Age: 1.25
Sex: M
Vaccine: HIBV, MMR
Symptoms: Hernia repair, Laboratory test, Pica, Self mutilation, Sleep disorder
Clinical narrative: Around 2 years of age patient had severe gastrointestinal problems (constipation) and severe behavior issues.  We saw no language and bazaar behaviors, sleep problems, PICA (mainly eating paper products and outdoor items, leaves, limbs, dirt, etc.) patient also had 2 heat related seizures while on Augmentin.  He has not had any since taking him off Augmentin.  Patient was put on Miralax for constipation.  He no longer takes this, but he still has some difficulty with stools (sometimes very large). Most of his life until probably the last 6 months we as parents had to make him go to the bathroom to have a bowel movement (we did this every night).  We recently took him off the Miralax and he will usually go by himself without telling him to go.  We have had numerous problems with patient.  Over the years the behaviors have been very severe.  He has broken windows, furniture etc.)  We find it very hard to find people who will work with him because of his behaviors.  A little over 5 years ago we started going to a Defeat Autism Now (DAN) doctor.  We now go to him about once every year or two depending on how patient is doing.  He has put patient on a number of vitamins and supplements and treatments.  Patient seems to be doing better, but we still have outbursts.  Just recently he broke the front window in my Wolkswagen with his hand.   We believe patient has severe headaches.  He is also self abusive (bites his arm and hand).  Hits his head. Over the years patient has been treated by Dr.  He is no longer in practice.  We then went to Dr., Peditrician.  He now practices in a different city, but we still go to him presently.  We also see a Dr.  We have used numerous programs, Speech, Occupational Therapy, Judevine, ABA, Hyperbarics. I am listing some of the doctors who have seen patient over the years.  1/15/08 Reviewed medical records which reveals patient experienced autoimmune disease, obsessive-compulsive disorder, encephalopathy, nutritional deficiencies, allergic gastroenteritis/colitis, bed wetting, receptive/expressive language disorder, ADHD, temper tantrums, aggression, constipation, stimming, sleep difficulties, poor interaction w/others, screaming.  Patient tx w/hyperbarics, gluten/caesin free diet, chelation, multiple meds & supplements, NIMH protocol, ST/OT. FINAL DX: autism, pervasive developmental disorder. Per 60 day follow up: He is severly austistic.  Follow-up: Gluten Free/Casein Free diet prescribed by Dr. Vitamins and supplements prescribed by Dr. Previously was on MIRALAX for quite a number of years for constipation. He no longer takes this, but he still has some difficulty with stools (sometimes very large). We feel he was unable to feel when he needed to go to the bathroom for a bowel movement while on MIRALAX, because since he has been off he sometimes goes on his own in the toilet. He never went on his own while on MIRALAX we had to make him go, unless he went on the floor. We make sure he goes at least once a day. Pt is allergic to AUGMENTIN, we found this out after he had two heat related seizures while on this medication when he was younger. Pt also had a hernia operation around 2 years of age. Follow-up: Patient is severely autistic with major deficits in language and social skills. We have seen major behavior problems over the years, but over the last few years we have seen more violent behaviors including kicking and punching out (with his fists) sheet rock walls, glass windows including all 3 window shields in our cars. We continue to see more aggression towards people (parents, caregivers, teachers, students (hitting, punching, biting, kicking). He will never be able to live alone. He will always need a caregiver.