Abstract:
:This report describes an adolescent boy who has Tourette's syndrome and developed a subtle but significant increase in vocal tics after an 8-month respite. The increase in vocal tics was associated with an acute increase in psychological stressors and resulted in recurrent air swallowing, which, in turn, caused abdominal cramping, eructation, and flatus, eventually leading to aeroenteria. Air swallowing was recognized only after a second hospital admission for recurrent ileus. Air swallowing and associated symptoms were mitigated by reinstitution of psychopharmacologic treatment and an increase in the patient's self-awareness of the air-swallowing behavior. Clinically significant air swallowing has not been described previously in Tourette syndrome or a tic disorder. This case is important for pediatricians and pediatric gastroenterologists because either may be the first to evaluate a child or an adolescent with unexplained recurrent ileus. This report also documents the importance of the connection between the brain and the body.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Frye RE,Hait EJdoi
10.1542/peds.2005-2914subject
Has Abstractpub_date
2006-06-01 00:00:00pages
e1249-52issue
6eissn
0031-4005issn
1098-4275pii
peds.2005-2914journal_volume
117pub_type
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