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Treating ADHD and tourette syndrome in children - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: ADHD
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2570 Questions
User :   Hi, may I answer your health queries right now ? Please
Doctor :   Hi
User :   I have a 8 yo that was dx with ADHD and touretts
Doctor :   Ok
User :   she has had a MRI indicating buldging disks and mind stenoisis
Doctor :   Ok
User :   recently her feet have started turning in
User :   she has been a toe walker since she was small
Doctor :   Ok
User :   the feet turning in are a big concern because she is falling more often
User :   her 4 yo brother was dx with severe non-verbal autism @ 2 yo in addition to progressive infantile scoliosis
Doctor :   Ok
User :   looking for help to explain the progressing of the feet/toe walking and other symptoms
Doctor :   Does she have deformed feet?
User :   no
User :   she has typical range in her leg muscles
User :   MRI & xrays showed nothing more than 3 buldging discs at this was discovered at 6yo
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Let me explain to you,
User :   ok
Doctor :   Without a physical examination, I am unable to determine what could be causing the imbalance and frequent falling.
Doctor :   It could also have occurred due to part of tourette syndrome - movement disorder affecting the lower limb.
User :   the tics stopped when we took her off of Concerta and the feet turning in has been since then
Doctor :   A physical examination and neuropsychiatric evaluation is necessary to assess the present condition, the progress of the condition and the treatment necessary.
Doctor :   She may need to be restarted on the medications if necessary.
User :   been there, done that and sent to several specialist who all seem to want to keep adding meds to the list
Doctor :   It is a chronic condition which needs medications along with supportive therapy -psychotherapy, behavioural therapy.
Doctor :   Since she has additional ADHD symptoms along with tourette's syndrome, she may need the more aggressive therapy and medications.
Doctor :   And the treatment is probably going to be slow and gradual one.
User :   the tics completely stopped when she was taken off the meds. Her touretts was induced by the stimulants that she was on
User :   thank you for your time
Doctor :   As a general physician, and without the help of physical examination, I am unable to provide you with more information. Thanks for consulting me.
Doctor :   Bye for now.
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