Air swallowing caused recurrent ileus in Tourette's syndrome.

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

Pediatrics

journal_title

Pediatrics

authors

Frye RE,Hait EJ

doi

10.1542/peds.2005-2914

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

e1249-52

issue

6

eissn

0031-4005

issn

1098-4275

pii

peds.2005-2914

journal_volume

117

pub_type

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