I believe that many department of Otolaryngology and ophthalmology doctors often have this experience, many children often have involuntary
I believe that many department of Otolaryngology and ophthalmology doctors often have this experience, many children often have involuntary cough, wrinkled nose, wink, sigh and other symptoms to the doctor, but often with rhinitis, pharyngitis, allergic conjunctivitis or as recurrent disease after treatment, but always can not be cured, or often repeated attacks. A large number of long-term medication, dressing change to the children's growth and development has brought no small impact. What the hell is going on?
In fact, this is a transient tic disorder in children - the early onset of facial muscle twitching or vocal tics and often the first visit to the Department of ENT or Ophthalmology, which is essentially a neurological disease. The disease has the following characteristics: 1 hyperactivity, but not ADHD, but energetic. 2 tic, on the face, often a wink, wrinkled nose, cough and other symptoms. 3 later will have Tourette syndrome. So early diagnosis is critical. In clinical often have the following characteristics:
1 parents are often very nervous, attention, often over asked the child, or to stop, we call "behavior enhancement", and many visits to the experience.
2 tics regularly, often playing, interactive activities, sleep, dry cough and other symptoms disappeared in the blink of an eye, the symptoms of idle or not, love to do again.
3 facial symptoms can occur at the same time, can also appear one by one, often as a bad habit.
4 the general examination is normal, no organic disease, the child's physical condition is generally good.
5 often in a short period of time to see a doctor, the doctor often misdiagnosed, eye doctor said "conjunctivitis"; Department of ENT doctor said "rhinitis", "pharyngitis"; the physician said "bronchitis"". But after repeated treatment, multidisciplinary medication has poor efficacy.
So what kind of disease is it? Transient tic disorder (TIC) is a mental disorder characterized by involuntary twitching of a group of muscles, resulting in rapid, involuntary movements and repeated. There are three reasons: first, the original has protective action (such as conjunctivitis, ocular foreign body caused by blinking, pharyngitis caused by phlegm, sound) will later become habitual action, due to the acquisition of copycat action, due to mental stimulation, psychological pressure, tension to vent. Transient tic disorder is the most common in children aged 4-10 years old, boys often see. Tic types are various, such as eyelid muscle twitch to wink, bared teeth, laryngeal muscle twitch caused sputum sound, neck and limbs twitch to head shaking, nodding, twisting the neck, arms, legs shake shake, it is usually first diagnosed in ophthalmology and Department of ENT.
So as a doctor of Otolaryngology, as well as the child's parents should be how to treat this disease? We should do the following:
1 to ease the psychological tension of the parents, don't pay too much attention and repeatedly reminded the children's tic action, take "weakening" treatment should be the action that don't ask tic, or simply let it concern restraint, studies show that the interaction of relaxation contribute to weakening tic behavior.
2 for the first visit to the doctor should be aware of the disease, at least can be done to guide the parents of children to the correct neurology clinic. Or simply "conjunctivitis, pharyngitis, rhinitis treatment, not only has no effect, but a long time, the habits of tic symptoms will remain, drugs must be used to control the mental illness.
In the early 3 "behavior weakening" treatment, supplemented by oryzanol + vitamin B1 in short-term oral treatment, in late, once has the tendency of TiC long habits, should be timely to the clinic of Neurology, medicine to interrupt "vicious spiral", alternative medicine with haloperidol, tiapride, diphenhydramine etc..
In short, the disease need doctors, parents, children of mutual exchange and communication, can be effective in diagnosis and treatment of a mental disease, for children with symptoms, using a biopsychosocial model of 3D medical treatment, doctors have treated "disease", can effectively treat cure "disease".