For example, you should not apply heat to a new injury that might be swollen or bruised. The heat will simply cause additional swelling and ice would be a better solution. The accepted rule is to use ice for the first two days following an injury, after which you can then apply heat safely.
Updated PANDAS signs and symptoms. (1) Pediatric onset. The first symptoms of PANDAS are most likely to occur between 5 and 7 years of age. Symptoms can occur as early as 18 months of age or as late as 10 years of age. If the first clinically recognized episode is detected after the age of 10, it is unlikely true initial episode, but the recurrent one.
A child may be diagnosed with PANDAS when: 1  Obsessive compulsive disorder (OCD) and/or tic disorders suddenly appear following a strep infection (such as strep throat or scarlet fever); or. 2  The symptoms of OCD or tic symptoms suddenly become worse following a strep infection.ANDAS is considered a pediatric disorder and typically first appears in childhood from age 3 to puberty. Reactions to strep infections are rare after age 12, but the investigators recognize that PANDAS could occur (rarely) among adolescents.