left finger

doesn't bend at the phalangeal joints. His baby teeth were ruined from

the antibiotics and had to have them all removed or capped.

At 9 yo he developed shingles. He had had chicken pox as a younger child.

Labs: Sodium/Potassium ratio - 26.

Serum chloride 103.

Calcium 10.2

Alk Phos 238

AST and ALT - WNR

Ferritin - 32

TSH - 4.157

Free T3 - 3.9 (range for this age is 3.1-5.9)

Free T4 - 1.22

Vitamin D 10.8

CBC Normal

2nd visit - pinworms resolved. No sensations and no sign of worms for

a couple weeks. Still having periodic RUQ pain - shooting. Abdominal

exam benign. No change in stools. BM's are always stinky as is gas.

Appetite improved some, but not dramatically. Sleep great, though gets

to bed late a few nights a week. He is having a hard time focusing at

school according to his teachers, but often doesn't eat breakfast.

Treatments: COP's, Unda 3,17,50, Bioenzymes between meals and

pineapple juice tx for pinworms. Vitamin D - 6000IU/day

2nd Visit: COP, Probiotics, Liquid B, Breakfast, Unda 16, 34, 1000 and

sleep hygiene.

My question: Are any of you familiar with adrenal and thyroid stuff in

kids? Any suggestions? Mom has been reticent to seek any medical care

in the past, but seems very on board now. Pt is also compliant and fun

to work with. I am just concerned that I am missing some greater

underlying pathology contributing to his low appetite, fatigue and

small stature.

I appreciate this forum and your help.

Thank you.

Amy E Chadwick, ND

Amy E Chadwick, ND

Soaring Crane Natural Health Center, LLC

209 W Cedar Ave

Palmer, AK 99645

amycnd@...