Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

149 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes continuous acting up and temper tantrum in a child?

Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3750 Questions

default
Posted on Wed, 6 Apr 2016 in Child Health
Question: My granddaughter is 5 years old. When I pick her up, she acts totally normal. Comes over visits with people. When her mom brings her over and leaves to a store for just a few minutes or leaves her at home to go to a store. She throws a continual temper tantrum. Throwing herself on the ground, jumping up and down, screaming, sometimes hits or bites or slaps herself. Begs to see her mom, acts like I am a complete stranger, although I have brought her hear at least 400 times by picking her up. Last for 30 plus, maybe longer until her mom returns. What's your opinion
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
She needs developmental assessment for school readiness

Detailed Answer:
Thanks for asking on HealthcareMagic.

The phenomenon that you are describing is called acting out. Such things are often seen in children and in this case it seems to be occurring as a coping mechanism for the stress that she might be feeling when her mother is not around.

However, I would not consider it entirely normal as children should learn better coping mechanisms by this age. Moreover acting out is often seen in children with ADHD.

Hence the child needs a proper developmental assessment. There are a number of preschool developmental scales available and your doctor would be able to choose the scale, administer the tests and grade your granddaughter for the developmental scale.

Moreover, there are simple questionnaires which can be answered by the parents or caregivers to find out whether she has chances of having ADHD.

In any case I would not insist on ignoring it (although many pediatricians may wrongly ask you to be patient). Based on the findings, simple interventions like group therapy should make a lot of difference.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Diptanshu Das 1 hour later
She visits me every week or two. Acts fine when I pick her up, but wants to see her mom after a day or two, sometimes three days. Like to play at park, swim, run, watch cartoons, color sometimes, play with toys, play dough, etc. . Appears to have a hard time understanding numbers and letters, or quickly loses interest. Does not want to participate long in those categories.. No pre school yet and should be in kindergarten soon. Afraid she is already behind and may not like being away from mom. Only been at her house or mine. Your opinion
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
Developmental assessment is still needed

Detailed Answer:
Thanks for writing back.

I understand the situation. Incidentally most often children with ADHD or learning disabilities go unidentified. Your granddaughter is potentially at risk since she also exhibits problems with letters and numbers. School readiness is different from pre-schooling or kindergarten. School readiness indicates development of certain higher attributes like coping with stresses like separation anxiety. So, the utility of developmental assessment remains. It has to be sequentially done in order to ensure that the child's development is proceeding on the right track. With minimal developmental support appropriate for the developmental stage, the performance of these children can be enhanced greatly.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Diptanshu Das 41 minutes later
One final thing. She talks as intelligent as an 7 year old mostly and ask higher level questions than a 5 year old about certain things. Can remember things you say or promise from a week or two back. Then will sometimes talk in a lower monolithic type conversation that you have to ask her to say it again? Also listens to others conversations quite well and will all of a sudden join in or make a comment about who or what you are discussing. This while supposedly playing by herself with a toy.. Your opinion?
doctor
Answered by Dr. Diptanshu Das 26 minutes later
Brief Answer:
Seems fine

Detailed Answer:
This is indeed a good sign that she has a good intelligence and memory. I cannot however understand what exactly you mean by the term 'monolithic'. I assume that at those times she is talking on a low tone and hence might seem inaudible.

The joining in and commenting amidst an ongoing conversation is normal to be seen in a child of this age. You need not need to get bothered about it.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Topics

Recent questions on  Separation anxiety

doctor1 MD

Would you discourage a six year old who experiences mild separation anxiety from attending a funeral of his fathers cousin?

doctor1 MD

Dear dr, I had difficulty tucking in my 17 month boy to sleep recently. He can cry non stop for 2-3hours before he finally feels sleepy. His sleeping hours are pretty regular until recently. Once we closed the bedroom door he will cry non stop...

doctor1 MD

Hi, My son is 10 months old having good growth. We started introducing solid foods (liquid and then subsequently mashed) at the age of 5 months. He started adapting it by 6.5 months. But gradually he started denying it. Now, at this age, he only likes to be breast fed. I am very much worried. Please let me know how to easily feed him solids as only breastmilk does not satisfy his hunger. Is it due to strong separation anxiety with me, his mom? Or any other reason?

doctor1 MD

My 16 month old baby girl will sleep for maybe 4 hours then wake up crying and yelling for her daddy. We go over give her a bottle and her binkie and she goes back to sleep but as soon as we leave her room she wakes up. This has been happening for almost a week now and i dont know what to do. We tried keeping her tv on for the noise and that seemed to work for a day or two but then she just continues to do it. What should i do? What do you think is causing this?

doctor1 MD

Hi my names AAAAA I m from Bakersfield,Ca , I m 20 years old and yes I had some questions on SAD, ( social anxiety ) Since the age of 5 i always get really nervous, heart pounding , nauseua almost to the point of throwing up ,and i sometimes try to think it threw and tell myself that its all in my head but i just cant shake off these feelings of anxiety, i get these symptoms only when im out in public doesnt happen all the time but happens very frequently. At times it gets bad that i dont feel like seeing friends or feel like going out in public situations, I always thought its just the way i acted but now i think its some kind of panic attacks , I dont know what to do about these symptoms? Who would i talk to about this a doctor? physchiatrist? How do i go about getting help for this? Also i think im uninsured, Please any info or suggestions would be appreciated , thank you

doctor1 MD

My mother is 75 years old. In October her sister passed away and 5 weeks later her brother passed away. She was very close to both of them. Since their deaths she has had a horrible taste in her mouth and coughs up large amounts of phlegm throughout the day, it is especially worse in the morning. She has been put zythromax, prednisone , and claritin. She has had a colonoscopy and a scope down her throat (no signs of an ulcer ). All tests have come back just fine. Her blood work has been fine as well as her blood pressure . She has lost some weight because she says nothing tastes good and all her food and drinks taste bitter. Her first doctor thought she maybe had copd or emphysema but they have offered no follow up. She said she feels like her sinuses are blocked as well. We have no idea what is going on and we are not getting any answers, as she has been shuffled around but no one seems to know what is going on. I have heard that extreme grief can seriously affect the lungs and a persons physical being. She has no chest pains, trouble breathing etc...No idea what is going on but she is very tired of going to the doctors and having them guess at what her condition is or not offer any insight....Should she see a ENT or pulminology specialist?