Question: Female, 66 years old, unknown subtype My sister has been on 5mg Lorazepam 2 times a day for anxiety for ten years. Since this drug was added to her regimen her behaviors have been manageable with few periods of aggression. In the past she has been extremely out of control, even to the point...
Category: Ask Nurse Lynn
Ask Nurse Lynn: Weight Gain Health Concerns
Question: Female, 22 years old, Deletion subtype My daughter is 22 and has hit 375lb. I feel helpless. She is diabetic and we have struggled to get it under control. She has been on Ozempic for a few years now and has not lost any weight, but her sugars levels have come down some. Should...
Ask Nurse Lynn: When to Start Growth Hormone
Question: Male, 5 weeks old, Deletion Our baby was diagnosed with Prader-Willi Syndrome at 3 weeks old. He is 5 weeks old, in the NICU. My family has been reading about how important growth hormone treatment is. We want to get our baby started on it but not sure if he is too little. Should...
Ask Nurse Lynn: Excessive Sexual Behaviors
Question: Male, 15 years old, unknown subtype Hi there, Nurse Lynn. I have to ask this question; my son is 15 and he is constantly masturbating! I mean, I know teenage boys do this. It just seems an extreme. Should I be worried? Nurse Lynn’s Response: Obsessive-compulsive-like tendencies are common in individuals with PWS. These...
Ask Nurse Lynn: Seizures
Question: Female, 40 years old, Deletion subtype My daughter had 2 seizures 15 years ago. The doctor wants to now take her off all preventive meds. How do we know if the meds are preventing seizures? She is scheduled for a 3-day EEG next week and has reduced her meds by 50%. We have lost...
Ask Nurse Lynn: Anesthesia Concerns and Dental Procedure
Question: Female, 38 years old, Deletion subtype Our daughter has significant dental issues and needs to have multiple procedures. The dentist has recommended that we tackle the issues all at once in a hospital setting with anesthesia. I am immediately concerned by all the possible complications but also recognize the need to try and save...
Ask Nurse Lynn: Medications and Mental Health
Question: Male, 35 years old, Deletion subtype My son has been on the same meds for 25 years through the PWS institute in PA years ago: Trileptal 300mg x 2 a day and lithium 150mg x 2 a day. About a year ago he started having more aggression and more outbursts, so his doctor started...
Ask Nurse Lynn: Emergency Information Folder
Question: Female, 22 years-old, Deletion Does the association have a letter or document of some type that could be given to a doctor in an emergency situation, in order to give them a quick understanding of PWS and the potential medical impacts? Perhaps it could even be attached to a PWS patient’s medical record so...
Ask Nurse Lynn: Life Expectancy and Aging Concerns
Question: Male, 25 years old, Deletion subtype Our son has gained 45 lbs. in the last two years since living on his own (now 220 lbs.). He is independent and successfully holds down a job and has an apartment. Two questions: 1. We recently read that the average age of death is still 30 years...
Ask Nurse Lynn: Aging in PWS
Question: Female, 62 years old, unknown subtype My sister has PWS. We live in Quebec Canada. There is so little information about how people with PWS age. We have reduced her meds recently due to aging (Bupropion by half and she is now taking Lorazepam to handle side effects). She takes medicine due to pre-diabetes....
Ask Nurse Lynn: Systemic Inflammatory Response Syndrome
Question: Male, 47 years old, Deletion My son was diagnosed with S.I.R.S after a fall sent him to the hospital with chest pain. His white blood count was very elevated. I know P/W kids get lots of weird diagnosis but how common is this one? Systemic inflammatory response syndrome is a mouthful. Nurse Lynn’s Response:...
Ask Nurse Lynn: Bowel Movements and Picking
Question: Female, 22 years-old, Unknown subtype I’m concerned about gastroparesis. I give my daughter one stool softener a day. Ok with her doc. She does not empty her stomach without picking at her bottom to stimulate. How do I address this issue? Nurse Lynn’s Response: This is actually very common for our individuals to rectal...
Ask Nurse Lynn: Urinary Tract Infection in Female Infant
Question: Female, 6 months old, UPD My 6mo old tested positive for a UTI today (culture result: Klebsiella pneumoniae). She has no other symptoms besides occasional foul-smelling urine. One concern is the duration that the infection has gone untreated. I first noticed her urine about 2 weeks ago but second guessed for a while until...
Ask Nurse Lynn: Food Anxiety
Question: Male, 33 years-old, Deletion My son is mostly behaving, and he is not aggressive. However lately he gets up in the morning upset, anxious, and wants more food. For the rest of the day, he is OK. He used to take Cipralex. He does not want to take it anymore. Not that I have...
Ask Nurse Lynn: Help with Bowel Movements
Question: Female, 40 years-old, Deletion Not every time, but a lot of the time, my daughter will feel like she needs help with her bowel movements, and she feels the need to reach in her rectum to complete the movement. She knows this is not good but worries that if she doesn’t it will come...
Ask Nurse Lynn: Medication for Blood Pressure and Anxiety
Question: Male, 25-years-old, unknown subtype Son, aged 25, was previously taking Propranol for blood pressure and anxiety. We were noticing increased anxiety and PCP just switched him to Lisinopril and Venlafax ER 75. Are these 2 meds found to be safe for patients with PWS?? Nurse Lynn’s Response: Unfortunately, your question is more complicated than...
Ask Nurse Lynn: Puberty in Females
Question: Female, 17years-old, UPD 2 Questions for you: It’s about myself for my knowledge of my condition. How many times out of ten do people with my disability start their period by themselves? And if they don’t start on their own after you take medicine to induce it, will they start on their own the...
Ask Nurse Lynn: Heat Rash
Question: Male, 3 years-old, Deletion Our son gets a rash every single time he has a fever. This started this year, and he has now been sick three times. Is this common for PWS children? He also turns red and appears to have a rash with warmer baths, but the redness subsides after about an...
Ask Nurse Lynn: Oxygen, Weight Loss, and Adult Doctor
Question: Male, 29 years-old, UPD My son is currently on oxygen and is having several health issues.Our biggest concern is weight loss and finding a Dr in Florida who can help him as an adult with PWS. Nurse Lynn’s Response: Here is a general rule of thumb for weight loss for our folks: To maintain...
Ask Nurse Lynn: Burping and Abdominal Complaints
Question: Female, 35 years-old, Deletion For quite a while now, my daughter has occasional spells of burping and complaints about pain in her lower abdominal region. We have been to the Gastro doctor, and my daughter was put on Famotidine and Omeprazole. At this time, she is only on Famotidine, because it didn’t seem like...
Ask Nurse Lynn: Bowel Movements and GI Concerns
Question: Male, 2.5, UPD My son has had a decrease in appetite (eats breakfast and lunch but not dinner) but has been drinking regularly the past two days. His BMs are a lighter brown/tan/beige color, and he has had smelly gas. His stomach at night looks slightly distended but is gone by morning. The stomach...
Ask Nurse Lynn: Testosterone Injections and Hypogonadism
Question: Male, 41, Deletion Our son is getting a new housemate, male, age 43, also has PWS. He’s getting testosterone injections biweekly. No doctor has ever suggested that to us for our son. What are the benefits and what are the concerns of testosterone injections in adult male PWS individuals? Thank you! Nurse Lynn’s Response...
Ask Nurse Lynn: Getting Back on Track with Weight
Question: Female, 33, Deletion My daughter went through several programs of weight loss in Pittsburgh. Their program saved her life. They don’t offer that program anymore. Are there any other programs that can help us with her weight? She’s very heavy again. When Covid hit, it got out of control again and I feel like...
Ask Nurse Lynn: Confabulation
Question: Male, 38, Deletion I have a question about what I think is confabulation. My son occasionally says things that are just not true, and I don’t really know how to respond. I don’t want to argue with him, but I do want him to know that what he said is wrong. The first time...