Lately Anna has been complaining of stomach pains. Lately as in, the past several months. I have not been able to figure out the source of the pain as it seems to come and go and she is unable to tell me why her stomach hurts. I've thrown out several options, asking her if she's hungry or if she's had too much to eat, if she's using the bathroom regularly or if she's gassy, if her tummy hurts after she's eaten something specific. I hate introducing an idea into her head because she'll latch onto something even if it's not true. For awhile she was telling me it was gas, but that wasn't it. Her stomach hurts when she wakes up in the morning, she tells me about it on the ride home from school, it hurts before bed - not every day, but randomly and frequently enough to worry me.
So I've gone on the hunt trying to figure it out. We eliminated chewing gum to see if it was the artificial sweetener or the dyes. We've cut back on carbs, nuts and eggs. I had the lab run a stool test to look for yeast, and we just went through another round of blood testing to look for new food intolerances. The yeast test came back negative and I think the blood tests will too, especially since we did blood testing in December and nothing showed up. The next logical step is taking her to the GI doc and having a scope done, and you know how unwilling I am to do that, especially since I'm not convinced a scope will find anything, and I really don't want to put Anna through that trauma unnecessarily.
The other day I mentioned in an email to DH's mom about Anna's stomach pains, telling her how stressed out I am about it. She wrote back and told me that when she was a child, she had stomach pains too because of nerves. She was shy and anxious as a child. And then it clicked - this is Anna's issue. It's anxiety. I've been waiting for this, knowing that girls with Aspergers are prone to depression and anxiety. I thought we would not have to worry about it until Anna hit middle school or puberty. But I was wrong.
Anna has been through a lot in the past several months, but she's been doing so great with all the challenges and transitions. She is a perfectionist but has been able to work with her teachers to complete tasks that frustrate her. She just did an OT re-evaluation and scored well on her tests. She took the move to our new house amazingly well, much better than Megan did. There have been social issues in her class at school, notably bullying, but it didn't seem to effect her - she talked to me about it but didn't express any conflict over it. We've had a parade of people in and out of the new house but she's seemed to enjoy all the visitors. School just ended for the summer and although I could tell she was transitioning and some days were harder than others, she seems to be okay, which is a little surprising. Normally it'd be two weeks of emotional meltdowns, but this year it's only been a few days of upheaval. For months I have been thinking WOW, Anna is doing fantastic! I don't need to worry! We might just swim through the next few years just fine! And my personality is not one to dwell on stuff, I'm always looking forward to the next challenge. So I thought, great! Anna doesn't need as much help as before, she is mastering new challenges on her own!
Oh, how wrong I was. I had no idea that she's been internalizing all of this. She's been swallowing her anxiety and it's manifesting as stomach pain. Now that someone has pointed it out to me, it makes perfect sense.
Now what do I do? I have been absolutely against medication for her from day one. I remember the neurologist looking at me like I had two heads when I told him firmly - no medication. So far it's been fine - speech and occupational therapies have done wonders, her diet has been life-changing, her school is amazing and there was no need for medication. But now? I don't want her crippled by anxiety. I don't want her to be in physical pain because she's internalizing her stress.
Anna sees the pediatrician next month for her yearly check-up. She'll be seven years old. I never wanted to get to the point where my seven year would need medication for depression or anxiety. I thought we had more time. But I was wrong. I've done well with accepting Aspergers and all its quirks, but I'm having a hard time with this. I don't want my daughter to be crippled by fear. I have a month to work with her myself before her visit to the doctor, to try to talk to her and get her to tell me what she's feeling. Maybe she'll find that talking about it will make her feel better. She'll need to accept the anxiety as something normal for her, and then find ways to manage it. I hope I can teach her to recognize what she's feeling and how that makes her body feel. Knowledge is power...but I realize that sometimes genetics are more powerful than reason. I want to help her myself. But if it doesn't work, I will throw in the towel and talk to her doctor about our options.
~~~~~~~~~~~~
The other day I read this post by Gluten Free Goddess with interest and sympathy, but I still did not make the connection between Anna's stress levels and her stomach pain. Sometimes it takes one of the family to hit me over the head with something obvious. Thanks, Hope. :)
So I've gone on the hunt trying to figure it out. We eliminated chewing gum to see if it was the artificial sweetener or the dyes. We've cut back on carbs, nuts and eggs. I had the lab run a stool test to look for yeast, and we just went through another round of blood testing to look for new food intolerances. The yeast test came back negative and I think the blood tests will too, especially since we did blood testing in December and nothing showed up. The next logical step is taking her to the GI doc and having a scope done, and you know how unwilling I am to do that, especially since I'm not convinced a scope will find anything, and I really don't want to put Anna through that trauma unnecessarily.
The other day I mentioned in an email to DH's mom about Anna's stomach pains, telling her how stressed out I am about it. She wrote back and told me that when she was a child, she had stomach pains too because of nerves. She was shy and anxious as a child. And then it clicked - this is Anna's issue. It's anxiety. I've been waiting for this, knowing that girls with Aspergers are prone to depression and anxiety. I thought we would not have to worry about it until Anna hit middle school or puberty. But I was wrong.
Anna has been through a lot in the past several months, but she's been doing so great with all the challenges and transitions. She is a perfectionist but has been able to work with her teachers to complete tasks that frustrate her. She just did an OT re-evaluation and scored well on her tests. She took the move to our new house amazingly well, much better than Megan did. There have been social issues in her class at school, notably bullying, but it didn't seem to effect her - she talked to me about it but didn't express any conflict over it. We've had a parade of people in and out of the new house but she's seemed to enjoy all the visitors. School just ended for the summer and although I could tell she was transitioning and some days were harder than others, she seems to be okay, which is a little surprising. Normally it'd be two weeks of emotional meltdowns, but this year it's only been a few days of upheaval. For months I have been thinking WOW, Anna is doing fantastic! I don't need to worry! We might just swim through the next few years just fine! And my personality is not one to dwell on stuff, I'm always looking forward to the next challenge. So I thought, great! Anna doesn't need as much help as before, she is mastering new challenges on her own!
Oh, how wrong I was. I had no idea that she's been internalizing all of this. She's been swallowing her anxiety and it's manifesting as stomach pain. Now that someone has pointed it out to me, it makes perfect sense.
Now what do I do? I have been absolutely against medication for her from day one. I remember the neurologist looking at me like I had two heads when I told him firmly - no medication. So far it's been fine - speech and occupational therapies have done wonders, her diet has been life-changing, her school is amazing and there was no need for medication. But now? I don't want her crippled by anxiety. I don't want her to be in physical pain because she's internalizing her stress.
Anna sees the pediatrician next month for her yearly check-up. She'll be seven years old. I never wanted to get to the point where my seven year would need medication for depression or anxiety. I thought we had more time. But I was wrong. I've done well with accepting Aspergers and all its quirks, but I'm having a hard time with this. I don't want my daughter to be crippled by fear. I have a month to work with her myself before her visit to the doctor, to try to talk to her and get her to tell me what she's feeling. Maybe she'll find that talking about it will make her feel better. She'll need to accept the anxiety as something normal for her, and then find ways to manage it. I hope I can teach her to recognize what she's feeling and how that makes her body feel. Knowledge is power...but I realize that sometimes genetics are more powerful than reason. I want to help her myself. But if it doesn't work, I will throw in the towel and talk to her doctor about our options.
~~~~~~~~~~~~
The other day I read this post by Gluten Free Goddess with interest and sympathy, but I still did not make the connection between Anna's stress levels and her stomach pain. Sometimes it takes one of the family to hit me over the head with something obvious. Thanks, Hope. :)










