Managing Shoulder Pain: Insights on Pediatric Neurological Concerns

Q: Managing Shoulder Pain: Insights on Pediatric Neurological Concerns

Hello： To avoid excessive lead absorption from the environment, consider the following recommendations： <br>1. <br>Use safe tableware for serving food, avoiding decorative dishes and brightly colored utensils to prevent lead from colored pigments leaching into food.<br>2. <br>For

Shoulder pain?

The otolaryngologist conducted a blood test for my son, who is a premature baby.
He suggested that my son undergo detoxification for lead for one year and take his supplements for one month.
He mentioned that the dosage for epilepsy can be reduced by 1cc; currently, my son is taking a total of 6cc.
He experiences seizures approximately every 2 to 3 months, and it has only been a month and a half since his last seizure.
Should I follow the recommendations of the otolaryngologist? The supplements he prescribed include B6, probiotics, and perilla seed oil.

Quan, 20~29 year old female. Ask Date: 2020/05/22

Dr. Jiang Junyi reply Neurology

Hello: To avoid excessive lead absorption from the environment, consider the following recommendations:
1.
Use safe tableware for serving food, avoiding decorative dishes and brightly colored utensils to prevent lead from colored pigments leaching into food.
2.
For utensils that come into contact with food, it is advisable to purchase those without colors or patterns, preferably selecting white and smooth items.
3.
Avoid using lead-containing crystal products.
While using them for plain water does not pose a risk of lead poisoning, using them for wine, acidic beverages, or food can cause lead to leach into these substances; the longer the contact time, the higher the lead content.
4.
The printed colors on candy wrappers or disposable chopsticks may contain lead risks.
5.
When using food bags, ensure that printed text, images, or trademarks do not come into direct contact with the food.
6.
Limit the use of brightly colored straws, as they may have a higher risk of containing lead and are not easily metabolized by the body.
7.
Consider selectively consuming foods that help eliminate lead, such as those rich in calcium, iron, and zinc.
These minerals compete with lead for absorption in the gastrointestinal tract, so consuming more calcium, iron, and zinc-rich foods like soy products, meats (beef), eggs, liver, milk, and shrimp shells is beneficial.
Protein-rich foods, such as soy products and eggs, can form soluble compounds with lead, thereby preventing its absorption in the body.

Additionally, consume foods high in vitamin C.
It is advisable to consult a pediatric neurologist regarding the use of antiepileptic medications.
Do not arbitrarily reduce the dosage of these medications, as a child's weight naturally increases with growth, leading to a decrease in blood medication levels.
It is recommended to discuss treatment options with a pediatric neurologist.
Wishing you good health, peace, and happiness.
Dr.
Tao cares about you.

Reply Date: 2020/05/22

More Info

When it comes to managing shoulder pain in pediatric patients, especially those with a history of neurological concerns, it is essential to take a comprehensive and multidisciplinary approach. Your son’s early birth and the subsequent medical advice from an ENT specialist regarding detoxification and dietary supplements raise several important considerations.

First, it’s crucial to understand that children, particularly those who are premature, may have unique health challenges that can affect their overall development and well-being. The recommendation to detoxify from lead exposure is significant, as lead toxicity can lead to various neurological issues, including cognitive deficits and behavioral problems. If there is a suspicion of lead exposure, it is vital to follow through with appropriate testing and interventions. The use of supplements like vitamin B6, probiotics, and perilla seed oil may be beneficial, but their efficacy should be evaluated in the context of your child's overall health and specific needs.

Regarding the management of your son's epilepsy, it is essential to consult with a pediatric neurologist rather than solely relying on the advice from an ENT specialist. While ENT doctors can provide valuable insights into certain health issues, epilepsy management typically falls under the purview of neurologists who specialize in seizure disorders. The reduction of medication dosage should be approached cautiously and under the guidance of a neurologist, as abrupt changes in medication can lead to increased seizure frequency or severity.

The frequency of your son's seizures, occurring every two to three months, suggests that his condition may be somewhat stable, but this does not mean that it should be taken lightly. Regular follow-ups with a neurologist are crucial to monitor his condition, assess the effectiveness of his current medication regimen, and make any necessary adjustments. It is also important to discuss any potential side effects of the medications he is taking, as well as the implications of reducing his dosage.

In terms of shoulder pain, it is essential to consider whether this discomfort is related to his neurological condition or if it stems from other factors such as posture, physical activity, or even stress. Children with neurological issues may have muscle tension or discomfort due to altered movement patterns or compensatory behaviors. A thorough evaluation by a pediatric physical therapist may provide insights into any musculoskeletal issues contributing to his shoulder pain. They can develop a tailored exercise program to improve strength, flexibility, and posture, which may alleviate discomfort.

Additionally, it is worth exploring whether any emotional or psychological factors are contributing to your son's pain. Children with chronic health conditions often experience anxiety or stress, which can manifest as physical symptoms. Engaging with a child psychologist or counselor may provide support in managing any emotional challenges he may be facing.

In summary, while the advice from the ENT specialist regarding detoxification and supplements may have merit, it is crucial to involve a pediatric neurologist in your son's care for his epilepsy management. A multidisciplinary approach that includes input from neurologists, physical therapists, and mental health professionals will provide the most comprehensive care for your son. Regular monitoring and open communication with all healthcare providers involved in his care will ensure that he receives the best possible support for his health and well-being.

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