What is this condition?
My daughter, who is 9 years old, has been exhibiting a symptom for about a month.
She first widens her eyes, wrinkles her nose, takes a deep breath, then rapidly blinks 5 to 6 times, pauses for a second or two, and repeats the same actions.
This occurs throughout the day and only stops after she goes to sleep at night.
Could you please tell me what this condition might be and which specialist we should consult? Thank you.
Liu, 30~39 year old female. Ask Date: 2006/05/11
Dr. Lin Huizhen reply Pediatrics
Dear Liu,
This is Dr.
Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare.
Based on your description, it is possible that this could be habitual seizures; however, this is merely a speculation.
To rule out other potential causes, I recommend that you consult a pediatric neurologist for further evaluation.
Tainan Hospital is concerned about your well-being!
Reply Date: 2006/05/11
More Info
It sounds like your daughter is experiencing some unusual eye and breathing symptoms that are concerning for you as a parent. Based on your description, she seems to be exhibiting repetitive behaviors, specifically widening her eyes, wrinkling her nose, taking a deep breath, and then rapidly blinking several times before pausing. This pattern occurs throughout the day and stops only when she sleeps.
These symptoms could potentially be indicative of a few different conditions. One possibility is that she may be experiencing a form of tic disorder. Tics are sudden, repetitive movements or sounds that some children develop, and they can be motor (like blinking or facial grimacing) or vocal (like throat clearing). Tics can be transient, meaning they may come and go, or they can be more persistent. Stress, anxiety, or even excitement can sometimes exacerbate these tics.
Another possibility is that your daughter may be experiencing a sensory processing issue or a form of obsessive-compulsive behavior. Children sometimes develop rituals or repetitive behaviors as a way to cope with anxiety or discomfort. The combination of eye movements and breathing patterns could be her way of managing an internal feeling of unease.
Given the nature of her symptoms, it would be advisable to consult a pediatrician first. They can perform a thorough evaluation and determine if a referral to a specialist is necessary. Depending on the findings, they may refer you to a pediatric neurologist, who specializes in disorders of the nervous system, or a pediatric psychiatrist, who can assess for any underlying anxiety or behavioral disorders.
In the meantime, it might be helpful to observe if there are any specific triggers that seem to provoke these behaviors. For instance, does she exhibit these symptoms more during stressful situations, or do they occur regardless of her environment? Keeping a diary of her symptoms, including when they occur and any associated factors, could provide valuable information for her healthcare provider.
Additionally, it’s important to ensure that she feels supported and understood during this time. Children can often feel anxious or confused about their own behaviors, and open communication can help her feel more at ease. Encourage her to express how she feels and reassure her that you are there to help her through this.
In summary, while the symptoms you describe could be related to a tic disorder or another behavioral issue, a thorough evaluation by a pediatrician is essential to determine the underlying cause and appropriate treatment. Early intervention can often lead to better outcomes, so seeking professional advice sooner rather than later is a wise course of action.
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