Wondering if dgd has ocd

She sounds similar to my GD, she has Aspergers, and is also gluten intolerant. The intolerance means her joints ache and she gets terrible stomach cramps.

My gd had many of the symptoms you described. A few years ago she had a spell when she washed her hands constantly and if we were out she constantly carried and used a small bottle of hand sanitiser. Her hands became raw and cracked and we all just tried to treat it as normal. She too cleared her throat constantly and had other ‘habits’. Eventually she went for therapy as it was affecting her life and was accepted by CAMHS for ongoing treatment. At present she is on medication and is happy to talk about her anxieties with family, friends and school staff as well as therapist. She is only 12 but getting help has helped tremendously.

It's a stage in understanding the ordering of the world and children seem to grow out of it once they understand what can be changed, what should be changed and what cannot be changed and just accepted / worked around.

She does sound rather anxious and to be told not to get dirty by her daddy won't be helping.
One of my DC was extremely tidy at that age, liked everything lined up in order. If she was reading to me and made a mistake with a word, she would then insist on going right back to the beginning of the page to start again!
She grew into an extremely untidy teenager and a fairly relaxed adult.

Perhaps your DIL could have a chat to your DS and they could agree that him taking a relaxed attitude could help.
I would not make too much of it at the moment, but keep an eye on it especially when she returns to school in case that could be causing some anxiety.

One of my DGSs went through a phase like this - change of any sort caused him great problems; and he had habits like licking his lips till they became sore. He also had dreadful separation anxiety when parting from parents. He is 10 now and it all seems to have subsided.

He is a very intellectually gifted boy and I suspect that some bright children are able to imagine disaster in an advanced way but do not have the experience of life to get their worries in proportion. Eventually the two catch up with each other as seems to have happened with him.

I think we are all at some point on the autistic scale and labelling does not seem very helpful unless the problems are seriously spoiling a child's life and interventions are needed.

My eldest Grandson used to display those sorts of characteristics. From a very young age he would lay out all his toys in a perfectly straight line and in order of size. His bicycle would have to be parked in a certain place in the garage -always reversed into its space. He also used to get upset when his clothes were dirty and took them off immediately. He would get frantic if his hands were dirty and would be very upset until we washed his hands.
We put it down to the fact that his father was away for months at a time (in HM forces) and they had gone through several house moves. At the age of two they emigrated to Canada and after several more house moves his parents split up and his Dad suffered a breakdown.
This was all before my DGS was 6 years old!
A year after the breakdown and no more house moves he is much more settled and doesn't seem to display the OCD behaviours any more.

I would suggest your dil keeps a diary record of her daughters traits as although they may appear fairly trivial and might change over time, it would be helpful should it be necessary to seek advice in the future.

It is also worth speaking to the school to see how she acts there and how she interacts with the other children.

Although she is still young, sometimes early interventions are important for future development and as both you and her parents have concerns, I certainly think you all need to observant.

Advise your daughter to discuss it with the school; six sounds young for a diagnosis, and it depends on whether her behaviours are pervasive; if they occur at school, and are a cause for concern. then they can be observed and recorded and possibly investigated.
Don't attempt to label on the basis of an internet diagnosis; the Telegraph today has an article: 'Over-diagnosis could mean we are all being classed as being autistic.' reporting on research which suggests that the bar for diagnosing autism is 'trivialising the condition.' I know you are concerned about OCD, but the same concerns apply. She sounds as though she is imitating the behaviour of her father.

Yes I agree with twiceasnice your granddaughter does sound anxious but may just be a phase. Try not to let her see your concerns and be relaxed around her. If her parents continue to be worried about this behaviour then talk it over with GP or Health Visitor. Don't consult
Dr Google.

She sounds rather like my daughter when she was a child. Her bedroom was organised in a particular way. If I moved things when I was dusting, they had to be put back to their exact positions.
She couldn't abide her hands being dirty or sticky, even from very young she would come to me saying "hands,hands", to have them washed.
She grew up, went to university, married and has four children. Just recently she had herself assessed, and diagnosed with high functioning autism.
I'm not saying your granddaughter is autistic, but there are some sensory processing traits in your post.
Time will tell, she is very young and may well grow out of her behaviours as she grows up.

Sorry, here is a link about it

www.healthline.com/health/pandas-syndrome#symptoms

Your GD does sound a bit anxious. The behaviours at the table, rearranging objects etc does have OCD characteristics but she is very young for this to be starting. I would give her a lot of reassurance about all she is doing right/well. Telling children they must not get dirty is not a good message. She’ll worry about keeping clean to please dad rather than enjoying what she’s doing.

As she is in school what has school noticed? Would be good to get their opinion, also how is she when visiting other houses, is it the same or different.

If it continues or gets worse you may think about speaking to your GP but she may outgrow it , don’t make a big thing of it and wait and see. Do you think she is generally anxious, some children are as part of their personality, some are not

Any concern that you both have should be investigated. A friend's 7 year old has just been diagnosed with Tourette's, but now it seems she has PANDAS, which I had never heard of, but seems to be an autoimmune reaction to a strep sore throat, and causes similar OCD type symptoms. Might be worth getting a blood test done?