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11 years old,Uncoordination when playing sport,hand tremor,lack of output when it comes to writing tasks.concerned ?what is the reason?

My daughter is 11 years old, and seems to be fairly unco-ordinated when playing sport. She also has a hand tremor which was picked up by a school nurse. Her handwriting is not good, and she takes a long time to write anything (5 lines in 50 minutes at school!). Her teacher is now concerned about the lack of output when it comes to writing tasks and the fact that she is so easily distracted. She is keen to try her on a computer instead of handwriting to see if there is a difference. We are limiting the amount of screen time she has (iPod, computer, TV), and trying to encourage activity instead. Her teacher says she is a smart girl and always contributes well at school, but needs constant reminders to focus on her work. Her homework standard is falling because she can't seem to concentrate on a task long enough to get it done. I'm wondering about whether this is all connected in some way, and whether there is some sort of brain developmental issue. What can we do to help her? Our local doctor doesn't seem concerned but we, as her parents, are VERY concerned about her future and going to high school next year.
Asked On : Sat, 30 Mar 2013
Answers:  3 Views:  35
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

Your concern is appropriate and the child needs assistance.
Se a Neurologist / get here examined / investigations like MRI may be necessary...
Psychological (Psychiatric) assessment - if necessary counselling - is necessary...
Watch out for abnormal behaviour - substance abuse, friends...
Family support should be strong - she should be made to feel comfortable and confident to discuss her problems with you...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Fri, 3 May 2013
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Pediatrician Dr. Y V Siva Sankara Murty's  Response

Thanks for writing to health care magic.

First the tremor of the hands definitely needs examination and further investigations as required.

Ask your daughter to out stretch both the arms infront and open up the fingers. Just observe the fingers. If there is any tremor then you should definitely be examined by a doctor and further investigated as required.

Since your school nurse pointed out that there is tremor please consult a pediatrician or a neurologist.

Continue to ask further queries as required.
Hope this helps.
Take care.
Answered: Fri, 3 May 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013

Thank you for your query on Healthcare Magic.

Hand tremor is certainly a significant symptom and requires further neurological evaluation.

She first needs evaluation to rule out the medical and neurological problems for the tremor and for lack of concentration.

There are many reasons for tremors like essential tremor, tremor due to hyper function of thyroid, due to cerebellar and other brain related problems.

Lack of concentration, easily distraction are seen in Attention deficit and hyperactivity related problems.

So she needs screening and examination primarily by a Pediatrician followed by referral to a neurophysician and psychiatrist depending on the Pediatrician examination and evaluation.

Therefore first consult a Pediatrician for further management.

Hope I have answered your query.

Answered: Sat, 30 Mar 2013
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