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Autism and Carnitine Deficiency

post #1 of 8
Thread Starter 
I have posted several times before, but it has been awhile. I am feeling along again and needing support and advice. You wonderful parents always seem to be a great support!! Thank you so much.

My DS has a small list of challenges. He is 3 years old and 25 lbs.

Sensory Integration Disorder
Failure to Thrive
Apraxia - only speaks about 25 words, only people who know him understand those 25 words
Benign Rolandic Epilepsy
?Carnitine Deficiency - now here is the issue right now.
Small X Chromosome Duplication
Reflux
Poor Appetite
Low Tone
Left side weaker than right until last seizure and now right weaker than left side.
At about 20 months DS lost his speech and was silent for about 4 months before speech therapy helped him start learning words over.
MRI - normal

His Developemental Pediatrician found that DS has a carnitine deficiency in September. We put him on carnitine and he did great! His energy returned. We thought he was autistic. Reflux disappeared. His anger vanished. Wow it was a miracle. Since the geneticist found the chromosome duplication they have decided that the carnitine deficiency blood work must have been a fluke. The say he is not sick enough to have truely had a deficiency. That had me take him off the carnitine. He has been off it and he is chronically hand flapping, he has a huge anger problem! He is mad all day every day! His reflux is back. I have called the doctor and am not getting calls back. I don't want to put him back on the carnitine until after the order for the blood work. I want to get him rechecked but can't get the order. I want to take him to the Cleveland clinic, but they denied his referral to see a metabolic specialist when I had the doctor write a referral. Am I crazy? No I live at a camp where my husband works. All the staff have seen the changes on and off carnitine. It is not just me. The doctor refuses to refer him again. Ahh! What do I do next? I am going to attempt to self refer DS to the Cleveland Clinic.

Also what kind of doctor diagnosis autism? My son would be on the very low end of the spectrum, but I do think he is on there. It is not nearly as obvious when he is on the Carnitine, but now that he is off it again his RAGES are back. He is an angry boy! He is hand flapping and stimming whenever he is upset or excited. He lives on a daily roller coaster of emotions. I took him to burger king play land this last week and he was so out of place. I was so sad. The kids were going up and down the activity area. My son who was bigger than a few of the kids couldn't do it. He wanted to. All the kids were playing and laughing and he didn't have the energy to climb. He couldn't talk with them so he had a hard time. I will not do that again with him any time soon. He was very out of place.
He never wants to cuddle. He refuses to sleep if we are in the room. I can't read him to sleep. I am just mourning the fact that he is struggling, but because absolutely none of his specialists understand I cant get help.

I have now been completely blown off. My son suffers and I don't know what to do other than start over with a new set of specialists.

Is it normal for autistic children to behave the worst at home where few see it? Or do they act the same everywhere they go? DS is the worst at home and often in public he is more even tempered.

I wish I could find a doctor who would believe me. I have so many many questions and I want to be listened to.

I am sorry to be so negative in this note. I know there are parents on here with much more severe challenges and my heart goes out to you. I really am concerned for all the parents who post there challenges.
post #2 of 8

I'm sorry no one is taking metabolic issues seriously..is that because of the chromosome finding? Because I'm nearly positive you can have a chromosome issue that affects/changes metabolics. So the carnitine. The thing is that carnitine deficiency is caused by other things. So my son's finding was carnitine defiency but I was told it had to be secondary to another fatty acid disorder or mitochondrial disorder. Does your son's chromosome issue have any associated things like carnitine deficiency?

But mostly I wanted to tell you that carnitine was a miracle here too. My son seemed much less autistic when his carnitine was normal. He's still on the spectrum but re-gained abilities such as pretending and was much less repetitive. Carnitine deficiency can cause autistic symptoms and, also, if a child had autism they will appear more autistic when they feel bad. Carnitine deficiency has to feel really bad. He also lost his reflux and chronic constipation and morning vomitting. His muscle tone improved. His energy was better though that declined for us over time unfortunately.

If you can't get cooperation I'd put him on the carnitine again. You could maybe run a metametrix urine if you have someone near who will prescribe it and see what else it says he needs (like co-q-10). If you want to pursue metabolics a lot of people are very happy with Dr. Koenig in Texas. I know she'll do distance consults (though insurance wouldn't generally cover it I assume). But before I did that I'd want full metabolic testing recommended at umdf.org given the carnitine finding.

His carnitine was real and you have a bad doctor and I'm sorry about that.
post #3 of 8
Quote:
Originally Posted by sbgrace View Post
His carnitine was real and you have a bad doctor and I'm sorry about that.

:

Of course, I'm going to watch this thread because this is a whole new area for me. Until now, I've been getting a handle on all the dietary stuff. Check. Now I need to look at supplemental stuff.
post #4 of 8
Yeh, carnitine is not something that is just randomly low, there has to be a metabolic or a medication that causes it. Can you get your ped to order a blood draw? I also second the urine testing, that's what is usually whacky with my son. I hope someone will help you!
post #5 of 8
Oh, I wanted to mention that I think Valproic Acid for seizures can cause a secondary carnitine defiency. So it doesn't have to be metabolic. If he was on that medication (I don't know if they use that in peds) that could be the cause. It still needs to be treated and low carnitine no matter the cause is going to cause problems.
Also, maybe this would help convince someone though I think you need a new doctor.
http://grande.nal.usda.gov/ibids/ind...&therow=100094
post #6 of 8
I'd keep on your doctor or find a new one

My little 4 yr old guy (asd/seizure disorder) started Carnetine to off set a potential deficiency because he is on valproic acid and we saw significant changes in his behaviour/development. We would continue to supplement with the Carnetine even if he wasnt on the anticonvulsants given the progress we saw.
post #7 of 8
Thread Starter 
DS is not on any anticonvulsants. His original blood level - total carnitine deficiency was 17 and free carnitine was 14. I spoke to the doctor strongly and she agreed to test his carnitine level again and then restart the carnitine. Yay! I am so relieved. I was so frustrated. I will keep moving forward and really appreciate your support. I really need your advice and help!
post #8 of 8

I know I'm about a year late on this, but my son just got diagnosed with "Carnitine Deficient Autism". We have a pedi neurologist that is dealing with his autism and I couldn't be more grateful for him!! He takes Levocarnitine (2mLs) 3 x's daily. He has become a normal 6yr old little boy!! His annunciation has greatly improved, his energy is out of this world. The carnitine took him out of the bad mood he has been in for 4 long years. He also lost the dark circles and redness around his eyes.

 

If you're still having a problem, I'd say see a neurologist!! Maybe at a local children's hospital... They usually have the autism clinics.

 

Thanks so much for letting me know I'm not the only one with a "blessed" child hahaha

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