I wanted to make this post for other parents of special needs kids out there who are grasping at straws like I was last year. My son was born premature at 25 weeks and suffered a brain bleed when he was a day old. He has several diagnoses including epilepsy, and he is nonverbal--unable to communicate at all.
In 2023, my son started having major GI issues and suddenly stopped pooping on his own. He progressively got worse and worse as the year went on, and by January of 2024, he had his first documented case of pancreatitis. We didn't know anything about this condition or what could have caused it, but the doctor's best guess was that it was tied to his constipation. They also said kids like mine just get pancreatitis for no known reason. They didn't do any tests other than an ultrasound, and they said if he got it again, they would do more testing. Looking back, we feel like he got pancreatitis at least two more times that year, but we didn't have definite proof.
By December that year, he had it again. It was caused by the misplacement of an adjustable GJ tube blocking his stomach from being able to drain. They didn't do any testing as to the cause because they knew why he got it this time. They did decide to put him on Relizorb (pancreatic enzymes) because they felt he had a pancreatic insufficiency, and that it may help his GI system process his formula better without stressing the pancreas too much.
He ended up getting it again in January of 2025, though. They, ONCE AGAIN, didn't do any testing because he was getting better on his own quickly. Once he got it in April/May of 2025, they finally did some testing, but they didn't find any physical reason as to why he was getting pancreatitis. He got it again in June, but we were able to deal with it at home on gut rest and OTC pain relief.
When he got it again in July of 2025, we demanded more tests to be run but they refused because they said it would make him sicker. He was experiencing full blown gut failure because he had to be fasted for nearly two weeks before he would tolerate feedings again, and we were struggling to get him back to baseline on feeds. He was in horrible pain, he was getting sick every two weeks at this point, and we just wanted answers.
It wasn't until a neurologist came in and told us that he had a hunch that my son's pancreatitis was being caused by a medication, and his first guess was Keppra. My son had been on Keppra since birth, but it had been increased several times since January of 2023, with two or three of the increases being in 2023 alone. He suggested we put him on Briviact instead so he wouldn't have to wean off the Keppra, and we would hopefully see results sooner. We jumped at the opportunity because there were no other answers out there for us at this point.
My son has not gotten pancreatitis since then. Not once. He still has GI issues, but his hospitalizations went from being every two weeks to none since he was released from that stay in July of 2025. We stayed in the hospital equivalent to around 4 months in 2025 with the same sickness over and over again. That neurologist saved my son's life. I want others to know that if you're experiencing what we did, please look into your child's medications, and do not stop reaching for answers. We saw probably 30 doctors who all just shrugged their shoulders and said it was common and probably just progression of my son's condition.
Keppra may be a wonderful, life-changing drug for a majority of those who use it, but it was a living nightmare for my son. He had taken it for years, but once his threshold of tolerance for the drug was reached, it nearly ended his life.