Patient discussion about diagnosis

!!! The questions and answers on this page are written by patients and are not reviewed by health professionals.

Q. How is the diagnosis of autism made?

My friend has a child who is suspected to have autism. I wanted to find out more about making the diagnosis of autism.
A1Diagnosing autism is not an easy task, especially when there are several other conditions that might confuse the clinician with this disorder or spectrum of disorders. The child usually has several symptoms that suggest an autistic disorder, such as impaired social behavior. Several diagnostic instruments (tests) are available. Two are commonly used in autism research: the Autism Diagnostic Interview-Revised (ADI-R) is a semistructured parent interview, and the Autism Diagnostic Observation Schedule (ADOS) uses observation and interaction with the child. The Childhood Autism Rating Scale (CARS) is used widely in clinical environments to assess severity of autism based on observation of children.
A pediatrician commonly performs a preliminary investigation by taking developmental history and physically examining the child.. If warranted, diagnosis and evaluations are conducted with help from ASD specialists, observing and assessing cognitive, communication, family, and other factors
A2The diagnosis of autism is based on behavior, not cause or mechanism. Autism is defined in the DSM-IV-TR (the psychiatric guideline book), as exhibiting at least six symptoms total, including at least two symptoms of qualitative impairment in social interaction, at least one symptom of qualitative impairment in communication, and at least one symptom of restricted and repetitive behavior. Sample symptoms include lack of social or emotional reciprocity, stereotyped and repetitive use of language, and persistent preoccupation with parts of objects. Onset must be prior to age three years, with delays or abnormal functioning in either social interaction, language as used in social communication, or symbolic or imaginative play.
A3I saw a CBS interview that might be helpful for you! It's an exemplary autism test made by a Dr. here is the link to the video:
http://www.cbsnews.com/video/watch/?id=3430043n

Q. Is the diagnosis correct?

I have been diagnosed bipolar and was previously diagnosed with depression and ADHD how I know the diagnosis is correct this time?
A1a psychologist/psychiatrist should also have the possibility with a questionary to detect if you have bipolar disorder and/or adhd. i have both and live with it since i am a child. i had my first "out-of-control"-crisis with 29 years. in the meantime i am 46 (in two days) and i still live! i had also many times the wish to make suicide, but this is the worst solution. do you live alone? do you have a dog? do you have a job? what are your talents? what do you love to do in life? write it down and look what you could put on a focus. what are the things you do daily that allows you to stop thinking of all your trouble? write it down. to make a puzzle? play chess with your neighbor? to chat online? you only can collect what could help you in such cases to keep the bad thoughts you have away from yourself. there is always at least one good solution. i give you here some ideas. never give up! thank you
A2Bipolar disorder is currently "in fashion" (if you check out the risks, and side effects of the medications involved, and go to some of the bipolar chatsites, I am sure it would be much less fashionable) and is much overdiagnosed. The experienced, and wise mental health professional may well defer the actual diagnosis until the teen years have passed, where, normally, a level of stability occurs. The response to medication is often the determining factor, otherwise. Check out: ADHD/BIPOLAR CHILD? DIAGNOSING ADHD & BIPOLAR KIDS: PAGE P, in section 10, on bipolar disorder, at http://www.ezy-build.net.nz/~shaneris for some ways of differenting the two. There is a quiz for bipolar via section 10, and for ADHD & depression via page E, in section 1, or sections 2, and 22 - 25. View these eventually. I suggest that you also post questions at www.wrongdiagnosis.com and via the BIPOLAR CHATROOMS: PAGE D, and page A, in section 10.
A3common treatments can't exist because we are all individuals. persons with adhd are often left-handed. the reasons for adhd are multiple and need for each case specific treatments. what can help are natural drugs to sustain the digestive system. you need a good doctor or psychologist who is involved in natural healing methods. everything else will not work. covering symptoms do not heal so it is fundamental to detect the causes of adhd in the past of the actual life and to make also a psychologic treatment. eat as natural as possible and stop as good as you can to eat industrial food. the water quality is also very important. if you are bipolar with a bipolar disorder you are depressive and have euphorical phases too. these symptoms are then extreme and cause psychical and physical instability. for adhd a psychiatrist can make with you a test in form of a questionnary to determine it.

Q. Who was the first person to be diagnosed with ADHD?

Here is a question which I find very difficult to get an answer. Who was the first person to be diagnosed with ADHD? Take it easy to answer me my new friend. Thanks in advance.

Q. How is Acute Appendicitis Diagnosed?

My doctor sent me to the emergency room because he thought I might have acute appendicitis. What are the symptoms and how is it diagnosed?
AThe symptoms of acute appendicitis can be misleading at first, because they are very unspecific. Usually the patient arrives with abdominal pain, that is "classicaly" located in the lower right side of the abdomen. However, sometimes the pain can't be located at a certain location. The pain tends to increase within hours, and become intolerable, to a point where the patient seeks medical care. Other common symptoms are nausea, vomiting, lack of appetite and fever. The diagnosis is usually made clinically by physical examination. In some cases a CT-scan is performed as well.

Q. My friends son has autism. He was diagnosed just in his 3rd birthday..

My friends son has autism. He was diagnosed just in his 3rd birthday.. I'm not sure how vaccines may have played a role in it, if any. I have a cousin with Autism, and his mom swears it has everything to do with it. Will be interesting to see the outcome of the court case, either way.
A1there is no research that proofed that the MMR vaccination cause Autism. and there are several that proofed otherwise. but- Measles can lead to serious problems (birth defects,growth retardation..), and there is no treatment for Measles except the vaccine. Rubella and Mumps too. stopping vaccination will cause an epidemic.
here is something to think about:
http://www.nichd.nih.gov/publications/pubs/autism/mmr/
A2The increase in autism are fueling a grass-roots movement of parents determined to expose what they believe is a connection between autism and vaccines. Autism, a developmental disability that usually appears before a child's third birthday, profoundly affects communication and social skills, impairing the child's ability to play, speak and relate to the world. The U.S. Department of Education reports a 173% increase in autistic children served under the Individuals With Disabilities Education Act between the 1992-93 school year, when 15,580 children were counted, and 1997-98, when the figure was 42,500.
See this too : http://imedix.com/health_community/vmQ9GGsDAcgA_cnn__autism_technology_gives_girl_voice?q=autism

Q. My friend who was recently diagnosed with Fibromyalgia is not satisfied with the result of the test.

My friend who was recently diagnosed with Fibromyalgia is not satisfied with the result of the test. He doubts the same. He asked my help to find how is Fibromyalgia Diagnosed? So now I pass this question to you.
A1It is his right to doubt or believe but research shows that people with ‘fibromyalgia’ pertaining to see many doctors before receiving the diagnosis. One reason for this may be that pain & fatigue, the main symptoms of fibromyalgia, overlap with many other conditions. Therefore, doctors have to rule out other potential causes of these symptoms before making a diagnosis of fibromyalgia. Another reason is that there are currently no diagnostic laboratory-tests for fibromyalgia; standard laboratory tests fail to reveal a physiologic reason for pain. There is no generally accepted objective test for fibromyalgia. Some doctors unfortunately may conclude a patient’s pain is not real or they may tell the patient there is little they can do.
A2There is not a "test" for fibromyalgia per say. They do alot of test to rule out other problems such as thyroid and Ms. But basicly they use your symptoms such as pain over 3 months, fatigue, sleep disturbances, memory loss (fibro fog), muscle pain and/or weakness and out of the 18 trigger points for pain you have 11 or more. I had chronic unexplained pain and fatigue for over 2 years when a neurosurgeron diagnosed me and I started reading on the subject( found this site also) and as i ws reading and learning it was like OMG this is it, this is what I an going through I am not cracy and I am not alone! Knowing this and finding support has helped me a lot, I take medication tha teases the symptoms but still have what we call at my house "fibro days" and those are my worse days but luckly I have love and support and someone that understands and "we" get through those days together. I hope you and your friend can find the answers you need and if I can help pl

Q. How do you diagnose celiac?

My daughter is 3 years old and is constantly vomiting, has diarrhea and stomach aches. Could this be celiac?
A1This could in fact be celiac. The initial step in screening should include: IgA endomysial antibodies (EMA), IgA tissue transglutaminase (tTG), IgG tissue transglutaminase and Total IgA antibodies. The patients with positive antibody tests, and those with an IgA deficiency, should have a small bowel biopsy to confirm the diagnosis and assess the degree of damage, which is performed endoscopically (looking inside the body by inserting a tube into it).
A2Numerous studies demonstrate that children with Celiac frequently have gastrointestinal (GI) symptoms such as diarrhea with failure to thrive (FTT), abdominal pain, vomiting, constipation, and abdominal distension. The symptoms you described could in fact be celiac so you should ask your GP to test your duaghter for it.
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