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Ariane Zurcher

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Autism and Sensory Issues

Posted: 02/17/11 08:38 AM ET

When Emma was a toddler she got a little scratch from the tag on the back of her shirt. It seemed so insignificant, hardly worth noticing, except that Emma screamed as though her entire body had been scalded. I remember at the time thinking it strange, her response seemed so extreme for such a tiny scratch.

There were other incidences, which also caught my attention for the very opposite reason. She would get scratched by the cat or have a huge knot in her hair, making it difficult to untangle without hurting her, none of which would cause her to even gasp.

When she grew older I was terrified of the day when she would start to lose her baby teeth, convinced this would set off such cries of pain, with no remedy other than to wait until the tooth came out of it's own accord. However this was not to be the case. In fact, Emma grabbed hold of the loose tooth and simply yanked it out of her mouth, dropping it to the ground, as though it were nothing more than an irritant, like a pebble in ones shoe. Evidently the floor of her school bus is littered with her baby teeth, as she would board the bus in the morning with a loose tooth only to come home and announce, "Threw it away," when asked what happened to her tooth.
"Where? But where did you throw it?" we would ask.
"On the bus," Emma replied matter-of-factly more than once.

About six months ago Emma was reported to have said to her therapist, Joe, "Joe! Pull it out!" and then opened her mouth so he could remove the offending tooth, which he didn't. So she did. Joe intercepted the tooth before she was able to toss it in the gutter.

I don't think we have more than two or maybe three of Emma's baby teeth, despite the fact she's lost at least eight or more by this point. We tried to tell her about the tooth fairy, but she was utterly uninterested and wandered away before we had finished. The idea a "fairy" would come to gather up her loose teeth, leaving behind money, was not a concept Emma had any use for.

Last Friday Joe called to tell me Emma was whimpering and saying her ear hurt. I immediately called the pediatrician. The last time I'd taken Emma to the pediatrician because her ears were bothering her, only to be informed that in fact she had strep, yet again. Remembering that time, I looked at Emma's throat before we left. Sure enough there was the tell tale white spot on one side of her throat.
"No say AHHH!" Emma said, pointing at her throat, meaning she didn't want to have the doctor swab the back of her throat.
"Well, let's wait and see what the doctor says, Em. Does your throat hurt?"
"Yes. Ears." Emma replied.
"Your throat and your ears hurt?" I asked.
"Yes."

Upon our arrival I proudly stated that I was sure it was strep and went on at length about how I couldn't believe Emma had somehow contracted strep again, making this the third time since the school year began. The pediatrician smiled and nodded her head as she examined Emma who kept insisting, "No AHHHH! Just ears," Emma said repeatedly.
The instant the pediatrician looked in Emma's left ear she looked up and said, "Raging ear infection."
"What?" I asked, thinking I'd misheard, so convinced was I that Emma had strep. "But she's never had an ear infection, what about that white dot on her throat?"
The pediatrician shrugged. "Could be food, not sure, her throat isn't red at all, but her ear is bright red. An ear this red should be extremely painful," she said looking at Emma. "I'm surprised she isn't complaining more. It's a really bad infection."
I watched as Emma played cheerfully with the doctor's stethoscope. Observing her, one would never know her little body was host to a horrific ear infection.

By the time I had procured the prescription and the children's Advil and returned home, Emma was running around, playing happily.
"Hey Em. How do you feel? Does you ear hurt?"
"Yes." Emma said before racing off down the hall with Joe in hot pursuit. Shrieks of laughter could be heard.

Many children with autism have what some specialists in the field call sensory integration issues. They can range from hypo to hyper and are often a mixture of the two. In Emma's case she has both and we still cannot anticipate which one we are witnessing.

 

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01:03 PM on 03/03/2011
Hello. Ear infections can be caused by strep as well. Have you ever looked into PANDAS or PITAND? this is when the antibodies that are created to combat an infection turns on the child and attacks the basal ganglia. This may then cause symptoms such as OCD, tics, sensory issues, hyperactivity, etc to surface.
11:41 PM on 03/01/2011
I just had my son, with Aspergers, to the doctors today for an ear infection. He only started compaining about the pain last night, but said it had been hurting for a week. By the time the doc saw him, he was wailing in pain and the doctor said his infection was "horrible". It is a life of adversity for all of us, but we struggle through and do our best. Thank goodness there is a local school here in the Springs that has a program for Autism spectrum kids. He was held back a year, but has blossomed in a way he never could at his old school.
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librainstars
even the smallest things in life make a difference
06:25 PM on 02/20/2011
My son has PDD a form of Autism. None of his shirts could have tags either. They buged the heck out of him.
Pain thou as in ear infections, falling off a bike and needing stiches. nope.
He had his appendixs removed. All as he said was his side hurt.
I have learned over the years , hes older now. If he says it hurts. Its not good.
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Miriam Breslauer
04:57 PM on 02/20/2011
I am an adult with Sensory Integration Dysfunction, but not Autism. It requires a lot of compromises to function like a "normal" adult.

This afternoon I went to buy a jacket. I couldn't touch 75% of the jackets with my finger without excruciating pain. One time my husband brought me a jacket to try on I grabbed it not thinking. The pain was so great I shrieked, grabbed my hand back, and nursed my hand for like 5 minutes until it called down. Total over reaction, but I can stop it. One jacket I rejected just because it pulled just a little in the back and it was too annoying.

I am a monster when shopping that takes forever and constantly whines while shopping. No clothing item is easy to shop for. This problem has only gotten worse with age. I can go through dozens of shoe stores before I find one pair that doesn't make me hysterical just having it on my feet. It will take another dozen shoe stores before I find a pair that I can actually walk in without the pain causing me to fall down.
09:42 PM on 02/18/2011
Sensory integration is a challenge for many individuals with ASD diagnosis. At the same time many children and adults without a diagnosis are relatively hypo- or hypersensitive to sensory input.

Maybe there would be less of a stigma regarding these qualities if we simply acknowledged that all of us fall somewhere on the spectrum between hyper- and hypo-sensitivity to sensory experience. The goal is to adequately cultivate skills to navigate our lives despite where we fall on that spectrum....and to develop tolerance for anyone who experiences it differently.
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07:45 PM on 02/19/2011
Well said!
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hxwhite
08:25 PM on 02/18/2011
Same thing with my son.
03:48 AM on 02/18/2011
she needs the GAPS diet (a variant of the SCD diet). check out the yahoo group for more info, and/or google.
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Xenia Grant
denver, co
11:59 PM on 02/17/2011
I am the same way myself. I remember about 15 years ago when I lived in St. Louis, I cut myself on the hand because I was opening a can of cat food for my cats. I got my hand cut and saw a gap where I could see the layers of fat. I was wondering if I should go to the ER. This was when I had no medical insurance and I wasn't in pain, so I called my sister and asked if I should go. I waited until my husband (I was married for 3 years) came home and finally he convinced me to go to the ER. It was lucky I did. If I didn't go, an infection would have started and it would have cost over $300. Also, I have a high pain tolerance. But like other autistic people, I have hyper sensitivities in some areas. I hate it when babies cry or the sounds and voices of little kids. I can hear a name of a country from far away (and I'd most likely would hear the word 'Egypt' in a New York minute). And yet, in open wide areas (like going to the Taste of Colorado) I am not affected by the noise. The Doppler effect takes over and disperses the noise. Put me in a small room where there are 15 people talking at once, I go into sensory overload.
06:01 PM on 02/17/2011
Homeopathy can help. Log on to www.homeoconsultation.com for more info.
03:44 PM on 02/23/2011
Don't be silly. That's just water.
02:58 PM on 02/17/2011
My son does not like crowds or loud voices. In contrast, take him on any wild, crazy, roller coaster in a big amusement park and he's in heaven! The screaming occupants don't bother him at all.
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thinkingwomanmillstone
I'm nervous. My life is under a Micro-bioscope.
03:02 PM on 02/18/2011
It's amazing how different our children with autism are....just like how different our children without autism are. My son's sensory integration was a problem though. He couldn't tolerate eating smooth, soft food and would gag on apple sauce or mashed potatoes. He did eat a bar of staples though. Now he can eat almost anything as long as he puts tobasco sauce on it. When he was small, any illness made him think he was hungry...hungry was the only sensation he could recognize so it was the only thing he would think of. When he was younger, he would come in to the house from play with bleeding skinned knees and not report the injury. He gets heat prostration very easily. He couldn't tolerate the air on his skin, so he clung to his heavy, long sleeved winter clothes long past the end of spring. We had to put everything away in the attic so he knew it was inaccessible and he could accept that. His auditory sensitivity is vastly improved. We bought him shop headphones to wear at noisy activities which gradually were not needed. We are fortunate that our doctor knows that I bring him in based on a change in behavior not on a reported symptom. I am seldom wrong. Even at 21, his integration is not typical. A very quiet weekend in December resulted in a trip to the doctor...and another ear infection. The doctor was amazed,again, that he wasn't moaning in pain.
01:34 PM on 02/17/2011
For many years I worked for a mental health rehabilitation facility (FH) in northern new jersey as a non professional support staff that interacted on a full time bases with many different varieties of -Clients- with different types of mental disorders? One of these groups of clients had -Autism- and they and other groups of clients had one thing in common, when they had a trusting enviroment filled with -Continuous Laughter- they responded at times by being -Normal- in this type of environment? What do I mean by being -Normal- if you look into a -Clients- eyes you can tell what condition they are in and how they are feeling, so when I saw this -Normal- condition like you and me happening time after time? You are absolutely right I tryed to interest the mental health professionals in my -Observaions- the lack of any response or caring about the clients because I was not a professional or for what ever reason like -Bureaucracy- etc. caused me too loose any respect for these supposed professionals?
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onlyThis
All I Am is You
10:32 AM on 02/17/2011
My autistic son has a HUGE tolerance for pain. A year ago his appendix burst and we didn't even know it until we took him to the doctor because he had flu-like symptoms for three days. He never indicated that his stomach hurt or anything. His is pretty non-verbal but he wasn't crying or anything, just tired looking and a bit grumpy. We just thought he had the flu.
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12:15 PM on 02/19/2011
My daughter, too! When she broke her arm, no concern, When we rushed her into the car, she tried to close the door with her broken arm. Sometimes I think she reacts to pain or illness like a lot of animals, who get stoic and quiet. Emotional pain, for her, I think, is greater than more physical pain.
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Xenia Grant
denver, co
04:38 PM on 02/19/2011
Zipzop: I agree with you. I can also be stoic with physical pain myself. But emotional pain is far lot worse. And if you read Temple Grandin's book 'Animals in Translation', she says that we on the autism spectrum are similar to animals that way. I remember about 12 years ago, I went to work with a sprained ankle. But my co-workers and boss sent me home.