Diagnosing Prader-Willi Syndrome at Cleveland Clinic Children’s
Prader-Willi syndrome starts from a random genetic change (mutation). It happens in a specific chromosome — chromosome 15. Most people have two copies of this chromosome — one from each biological parent. But a mutation can cause problems with this pair of chromosomes. One might not work. Or it might be missing entirely. And when that happens, the genes in the chromosome can’t tell the body how it’s supposed to work.
When your child has PWS, their metabolism takes the hit. As babies, they may struggle to eat. But as they grow, they may want to eat everything they see. This usually happens between ages 2 and 6. And it can increase their risk of having obesity, diabetes and other health conditions with their endocrine system and hormones. You may also notice signs like:
- Weak crying like a baby
- Weak muscle tone
- Short height and small hands and feet
- Long, narrow head and triangular mouth
- Underdeveloped genitals
- Behavior problems like temper tantrums and emotional outbursts
- Learning, thinking and developmental delays
- Obsessive or compulsive behaviors
- Sleep problems
What to expect at your child’s first visit
When you come to your child’s first appointment, you’ll want to be prepared to answer questions about their symptoms, eating habits and behavior like:
- When did you first notice the symptoms?
- How long has your child been feeling this way?
- How are these symptoms affecting their life?
During this visit, their provider will do a physical exam to look for physical signs of PWS or similar conditions. And they’ll order a genetic blood test to help confirm a diagnosis.
Meet Our Prader-Willi Syndrome Team
Diagnosing and managing Prader-Willi syndrome takes the expertise of providers from different specialties. Your child’s care team may have:
- Pediatric endocrinologists
- Pediatric nurse practitioners
- Pediatric registered dietitians
- Pediatric genetic counselors
- Pediatric social workers
- Child life specialists
0 Providers Who Treat Prader-Willi Syndrome
Locations
Our healthcare providers see patients at convenient locations throughout Northeast Ohio.
Treating Prader-Willi Syndrome at Cleveland Clinic Children’s
Your child’s personalized treatment plan will focus on managing PWS symptoms and avoiding complications.
Feeding support
For babies who struggle with feeding, we may recommend using special bottle nipples to help them get enough nutrition. For children who eat too much, we can help you manage what they eat with a nutritious, low-calorie diet plan.
Medications
Your child’s care team may prescribe medications to increase certain hormones affected by PWS. What they’ll take depends on whether they're a boy or girl. Your provider will talk about the medication options with your family.
Therapies
We may also recommend that your child see physical, occupational and speech-language therapists to help with delays. You’ll also likely meet with a dietitian who’ll work with you to plan meals that can help manage your child’s eating. We also offer mental health counseling for you and your child if needed.
Taking the Next Step
Because PWS is a lifelong condition, you and your child will always manage it. But you don’t have to do it alone. Cleveland Clinic Children’s has the personalized support and care you need. And when your child outgrows pediatric providers, we’ll help them move into adult care at Cleveland Clinic. You can rest easy knowing they’re in good hands every step of the way.
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Getting an appointment with one of our Prader-Willi syndrome experts is easy. We’ll help your child get the care they need.
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