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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest remedy for facial tics

lately some of my 11 year old sons teachers have been asking me if he has terrets,i have always noticed he has facial tics when he gets overwhelmed.THis year it has gotten really noticable.they ask me if he is jaudice,his coloring seems weird to them and his tics stand out.he is in advanced classes and super smart and involved in many other things.could it be it is just coming out cause he is feeling pressure? he is healthy ..has never had any serious issues. He seems happy and has much personality.lol..Hes very quiet about his true feelings,so his answer is always.."im fine mothra" thats what he calls me. should i be concerned or maybe cut down on his schedule..it seems like everyone wants a peice of him and he never wants to let anyone down. im not sure..thank you for your time.

Mon, 30 Jun 2014
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Pediatrician 's  Response
Thanks for the query.
I can understand your concern.
If the duration of tics is less than a year nothing to worry about it, it an get settled on its own.
But if the duration is more than a year i would suggest you stress reduction programs, psychotherapy, behavioral therapy.
In more severe cases dopamine blocker medications, medications to treat underlying conditions, such as ADHD and OCD, botulinum toxin (Botox) injections may be tried after consulting with your pediatric psycologist.
Hope i help you.
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