Tics, tongue sores, and more??

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My 6yo son has been battling something very strange for the last 2 years.  It all started with a severe outbreak of sores on his tongue, spastic movements, and repetitive sounds, etc.  The first episode lasted almost a month, but docs said it was "just a phase."  After this, we had week long episodes about every 2-3 months.  The episodes would begin with his not feeling well, then his tongue would "feel thick,"  sores would appear on the side of the tongue, and then he would start into his tics (basically it was like his whole body was chronically twitching).  After he was diagnosed as a strep carrier and was on an antibiotic, the tics episodes mostly disappeared for almost a year.  Then, a few weeks ago, he had another outbreak on his tongue and the tics reappeared with a vengeance a week later, but just for 24 hours.  We though strep might be the culprit (i.e. PANDAs) but the bloodwork came back negative.  Any ideas??

[betscab]

Thank you for the ideas, and I will mention these to our doctor - I have no doubt that she would be willing to run the tests.    I do know that his doctor tested his Magnesium levels - still waiting on the results - and his vitamin B levels were tested when this all began; they were normal, in fact B12 was a bit high.

Thanks again.

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Unexplained twitch and tongue lesions can be due to deficiency of potassium, calcium, sodium, magnesium, vitamin B complex, or vitamins B1, B3, or B6 and Vitamin D. Get your son’s kidney function, parathyroid gland function and adrenal function tests done and serum levels of the above mentioned nutrients checked.
The best thing would be to consult a general practitioner or PCP and try and assess what is the cause of your problem. Then proper referral for concerned specialist can take things further and get you proper treatment. Take care!