Hi there, wasn't very sure where else to get advice from. To cut a long story short, my son was diagnosed with symptoms of hypermobility in his legs octoberish time last year as he was always refusing to walk, even as far as the toilet, saying his legs were sore and wanted carried everywhere etc. The physiotherapist said he was bendier than average but only in his legs and an instep in his shoes seem to have helped with the pain. His movements have always been a bit jerky (if that makes sense? Not just in his legs either) but we put it down to the hypermobility.
He has also always had issues with making eye contact, his speech is under developed so although he can speak he either speaks in a really tiny voice and in broken sentences, or in a very loud voice but his speech is very unclear. The speech therapist said that it'll just be because my eldest talks so much that he never used to get a word in edgewise but it's still not sorted itself out now that she is told not to speak for him and she has to wait her turn to speak etc.
He doesn't really play with toys, prefers to sit and watch tv even though he's limited to two hours broken up over the day (was necessary to enforce a time limit as he would sit all day if he could). He frequently looks lost and listless and sad, the doctor said that was most likely just a phase he is going through but he has been like this for a couple years now (He used to be such a smiley happy wee boy!) He does still laugh and seem happy if I interact with him (which I do frequently) but for the most part he just looks lost and listless if left on his own.
He is constantly hungry, I swear he has hollow legs. Doctor said he just takes this after his dad though, fast metabolism and it doesn't really worry me, just adding it in case it is relevant. He has never settled into nursery, still forces himself to throw up to try get out of going. HE was originally in a large nursery but at the start of this school year we moved home and there was a smaller nursery closer which is linked to the primary school he will go to next year. He doesn't make friends, prefers to sit by himself or play by himself (though he does like playing with his older sister and me). He is a very quiet boy who is isolating himself from everyone apart from me and his sister.
And most recently, what has been worrying me the most has been that although he has been using the toilet on his own since he was three with no accidents or problems and has been dry through the night since he was three too he has suddenly started wetting the bed at night, wetting himself several times throughout the day even with constant reminders to go to the toilet and for some reason has started pooping in his bedroom (not in his underwear, actually pulling down his pants and trousers and pooping on his bed or down next to it. I thought it was the cat until I caught him in the act).
He also licks everything, from the insides of public bins to other children to the grass. I've shown him child friendly videos of germs and bacteria and what it can do to him an dhow it makes him sick but that just seemed to encourage him.
I've tried very hard to not make a big deal of things, tell him it's ok and not to worry etc but that seemed to have had no effect on him so I tried to tell him off for it but he just cries and runs away as soon as he thinks you're not happy with him. He's a very sensitive boy emotionally, cares very deeply if I am happy or not etc and the same with his sister, even cares about the cat a lot, but doesn't care about anyone else, not even someone he would call a friend.
He hates loud noises, is terrified of basic things like hair driers or the washing machine, hoover etc, right to the point where he will stand with his hands over his ears crying. The doctor also said that this was normal but I have never seen another child react like that at his age.
I'm sure there's other things that I am forgetting but I can't think straight right now. I'm just very worried about him and don't know what to do or where to go for advice. All I seem to get told by the doctor etc is that it is normal but it is seriously impairing his life and I know you shouldn't compare a child to other children but he really isn't like any other child I know of both in his social functions and developement.
Hoping that someone is going to come along and tell me that I'm being overly dramatic and finding problems where there is none though! Sorry for such a long post.
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Behaviour/development
Very concerned about my four year old
MissingTheMissletoe · 21/12/2015 18:03
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Thanks for elaborating OP, that was interesting to read. Upset at changes in routine (as Hurr1cane said, inflexibility of thought) are also common in Autism.
IMAGINATION and autism is something people get confused about. It does NOT in any way mean DC have difficulty being imaginative in the usual sense, that criteria refers to SOCIAL imagination ie. The ability to understand what others are feeling and to infer meanings / read between the lines when somebody is talking.... So nothing whatsoever to do with an overactive or underactive imagination. Hurr1cane 
So OP, I think you ought to ask the GP for a referral to the Paed. Plus I think you ought to see a different SALT, they sound shit! No point in seeing the health visitor, this is outside of her remit. You need a Paed to assess and diagnose.
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