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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Slow Motor Skills, Stool And Urinary Incontinence In A Child?

Hello, my 6 year old son(adopted. @4 months) cannot walk flat feet. He is clumsy, has no fine motor skills, cannot ride a tricycle. He is also a very late toilet trainer, now can urinate, but still wets at night, and soils himself often, with small amounts of feces. Recently, someone noticed a deep dimple on his tailbone....and suggested I check this all for neural tube defect. I should also mention that his emotional regulation is very poor, with lots of school aggression when asked to write, particularly. What symptoms would a child present that would warrant a trip to the University of Michigan?
Thu, 21 Mar 2019
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Addiction Medicine Specialist 's  Response
Hi,

There are the other features of neurologic development, if the child is cognitively normal (reading, counting, conversing) then it is a neuromotor issue. And a look at the legs would tell a lot. Spinal problems would make the legs poorly developed while muscular dystrophies would usually make the calves big.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman, Addiction Medicine Specialist
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What Causes Slow Motor Skills, Stool And Urinary Incontinence In A Child?

Hi, There are the other features of neurologic development, if the child is cognitively normal (reading, counting, conversing) then it is a neuromotor issue. And a look at the legs would tell a lot. Spinal problems would make the legs poorly developed while muscular dystrophies would usually make the calves big. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist