My son has PFAPA syndrome

He is a kid who you could describe as hyperactive but I just tend to see that as a normal, lively, boisterous child of the male persuasion.
There’s boisterous then there’s hyper-active, a child should be able to relax and focus, play quietly and calmly, self soothe, follow directions etc, increasing in capacity to do so with age. Does he chill out as well as being a busy 4 year old boy?
 
One of them modern diseases that children in the 20th century didn't have to deal with, for the most part. If your partner is on the same page, I would remove dairy and gluten, GMOs, processed foods, keep the vaccination schedule to the bare minimum (if it's not too late already), try vitamin C, homeopathic remedies and even colchicine, an old school anti-inflammatory used for this syndrome. The later could substitute cortisone, and it has an excellent profile.

If there are sleeping issues, surgery weights in more. In children, it manifests as hyperactivity and lack of concentration.
He's never eaten any processed foods, no sugary stuff other than fruit. We eat almost only organic meat and vegetables. He doesn't do dairy other than some aged cheese sometimes. Gluten we could work on. He doesn't reallybeat bread but we do eat pasta sometimes and pizza on occasion.

With vaccinations we stopped when he was about two. My wife wouldn't budge on that and I hadnto back down. She got around to it during covid though so he didn't get any of the booster shots. He did have some kind of issue that I think may have been vaccine related when he was 6 months old. He had like green poop. The doctors found nothing. Later he got this weird rash on his inner thigh twice right after vaccinations. He didn't get any more shots after that.

I will definitely look into his sleep. There might be something to it. In that case, you're saying surgery might make sense?

What sorts of homeopathic remedies do you recommend?
 
There’s boisterous then there’s hyper-active, a child should be able to relax and focus, play quietly and calmly, self soothe, follow directions etc, increasing in capacity to do so with age. Does he chill out as well as being a busy 4 year old boy?
He's 6 actually. I think he can strike a pretty good balance. But he could be a bit more focused sometimes. Depends on what he's doing at the time. He can really get into drawing for example.
 
I've used propolis my entire life and I do give it to him especially when he has any upper respiratory symptoms but unfortunately it doesn't seem to help with this. Btw, those unalcoholic tinctures tend to have other weird ingredients so I just go with alcohol. It's too little to have a negative effect in my view.
I recommended alcohol-free because of the irritation of the alcohol itself on the sore spot. My son was very young and I don't think I would have gotten his cooperation, if the pain had been even greater with each application.
Thanks for this. Lots to dig into here. There's actually some stuff in there that suggests getting a tonsillectomy is a pretty good option. I think we might delay any surgery for awhile and see how this goes. He's only had two episodes so far and we don't know what's going to happen next and whether or not we can mitigate the situation with natural approaches. I just don't want him to have to go through more of these episodes. It's pretty bad and it really takes it out of him.

He also started going to preschool last week and he really likes going and would be really sad if he had to miss days all the time.
But I completely overlooked your post (I probably wrote mine).

There is a "rule" when children first attend kindergarten that for the first two to three months, about 1/3 of the children are constantly missing from the group. Viruses, colds, fever. "Aunts" and nurses in kindergarten explain this phenomenon by saying that each child brings with them a kind of family microbiome, to which they are immune, but not to the microbiome of other children. So during those months, there is an exchange/infection between children and immunization of the group. Those who do not attend kindergarten experience this at the beginning of school (first grade of elementary school).
If your son's problem coincides with starting kindergarten (I know that you need to do a medical examination first, which requires staying in the clinic with already sick children), then I would wait and endure for another two to three months and monitor the development of the situation.
If it's not related to that, I would opt for the lesser evil, removing the tonsils, because long-term use of corticosteroids (according to your prediction, several years) has far greater consequences/side effects, especially on the child's development. This is my opinion, but I certainly wouldn't rush into the decision.
 
With vaccinations we stopped when he was about two. My wife wouldn't budge on that and I hadnto back down. She got around to it during covid though so he didn't get any of the booster shots. He did have some kind of issue that I think may have been vaccine related when he was 6 months old. He had like green poop. The doctors found nothing. Later he got this weird rash on his inner thigh twice right after vaccinations. He didn't get any more shots after that.
To understand you right:
He did get the usual vaccines according to established schedule, like smallpox, mumps, scarlet fever and all other stuff they give to babies and kids today, and on top of that he also got a covid vaccine? If so, which one, i.e. which brand?

If he got the regular ones, somewhere around age 6 and certainly before going to school as it is a prerequisite, or at least it was 10 years ago, there is going be an additional, IRC, the TBC one. The son of my ex-ex had rather a reaction to it soon after he got it, with fever and affecting his immune system.

In that regard, if you aren't going to manage to avoid that 'obligation', maybe @Regulattor might have some useful info or advice to share.
 
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To understand you right:
He did get the usual vaccines according to established schedule, like smallpox, mumps, scarlet fever and all other stuff they give to babies and kids today, and on top of that he also got a covid vaccine? If so, which one, i.e. which brand?

If he got the regular ones, somewhere around age 6 and certainly before going to school as it is a prerequisite, or at least it was 10 years ago, there is going be an additional, IRC, the TBC one. The son of my ex-ex had rather a reaction to it soon after he got it, with fever and affecting his immune system.

In that regard, if you aren't going to manage to avoid that 'obligation', maybe @Regulattor might have some useful info or advice to share.
No you misunderstood. He got all the regular shots up until he was two years old. He didn't get any of the booster shots for mumps and all of those. Covid clotshots? No way. None of us would come near that stuff. I've been running a stalling strategy on the doctors since then and it's been working out so far. Next year he's supposed to start school so I just need to get him to that and we should be good. This summer I managed to get a paper from the doctor so that he could enroll into preschool, which is also mandatory, but we got him into a small private one so we avoided the whole application process for the state run ones.

I started stalling by saying that I wanted to see the insert papers from the exact ampule they wanted to give him. They acted in a way that basically told me that that paper doesn't exist. They told me to go online. Then we just started going to private clinics where they don't check on this stuff outside of asking you if he was vaccinated on schedule. We just lie every time. Lol.

One time we had to go back to his regular doctor and she started saying that I was trying to get into their refrigerator. She was acting like I was doing some crazy stuff there. What a lunatic. Anyway, I told her I just want that insert and she never reported us. Now he's got a new doctor and this one told us to go see an epidemiologist which I'm now delaying since she gave us the paper for preschool anyway.

Cat and mouse game. I think they're not that interested in actually engaging with people like us. They just try to intimidate you and it works on the vast majority of folks. If it doesn't, they don't seem to bother. I didn't even get a fine.
 
I will definitely look into his sleep. There might be something to it. In that case, you're saying surgery might make sense?

What sorts of homeopathic remedies do you recommend?
Surgery will make sense only if his tonsils are so obstructing that he's having sleeping issues from them. Surgery would do very little or nothing to reduce overall inflammation, so that still needs to be worked out.

Unfortunately, the vaccine schedule is so busy that by 2 years old, most of the vaccines are done.

Children respond well to homeopathy, but for that, you'll have to visit a dedicated practitioner.

Colchicine is something that mainstream medicine offers, at least in the U.S., for this pediatric syndrome.
 
Surgery will make sense only if his tonsils are so obstructing that he's having sleeping issues from them. Surgery would do very little or nothing to reduce overall inflammation, so that still needs to be worked out.

Unfortunately, the vaccine schedule is so busy that by 2 years old, most of the vaccines are done.

Children respond well to homeopathy, but for that, you'll have to visit a dedicated practitioner.

Colchicine is something that mainstream medicine offers, at least in the U.S., for this pediatric syndrome.
From what I can find in the literature, tonsillectomies work very well for PFAPA.
 
I’m really sorry to hear what’s happening with your child.
When I was young, I had the same problem — constant courses of antibiotics and corticosteroids. My mother was a nurse in a pediatric ward, and she would always take me there whenever I got sick. I still remember it vividly: there was an elderly doctor who, unlike many today, made decisions based more on personal judgment, knowledge, and experience than on strict protocols.

Many other doctors recommended having my tonsils removed, but that older doctor advised against it. He told my mother not to worry, saying that everything would change once I reached puberty.

Sometimes my tonsils would become so inflamed and swollen that I could barely breathe — it felt like I was suffocating. During those episodes, I would receive corticosteroid injections, and they would help me recover.

And indeed, once I reached puberty, everything disappeared. I’ve never had those episodes again, and my tonsils have never been inflamed or swollen since.

On the other hand, over the past 15 years I’ve met many parents whose children had the same issue. Most chose to go ahead with tonsil removal surgery, and all of them said their kids felt much better afterward. The surgery is performed under general anesthesia, and the children are usually discharged the next day. From what I know, none of them experienced any side effects or complications following the procedure.


I would remove dairy and gluten, GMOs, processed foods, keep the vaccination schedule to the bare minimum (if it's not too late already), try vitamin C, homeopathic remedies and even colchicine, an old school anti-inflammatory used for this syndrome.

When my son was little, he had a similar problem — we were constantly dealing with coughs, fevers, and bouts of bronchitis. Every visit to the doctor ended with another course of antibiotics or corticosteroids, but none of them really helped. One day, his condition worsened, and he developed bilateral pneumonia. He spent ten days in the hospital receiving strong medications.

He had never received any vaccines except the ones routinely given to newborns.
To make a long story short, the underlying cause of his recurring illnesses turned out to be a casein allergy. Even after discovering that, we spent several more months trying to help him, but he still suffered from persistent phlegm, coughing, and fevers.

Eventually, I found a skilled homeopathic practitioner who was also a pediatrician. She examined our son carefully and asked my wife and me many questions — she wanted to understand not only his symptoms but also his environment and daily life. She prescribed several homeopathic remedies and explained how and when to use them. It was a slow process, but it helped tremendously.

About a year later, he was noticeably stronger, and his immunity had improved significantly.

So yes — based on my experience, I can genuinely recommend homeopathy as a helpful and holistic approach to dealing with health issues.
 
From what I can find in the literature, tonsillectomies work very well for PFAPA.
There's a saying in Spanish, "The devil knows more because he is old than because he is the devil." And as a former heart surgeon with decades of first line experience in the medical field, my blink of an eye found this part of the study in less than 3 seconds and that I'm highlighting for you because it's almost always the case (i.e. I'm yet to find the exception):
Moreover, subgroups of patients may have been selected for the operations, and publication bias may be another important limitation for case series. Several of the case series lack information regarding follow-up or have a brief period of follow-up. Therefore, a firm conclusion on the effect of TE or ATE cannot be drawn based on these studies.
As a general practitioner, who knows several that got better after having their tonsils removed: the inflammation either remains or morphs. His immune system is just not normal, i.e. it is not normal to develop this syndrome. He'll move on to develop allergies, bronchitis or related.

You're looking into a vulnerable immune system, compounded by environmental factors, probably related to the childhood vaccination. This child can have its tonsils removed, but he definitely needs help, i.e. homeopathy, supplements.

You can also check the Mallampati score of your child, that could definitely be a factor favoring sleep apnea (grades III and IV favoring it):

 
There's a saying in Spanish, "The devil knows more because he is old than because he is the devil." And as a former heart surgeon with decades of first line experience in the medical field, my blink of an eye found this part of the study in less than 3 seconds and that I'm highlighting for you because it's almost always the case (i.e. I'm yet to find the exception):

As a general practitioner, who knows several that got better after having their tonsils removed: the inflammation either remains or morphs. His immune system is just not normal, i.e. it is not normal to develop this syndrome. He'll move on to develop allergies, bronchitis or related.

You're looking into a vulnerable immune system, compounded by environmental factors, probably related to the childhood vaccination. This child can have its tonsils removed, but he definitely needs help, i.e. homeopathy, supplements.

You can also check the Mallampati score of your child, that could definitely be a factor favoring sleep apnea (grades III and IV favoring it):

His soft palate is Class 1.

The full paragraph that you quoted reads:
Case series have important limitations and provide the lowest level of evidence. A beneficial outcome after TE or ATE in 523 of 555 children is impressive. However, only three studies were considered by us as high quality. In one of these studies, TE was curative in only 66% of patients, but in 92% of patients in all the high quality studies together. Moreover, subgroups of patients may have been selected for the operations, and publication bias may be another important limitation for case series. Several of the case series lack information regarding follow-up or have a brief period of follow-up. Therefore, a firm conclusion on the effect of TE or ATE cannot be drawn based on these studies.
So it's saying that there were three high quality studies that point to TE being curative in 92% of patients. The caveat you pointed out refers to case series. Apparently there was only one high quality RCT that shows significant improvement.
Garavello et al. did a thorough diagnostic workup of all children included in their RCT, they applied strict diagnostic criteria for PFAPA, and there was a longer time of follow-up. They performed ATE on all children who underwent surgery and showed favourable outcomes for these children compared with the control group. Therefore, this study may serve as the best evidence for TE or ATE in children with PFAPA.
In the RCT by Garavello et al., 39 children with PFAPA were randomized to either ATE (n = 19) or expectant management (n = 20) groups [18]. Twelve of the children in the ATE surgery group had a prompt resolution of symptoms (63%), whereas only one child in the control group experienced spontaneous resolution during the 18 months of follow-up (5%) (p < 0.001). The mean number of episodes recorded during the follow-up period was 0.7 (1.2; SD) in the surgery group and 8.1 (3.9) in the control group (p < 0.001). The episodes were further described as less severe in the surgery group.
Alltogether it seems pretty promising. Our infectologist told us that she only had one case where a tonsillectomy didn't help. Parents who opt out of the surgery end up giving steroids for every episode.

This PFAPA syndrome doesn't seem to be an autoimmune issue.
Autoinflammatory diseases were defined as ‘conditions characterised by seemingly unprovoked episodes of inflammation, without high‐titre autoantibodies or antigen‐specific T‐cells
I don't think outcomes of kids who get tonsillectomies for other reasons necessarily apply to PFAPA.

Sometimes my tonsils would become so inflamed and swollen that I could barely breathe — it felt like I was suffocating. During those episodes, I would receive corticosteroid injections, and they would help me recover.
This is what I would really like to avoid.
On the other hand, over the past 15 years I’ve met many parents whose children had the same issue. Most chose to go ahead with tonsil removal surgery, and all of them said their kids felt much better afterward. The surgery is performed under general anesthesia, and the children are usually discharged the next day. From what I know, none of them experienced any side effects or complications following the procedure.
This is what I hear anecdotally, as well. Obviously, I can't know how true that is exactly. They may be more susceptible to infections than they would have been otherwise, but that might be a good tradeoff. I don't know.
 
So it's saying that there were three high quality studies that point to TE being curative in 92% of patients. The caveat you pointed out refers to case series. Apparently there was only one high quality RCT that shows significant improvement.
The point is that they can sell these surgeries very well on studies. It all sounds pretty on paper, but behind the scenes is all pretty biased. You can see good results even in people who thought they had a surgery, while they actually just had a placebo surgery with only a scar. Still, it's not black and white. Dr. Mary Talley Bowden, working in this field and famous for her stand during COVID, was interviewed by Joe Rogan and Tucker Carlson. She didn't agree with Bobbie Kennedy on the subject of "against tonsillectomies". The procedure often improved quality of life in children, particularly if there are sleep/respiratory disorders.
This is what I hear anecdotally, as well. Obviously, I can't know how true that is exactly. They may be more susceptible to infections than they would have been otherwise, but that might be a good tradeoff. I don't know.
See how your wife feels about the procedure. If both parents are reassured, the child would do much better.
 
Sorry to hear that, revolucionar. You got excellent responses. I'll just add this:

1- A name given to a diagnostic means nothing. Just see the numerous variants (symptoms) of a disease (syndrome). It has an interesting effect though: it impresses patients. It does'nt give the cause, but it makes the patient feel so ignorant, it incites him to be dependent of medical autority. A name doen't give the cause, it a group of symptomes.
You appear to have had a different presentation of symptoms to my son. I'm not sure if what you had would qualify, but if you didn't get those as result of infection I would say it's the same thing. My son doesn't have aphtous stomatitis at all, but does have really high fevers. That's the trouble. It's very debilitating and you need to keep giving him antipyretics every few hours to keep his temperature below 40 C. It went up to 41.1 once. It's pretty damn scary and he's a mess, of course.
Then, Yas could have the same, even if no infection have been found, given that chronic infections, or latent ones are not visible in testings. Moreover, testings are not always reliable (just see the false and negative results inherent to most testings. The more flagrant one being the PCR tests, that one being used to diagnose an recent and famous infectious disease, see the dedicated thread.)

2- Antipyretics do more harm than good. There have been many tweets from RFK about that. But, yes, if t° is up to 40°C, it's better to do something, begining with natural means: avoid hot blankets, place cold linen on the forehead, undress, IR lamp,. And antipyretics if that 's not enough. Below 41°C, fever is necessary, it's body's natural means to overcome a disease, because it allows some biochemical reactions necessary in the healing. A Midwestern Doctor explains it very well, I highly recommend to suscribe to his substack.

3- Tonsillectomy: in our modern area, it seems so inoffensive to remove some organs. It's an error. All organs are usefull. Surgeons say "Tonsills are no more useful after 3 years age, because there are other lymphoid organs taking over the immunity." They same the same thing for appendicectomy, for example. This is not correct. They miss the fact that these lymphoid organs are not only for immunity, each of them have another role in the body's integrity thus efficient healing.
Lymphoid organs (appendix, tonsills, adenoids, thymus, spleen, bone marrow, some tiny organs within the skin, or within fat who secretes the hormones leptin and greline, even within brain) are very important in communication inside our body. Communication is very important in a complexe system, be it our body, our society, our planet Earth, our solar system. Harm an element, and the body's integrity will be impaired. Often not visible now, but with consequences in the long term. Redfox cited gallblader in page 2. It's a good example because this organ not serves only for bile release but it also contains endocrine cells. I recommend you re-reading his post, so full of highly interesting info.

4- What if, let's say, just for the sake of the reflexion, such or such neurological progressive disease is more seen in those having had such or such organe removed? Will we believe that appendicectomy/ tonsillectomy/etc... increases risk to get an Alzheimer 60 years later?

4- Tonsills are a gate between outside and inside the body. When they increase, they send the message that harmful stuff enters : the gate closes, i.e. tonsills inflate, in order to prevent the stuff entering. You said your son doesn't eat bad stuff, but in our modern life bad stuff are so omnipresent. Examples: tooth past (not just fluor), sugar, even stevia is no more the natural one. Even in organic store there are still lots of undesirable stuffs. Just the label "organic bread " is a non sens, as iodine has been replaced since 1960 by the harmfull brome. Brome, like aluminium powder used as preservative in many foods, is present even in ethically grown cereals, as they add it into all flours in order to prevent flour maggots. Etc... The list is endless.

5- If one begins to remove tonsills because one can't bear seeing the kid being ill, then one will continue removing other organs later in life: adenoids, appendicectomy, etc. Sure, enlarged tonsills give sleep apnea, more or less bothersome. More than the sleeping test - there are naturally some apneas but now criterias have been changed and lots of people are labelled apneic - one should look at the clinical consequences like fatigue during daytime, which is not the case here (your son is even very active)

6- Surgery remains necessary in some cases. I'm not against it, at all. But at least half (even more) of surgical procedures are avoidable with adequate treatment and/or dietetic measures. You should read again the thread since page 1 because there have been lots of valuable responses.

7- Scars. Evey scar in the body creates a disruption in the body's integrity, thus ability to share information correctly between organs. info is through nerv cells, and also through immune cells, be it those in tonsills, in other organs, or in vessels (lymph, blood), cerebrospinal fluid, interstitium/fascia), vagal nerv ++. Then, you understand that information , Retro-control and regulation occur not exclusively in brain. Neural-therapy is based on this knowledge. All scars leave a disruption in body's integrity.
We're still too mecanistic and don't see the non visible domain of living beings.

When, your son will soon go to school, he'll get lots of "infectious" diseases, with or without tonsills.
I highly recommend again substacks like A midwestern doctor, or of Unbecoming 's.
 
I think that perhaps the reason why cordyceps helps with these types of conditions is that it is a potent immunomodulator and immunoadaptogen. If immune activity is high, it reduces it - if low, it increases it. If the immune system is stressed, cordyceps will stimulate the immune system in just the right way to respond to the stressor while lowering the levels of or inhibiting entirely the cytokines that are generated.

There are other herbs that are really good for managing inflammation, and look to be somewhat specific for your kid's symptoms. From Healing Lyme Disease Coinfections: Complementary and Holistic Treatments for Bartonella and Mycoplasma:

Red root [Ceanothus spp.] is an important herb in many disease conditions in that it helps facilitate clearing of dead cellular tissue from the lymph system. When the immune system is responding to acute conditions or the onset of disease, as white blood cells kill bacterial and viral pathogens they are taken to the lymph system for disposal. If the lymph system clears out dead cellular material rapidly the healing process is increased, sometimes dramatically. The herb shows especially strong action whenever any portion of the lymph system is swollen, infected, or inflamed. This includes lymph nodes, tonsils (entire back of throat), spleen, appendix, and liver.

[...]

[Japanese knotweed] - the world source for resveratrol. Good therapeutic outcomes were found in China in a clinical trial of the herb for 100 people with rheumatic arthritis, rheumatoid arthritis, lumbar hypertrophy, and osteoarthritis. The herb has been found to be especially effective in acute inflammatory diseases such as appendicitis, appendiceal abscess, tonsillitis, and pneumonia. In 45 people with pneumonia who were treated with the herb, body temperature dropped to normal in 24 to 36 hours.

[...]

[Bidens pilosa] - In China it is used for treating cardiac spasm, itching, gastroenteritis, appendicitis, colitis, irritable bowel syndrome, hemorrhoids, diarrhea, dysentery, difficulty swallowing, sore throat, tonsillitis, esophageal enlargement, jaundice, acute or chronic hepatitis, malaria, boils, abscesses, infections, fever, chills, joint pain, traumatic injury, sprains, swelling, contusions, rheumatoid arthritis, gastric and esophageal cancer, epilepsy in children, infantile fever with convulsions, malnutrition in infants, colds and flu, bronchitis, chest congestion, hemoptysis, allergies, lung irritation, pneumonia, insect bites, scorpion sting, and snakebite.

[...]

[Isatis] - The plant is specific for the onset symptoms of M. pneumoniae, especially those accompanied by maculopapular rashes, sore throat, laryngitis, and tonsillitis. It is specific for all mycoplasmal respiratory infections, will act on red blood cell infections, and protect from endotoxins in the blood. It is specific for the CNS problems attendant to mycoplasma infection: eye complications, encephalitis, meningitis, and CNS inflammations in general. The herb is systemically spread and will reach all parts of the body.

[...]

[Greater Celadine] - One human trial found it to improve cellular and humoral immunity and nonspecific resistance to disease, significantly reducing the number of recurrences in children of chronic tonsillitis. Another clinical trial found that it was effective in reducing severe abdominal pain when compared with placebo. A number of clinical studies (in the Ukraine) looked at the effect of Ukrain, an extract of celandine, in the treatment of cancer. It has shown beneficial effects in the treatment of bladder, breast, pancreatic, rectal, and colorectal cancers.
 
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