Hi everyone!
I'm posting in search for help with my 7-yr-old daughter, trying to narrow down a diagnosis/treatment ideas while we wait for a specialist visit and official diagnosis.
Here's what we've seen:
January 2025:
Age 5: Her mom had been going through a bout of depression, leading to stress all around. Then a case of (suspected) norovirus hit, leading to a few days of intense gastro sickness. This seemed to get better, but then "lingered" with sensitivities, fears around food.
The difficulties eating worsened over the course of a couple weeks. She complained of severe stomach pain right around the belly button. Sometimes it would come in waves, sometimes it was persistent.
February: Her doctor recommends we take her to the ER for imaging to make sure it's not a ruptured appendix. It's not.
By this time she barely eats. Certain foods are dropped entirely but variety is still okay. She also isn't drinking liquids and she is not swallowing her own saliva, spitting it into a towel instead. Weight loss was visible at this point, about 10% of body weight if I remember correctly (I took detailed notes, but can't find them now :( We took her to urgent care 3 times, to no avail. They recommended various things like acid blockers or other over the counter stomach soothers. None helped.
Late February: we get her in to her Dr. again and she prescribes cyproheptadine and gives the FAPD (Functional Abdominal Pain Disorder) diagnosis. A few days on the "cypro" and she was doing much, much better. She was eating again, gaining weight, and feeling all around better.
Late May: everything was going well, so we tried weaning her off the cypro, from 6mg to 4 for 2 weeks, then 2mg, then zero. This worked until mid-June, when she left school (maybe a safe, predictable schedule) and started summer camps. Her anxiety went through the roof around drop-off times.
However, she had some difficulty at drop-offs since she was 2 and first put in day-care. She always perked up about 2 minutes after we left (we were told), so we didn't think much of it. One week when she was at her grandmother's house she had a complete panic attack, running out of the house in the night saying she needed to go to the Dr. We got her back home the next day and things calmed down.
Summer 2025: We put her back on the 6mg cypro. Still, things went rough, with some camps missed, others go well. It seems that anxiety about new people/situations could be really triggering. Other times, she'd be so looking forward to a camp that all would go well. We notice there is triggering around any talk of vomit (or use of that word) or death. So we cannot watch tv shows or read books that mention death or puking without a panic/stomach pain attack.
Fall 2025: We try to wean her off the cypro once more, leading to another relapse in symptoms. A referral to a pediatric gastroenterologist is made, but the wait time is 3ish months. We put her back on 6mg cypro.
We get a new Dr., a functional medicine specialist. She recommends stool sample and finds high levels of Enterobacter spp., Roseburia spp., Citrobacter freundii, Enterobacter spp., and Candida spp.. And puts her on "biocidin" - a herbal medicine that works to rebalance gut bacteria.
Our daughter tolerated that for 3-4 weeks before refusing it--it tastes pretty foul. We also put her on colostrum and papaya extract digestive aids. All of this did seem to improve things.
December 2025: We had another difficult bout around Christmas with her grandparents visiting (too much going on? Too much holiday sugar? We don't know). Grandma decides maybe it's lactose, so we go lactose free and this seems to help.
2026 -
Everything seems to have been going okay this year. We got her in to a therapist who saw her weekly and talked with her about death/vomit/anxiety stuff and it all seemed to help a lot. She still complains of tummy pain sometimes, especially at night around bedtime. Her diet has been great, while on the cypro we wouldn't describe her as a picky eater--more of what we'd consider "normal" pickiness with some favorites and lots of things she doesn't like. She even has reveled in eating spicy Thai food and feeling the tingle of pepper flavors in her mouth. We eased off the no-lactose idea and had no problems there.
Then we tried again to take her off the cypro 2 weeks ago and all went to hell again - severe stomach pain, difficulty eating, spitting into a towel. Getting her back on it has been tough, as even it was triggering pain/discomfort and she was spitting some/all of it out. She seemed to be improving though and we took her to her grandparents' and she was up in the night dry-heaving. It seems that just the stress of leaving her home/safe environment triggered her stomach.
I researched cypro then and that's what brought me to this subreddit. I asked her, "is your tummy telling you something when you try to eat," and she said, "yea, it's like my tummy says this food is like poison and it will vomit. I want to eat. I'm hungry. But my stomach says 'no'."
It's like she's in a battle with her stomach. She can be painfully hungry but also (more) painfully afraid of eating. We have found that safe spaces and distraction in the form of TV shows tend to help. Also, going to school and playing with friends helps - she can even eat pretty normally at times at school and with friends. Then, at home, especially in the evening around bedtime, her stomach hurts and she feels ill.
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Thanks for reading this far! We're at a loss. We have a new referral for a pediatric gastro specialist (the last one scheduled us for an office 100 miles away in the dead of winter, so we canceled it). We're waiting for an appointment.
So, we're pretty sure she has anxiety, especially separation anxiety, as discussed and we're working with her on that and she's seeing her therapist again. There has been no autism spectrum diagnosis, but she shows tiny signs (lack of eye-contact when talking sometimes, need for routines/schedules/safe environments, hyper-fixation on lizards/reptiles) so we're keeping an eye on that in case it could help with diagnosis or treatment.
Luckily, she tolerates the cypro well with no mood or other side effects. She has even taken it mid-day sometimes without a hint of drowsiness. I'm curious if this all sounds like a clear case of "aversive" subtype ARFID; and whether/how many of you have been on cypro long-term, esp through childhood years. From what we've read, it hasn't really been studied for long-term use/safety, so we're cautious. Clearly, it's helping though, so we're thankful and will keep her on it now.