This does indeed sound like a simple motor tic. Often these come and go for no apparent reason. I agree with Lainey that you should bring him to your pediatrician. You will be asked if he has demonstrated any other motor tics or even vocal tics -- such as grunting, snorting, throat-clearing or other involuntary noises. Although most children with motor tics do not progress to have vocal tics, the combination can suggest Tourette Syndrome. Tourette is also seen commonly in kids with ADHD and/or Obsessive-Compulsive Disorder.
IIn general, tics are worst when kids are tired or stressed. Children with tics have little control over them. Medicine is used only when they are severe enough to interfere with functioning. There are therapy techniques to help treat tics as well. Good luck.View Thread
If she is wetting herself AND soiling herself during the day but not at home, there is a high probability that this is behavioral, and not a medical problem. You should explore if there are any fears about the bathroom at school. You should also implement a behavior chart to reward days without accidents. Lastly, you can try to build in bathroom breaks from a preventive standpoint -- typically after meals or every 2 hours untilshe can maintain herself without accidents. You should review your concerns with your child's doctor. You need to consider if there are any new stresses (if this represents a change from a period when she was previously without accidents) and you need to be sure there are no other areas of regression developmentally -- such as clumsiness or other motor problems. Your doctor may want to do a urine culture, but this is liekly to be normal if she is wetting and soiling herself. Good luck.View Thread
Medication is generally part of the solution, not the problem. Confront the problem: neither ADHD nor Bipolar Disorder is going to go away. In fact, if left untreated, either will likely cause more impairment over time. For ADHD, there are non-medication treatment approaches, especially at age 7. Medication for ADHD is generally safe and effective. Keep in mind that there are hundreds of thousands of children on medication for ADHD -- and each of these parents continues with the medication because he or she feels it is doing more good than harm for their child and that it is worth it.View Thread
Gaze avoidance can reflect shyness in a child who is otherwise completely social and appropriate with peers and familiar adults. On the other hand, if there are issues with lanaguage and/or play skills, or if your child has unusual interests or reptitive behaviors, then I would encourage you to confer with your pediatrician and possibly see a developmental pediatrician since gaze avoidance in the context of these other signs is suggestive of a more significant and posisbly "pervasive" developmental disorder. Good luck.View Thread
I would be very cautious regarding a presumptive diagnosis of bipolar disorder for your 7 year old -- even if there is a family histroy in the father. Bipolar disorder is a very tricky diagnosis to make in children, and for this reason, I would agree with the recommendation to seek out a well-respected child psychiatrist. Many of your son's symptoms could just as easily be explained by ADHD and/or an adjustment disorder, and 7 is the typical age at which ADHD Or a learning disability may first present from a school standpoint. Counseling with respect to behavior management and the divorce would likely be helpful. If ADHD is diagnosed, then medication may also be very helpful. Do not rush to a diagnosis of bipolar disorder because it could be a serious mistake. I might even go so far as to suggest getting a second opinion if the first consultant believes your child has bipolar disorder. My carpenter once told me a saying in his field: measuring twice and cutting once is better than measuring once and cutting twice. I would extend this aphorism to the idea of "measuring" a child up for the diagnosis and treatment of bipolar disorder. Good luck.View Thread
Believe it or not, a small number of children are genetically disposed to delayed night-time dryness -- with "nocturnal urinary continence" not being achieved until the teen years. In these cases, there is usually a family member (parent and/or a sibling) who also did not achieve continence until late. Assuming this is not regression in a child who was previously dry at night for years, you may want to put less pressure on your daughter if you think it could be genetic. If you want to pursue trying to achieve dryness, you should confer with your pediatrician or a behavioral psychologist about using a behavior modification program in conjunction with an alarm system. These affordable devices signal to the sleeping child when they have started to have an accident. Nightime wakening is usually a parent's first approach, but it is seldom adequate or ideal. There are medicines that can achieve dryness quickly, but you need to continue using them to maintain the benefits. I would not recommend using medication unless it is specifically for isolated events like sleep-overs or other times when social stigma could be embarrassing. Good luck.View Thread
Is she actually pooping into the sheets? Can your daughter explain why she pulls of the pull-ups? (Eating a pull-up is pretty unusual behavior; how does she explain this?)
Normally, the best way to train a child for BM's is to take advantage of the gastro-colic reflex - which is the body's natural urge to make a BM after a meal. Experts recommend having you daughter sit on the toilet for 5-10 minutes while you engage in an enjoyale activity like telling her a story or reading a picture book. You can also create a positive incentive with some small gift-wrapped items -- such as trinkets from a party store. Edible rewards can also be effective.
One other option: assuming she is not just soiling on the sheets and that you can get her to accept the pull-up (again with praise and rewards), you could just wait a few months and then try again in 2-3 months.View Thread
In medicine, we say "never say 'never'." I would suggest the same admonition when it comes to MIL-bashing and a presumption they are always wrong. Mothers and fathers should seek guidance from a multitude of trusted and knowledgable sources. (Good intentions are not enough). Weigh your options, reach out to experts, and proceed -- sometimes with action and sometimes (as in this case) to get information from a more appropriate specialist.
I am glad you live in a major city. A pediatric endocrinologist will definintely be able to give you the guidance you need. Until then, follow the very first suggestion in my post above.View Thread
It is impossible to know how long his medication should be lasting. Typically, Ritalin tablets last about 4 hours, Ritalin SR tablets last about 6 hours, Ritalin LA capsules last about 8 hours, Focalin XR capsules last about 10 hours, and Concerta caplets last about 12 hours. Of course, these are just averages, and there is considerable variability among children.
If you think the medication has worn off, you can ask your doctor about either changing the morning medicine to something that would last longer, or you could ask about adding a short-acting pill in the afternoon on an as-needed basis. (If your child has difficulty swallowing pills, they also make a lqiuid and chewable form of short-acting Ritalin formulation called Methylin.
Good luck, and let me know if you need more info about meds.View Thread