How to protect the index finger?
Dr.
Hsu: I would like to ask you a question.
A colleague's child has a metal excretion disorder and was originally a lively child.
Gradually, they have lost the ability to walk and their body has become stiff.
Currently, they are uncontrollably biting their left index finger and cannot suppress this behavior.
We have tried using silicone finger covers, but it hasn't worked, as they continue to bite and have even injured their finger.
Can you suggest any medications or other methods to help control this? Thank you! A caring parent, Ah Hua.
98.7.6
Ah Hua, 50~59 year old female. Ask Date: 2009/07/06
Dr. Xu Shanjing reply Rare Disease
Hello Ah Hua: The child's behavior resembles obsessive-compulsive disorder, but it may not be typical OCD.
It would be advisable to consult a child psychiatrist in the mental health department to explore this aspect.
You might consider trying OCD medications for 1-2 months to see if there is any improvement; if there is, you can continue the treatment, and if not, you can discontinue it.
Additionally, you could consult a dentist about some small devices designed for the oral cavity or fingers to prevent biting or to make it difficult to bite.
Dr.
Liu Zhengfen, the head of our pediatric dentistry department, has performed similar treatments.
I hope these suggestions are helpful for you and your child.
Thank you for your letter.
Sincerely, Xu Shanjing, Department of Pediatrics, Chung Rong Hospital.
Reply Date: 2009/07/06
More Info
Managing finger biting in children, particularly those with rare metal excretion disorders, can be a complex challenge that requires a multifaceted approach. The behavior of biting one's fingers can often be a manifestation of anxiety, stress, or even a compulsive disorder, especially in children who may be experiencing physical discomfort or neurological issues related to their condition.
Understanding the Behavior
In the case of the child mentioned, who has a rare metal excretion disorder, the underlying medical condition may contribute to both physical and psychological symptoms. The inability to walk and increased muscle stiffness can lead to frustration and anxiety, which may manifest as repetitive behaviors like finger biting. This behavior can be similar to obsessive-compulsive disorder (OCD), where the child feels compelled to engage in certain actions despite the negative consequences.
Treatment Options
1. Behavioral Therapy: One of the most effective ways to address compulsive behaviors in children is through behavioral therapy. Cognitive-behavioral therapy (CBT) can help the child understand the triggers for their finger biting and develop coping strategies to manage their impulses. A child psychologist or psychiatrist specializing in pediatric mental health can provide tailored interventions.
2. Medication: In some cases, medication may be warranted, especially if the behavior is severe and causing significant harm. Selective serotonin reuptake inhibitors (SSRIs) are commonly used to treat OCD and may help reduce the compulsion to bite fingers. A psychiatrist can evaluate the child and determine if medication is appropriate.
3. Physical Barriers: While silicone finger covers have been tried without success, other physical barriers might be more effective. Custom dental devices or finger guards designed by a dentist specializing in pediatric care can prevent the child from accessing their fingers while still allowing for some sensory feedback.
4. Distraction Techniques: Engaging the child in alternative activities can help redirect their focus away from finger biting. Activities that involve the hands, such as arts and crafts, playdough, or sensory bins, can be beneficial. Additionally, teaching the child relaxation techniques, such as deep breathing or mindfulness exercises, can help manage anxiety.
5. Family Support: It’s crucial for family members to provide a supportive environment. Encouragement and positive reinforcement for not biting fingers can be more effective than punishment or reprimands. Understanding the child’s struggles and being patient as they work through their challenges is essential.
6. Monitoring and Follow-Up: Regular follow-ups with healthcare providers, including pediatricians, neurologists, and mental health professionals, can ensure that the child’s overall health is monitored and that any changes in behavior are addressed promptly.
Conclusion
Managing finger biting in children with rare metal excretion disorders requires a comprehensive approach that addresses both the physical and psychological aspects of the behavior. By combining behavioral therapy, potential medication, physical barriers, and family support, it is possible to help the child reduce or eliminate this harmful behavior. It is essential to work closely with healthcare professionals to tailor a treatment plan that meets the child’s unique needs and circumstances. With the right support and interventions, children can learn healthier coping mechanisms and improve their overall well-being.
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