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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hyperactivity In A Child

MY grandson is 13 1/2. hyperactive ( a MD mentioned ADHD), OCD and involved in sports. (baseball,basketball,bowling.track,etc). He excells in each sport. He was an honor student but is now having some difficulty. His parents push him so hard telling him he can get scholarships so they enter him into prestigious travel teams and he will always make the team. He has difficulty sleeping so. a Nurse Practioner advised Melatonin 3mg at noc. (has probably been on the med at 1 least yr). In March, the beginning of softball season, he started a tic of jerking his head to the side and sometimes I have noticed a shift in his eyes when this happens. I am a Registered Nurse and of course trying to Dx. Is there a possibility ofTourette Syndrome, brain tumor, or maybe too much stress. I discussed what I am seeing in this wonderful child and all they can say is we have been discussing it. I believe they need to see a Pediatrician and neurologis. Please help
Mon, 17 Nov 2014
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Pediatrician, Pulmonology 's  Response
HI...By what you quote I feel there are 2 possibilities. One is as you have rightly pointed out Gilles de la Tourette syndrome and other is a PANDAS (Pediatric auto immune neuropsychiatric disorder associated with streptococci). I suggest that you should definitely take him a pediatrician or neurologist.
He definitely needs evaluation.
Regards - Dr. Sumanth
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Suggest Treatment For Hyperactivity In A Child

HI...By what you quote I feel there are 2 possibilities. One is as you have rightly pointed out Gilles de la Tourette syndrome and other is a PANDAS (Pediatric auto immune neuropsychiatric disorder associated with streptococci). I suggest that you should definitely take him a pediatrician or neurologist. He definitely needs evaluation. Regards - Dr. Sumanth