Diet and nutrition play a pivotal role in managing the symptoms of PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections).
Here’s how they impact these conditions:
Improving the Gut Microbiome:
The gut microbiome is closely linked to mental health and behavioral conditions. A balanced diet, rich in a variety of nutrient-dense foods, promotes healthy microbiota which in turn stimulate the immune system, break down toxic food compounds, and synthesize essential vitamins and amino acids required by the brain and nervous system.
Anti-inflammatory Foods:
Incorporating anti-inflammatory foods like fatty fish, leafy greens, berries, nuts, and seeds can alleviate symptoms of PANS and PANDAS by reducing inflammation.
Promoting Good Bowel Health and Regular Stool Elimination:
Maintaining a healthy digestive system is crucial for individuals with PANS and PANDAS, as it helps in the proper elimination of toxins from the body. A balanced diet rich in fiber from fruits, vegetables, and whole grains, along with adequate hydration, can promote regular bowel movements and support good bowel health. Additionally, probiotic-rich foods like yogurt, kefir, and fermented vegetables can foster a healthy gut microbiome, further aiding in digestion and toxin elimination. Engaging in regular physical activity can also promote bowel regularity.
Enhancing Cognitive Function:
Diets high in antioxidants, omega-3 fatty acids, and B vitamins, such as the Mediterranean Diet, have shown to improve brain functioning, impacting attention, memory, and processing capabilities1.
Improving Mental and Behavioral Health:
Reducing inflammation through an anti-inflammatory diet, especially a Mediterranean diet, can decrease anxiety and depression, stabilize blood sugar levels, counter mood dysregulation, and lessen the effect of stress on the brain1.
Affecting Neurotransmitter Function:
Diet can influence neurotransmitter function by regulating neurotransmitter pathways, synaptic transmission, membrane fluidity, and signal-transduction pathways, which are crucial for maintaining a balanced mood and cognitive function.
Reducing Inflammation:
Foods rich in polyphenols found in plant foods like fruits, vegetables, herbs, spices, tea, and dark chocolate have been found to reduce inflammation, which is essential in all PANS/PANDAS treatment plans.
Addressing Food Refusal and Restrictions:
Some children with PANS and PANDAS may exhibit food refusal and restrictions which are similar to symptoms of avoidant/restrictive food intake disorder (ARFID). Addressing nutritional needs while navigating these challenges is crucial for managing symptoms.
Consulting Nutrition Professionals:
Consulting with registered dietitians like Vicki Kobliner, who specializes in nutritional interventions in PANS/PANDAS, can provide personalized dietary advice and interventions to manage symptoms and improve quality of life.Diet and nutrition are integral components of a comprehensive treatment plan for individuals with PANS and PANDAS. By focusing on a balanced and nutrient-dense diet, individuals and their families can work towards managing symptoms and improving overall well-being.