HISTORY- i have a 3 yr old son.During this pregnancy,i had p/v bleed history thrice and emesis gravidarum throughout pregnancy so much so that in final trimester i even lost weight.Finally,he was delivered by c- section 3 weeks early ,on suspicion of IUGR,which was ruled out after birth by the paediatrician.then we were told he had heart murmurs and post echo PDA was rule out.thereafter,his growth charts and other developments have been normal,the only slight delay being in onset of teething(around 11 mth).However,he was not responding to his name or saying mama or papa by age of 2 and half.We consulted his paediatrician and he advised to wait for 6 mths and watch for autism /ADHD.C/C-even though he uses some words like names and points to some 20-30 vegetables and fruits ,objects like umbrella,watch,clock,tv,mobiles etc.,maintains eye contact,no eating or sleeping disorder,usually cheerful and happy,displays emotions and responds to them,joyfully sings some nursery rhymes in both hindi and english,even some movie songs, loves scribbling with crayons.hes very active physically,loves tasks with physical manouevering(climbing,riding,swimming,swinging,ruuning etc
but he doesnot obey commands,doesnot respond to his name,doesnot say mummy or papa,doesnot interact much with children(though he does play with older and known children),repeatedly lines up his toys, vehicles and even, stools and chairs at times and insists on it not being removed or disturbed,communicates his needs by using our hands (to point at things )and gestures,is aggressive at times and resorts to tantrums mostly,doesnot take turns or even stand in que.Sometimes ,i feel hes using certain words and even phrases with understanding what they mean.We started his play school around mid january.Initially ,he didnt like it much,cried and had tantrums.By end of feb,he started liking going to school and by end of May,made some good progress also,started singing poems,telling colours,saying courtesies like hello ,babye and thank you.now suddenly,hes completely awash.....doesnt sing that many rhymes and that too frequently,speaks too gibbrish,his vocabulary has started shrinking(recognizes less no. of things),if we are persuasive,he would try to speak out any word he can remember(like on being repeatedly asked to shake hands and say hello,he kept looking at me and said words like aubergine,pink,ramayan pumpkin etc. ........ but just couldnot understand what i was asking him to do.finally,he just hugged me as if in some kind of reassurance.....i was totally baffled.2 mths back,he was just alright........i cried and he wiped off my tears and hugged again......2 days later,i was summoned by the school principal who had similar observation.she told me that he is way behind his peers in his class and may not be ready for the big school next year and advised us to visit a psychiatrist for a DQ test(development quotient test).
im really worried plz advise