Brief Answer: Consult neurologist for botox Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. I think, breathing problem, which your grandson is facing, is due to spasticity. In that case, he needs a muscle relaxant to relax laryngeal muscle. In that, he needs proper neurological assessment and management. In management, there are multiple options like Occupational therapy and physical therapy regimens of assisted stretching, strengthening, functional tasks, and/or targeted physical activity and exercise, although if the spasticity is too much for the person to handle, other remedies may be considered, such as various antispasmodic medications, botox, baclofen, or even a neurosurgery known as a selective dorsal rhizotomy ,which eliminates the spasticity by eliminating the nerves causing it. In this case, treatment would depend upon in proper way step by step. Better to consult a hospital, which has complete facility of occupational therapist, speech therapist, neurologist and psychiatrist to give her complete management under one roof. Just consult a neurologist for use of botox in this case. May be with that, he would feel better. Remember one thing, he needs life long treatment and treatment should be combination of various therapies. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist

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