Thank you for the information, sorry it took me so long to get back here. You mentioned sensitivity to noise and it made me think a bit more- whenever the phone would ring he would cover his ears. I never asked if it hurt his ears but will make sure to do so next time it happens. He has no issues with loud places such as malls. We will have the Dr. check his ears and hearing since he has to go in for a physical before starting school in the fall. Thanks again for all of the advice and I am slowly getting through the articles recommended!