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Pediatric Endocrinology   (Expert Forum)
 | 
metabolism and mood in a six year old boy
Answered by
Deanna L Aftab Guy, MD - Short Stature, thyroid, Pituitary abnormalit, Puberty concerns, Rapid Growth, Adrenal problems, Parathyroid abnormal, Rickets and bone dis
Vanderbilt Children’s Hospital Nashville - TN
Questions in the Pediatric Endocrinology forum are answered by Dr. Deanna L Aftab Guy, affiliated with Vanderbilt Children's Hospital. Topics covered include adrenal problems, diabetes insipidus, menstrual irregularities, obesity, parathyroid abnormalities, pituitary abnormalities, puberty concerns, rapid growth, rickets and bone disease, short stature, and thyroid.

metabolism and mood in a six year old boy

by notails, Jun 03, 2008 08:39PM
I am wondering about my son's angry outbursts.  We are looking for a mental health provider, but I also want to look at other causes.  What's you experience with mood disruptions and metabolism.  Here's what I've noticed:  He's most likely to "blow" around 4, and a yogurt drink goes a long way to help.  He seems to skip lunch (his bag comes home full, often) but does have a good snack after school, lots of water, and then is really hungry for dinner.  He seem hungry all the time, really, and although we try, he diet could be better.  When he was 15m old we had two hosp for metabolic stuff.  He had a serious GI bug, couldn't keep even breast milk down, and he vomited every 20-30m for hours and hours.  When we went to the ER, he wasn't dehydrated but his labs were way off.  He remain in the hosp for several days on IV fluids.  Nothing since those first two incidents.  The metab. specialist advised us to have a jar of frosting on hand, should he start with a GI thing again.

So, all this makes me wonder.  I won't assume that it's all metabolism, but I do wonder how it might contribute to his rages.  To be sure, there could be many factors.  His behavior is fine in school, he's checkups are always fine, and he sleeps and grows and plays well.

Any thoughts would be great.

by Deanna L Aftab Guy, MD, Jun 18, 2008 08:03PM
To: notails
I would first start with your pediatrician, have them sort things out along with the psychiatry folks, looking at thyroid, blood sugar and overall diet and growth are key but I do not suspect that metabolism alone can be totally responsible, rather lower sugar or burning out when he has not eaten well may lead to him blowing up easier, just like when he is tired, overheated etc.
So start with your ped first
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