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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anxiety

My 16 year old son (149 lbs, lost 14 in past 2 months durring mono. 5'8'',healthy otherwise) has developed an involuntary movement of his lower back, it looks like a spasm, but happens every 20 to 35 seconds and sometimes sooner. He also has them during sleep but only like 5 every half hour. He is recovering from mononucleosis which lasted for about 2 months and is still weak and tired. Our family Dr. says its anxiety, and prescribed clonazepam(2.5mg) and cipralex(5mg) as well as voltaren, but its been a week since he started treatment and still no improvement. This has been going on for about 15 days. I would really appreciate your opinion in what this could be and how to treat it if this treatment fails. Thank you in advance.
Thu, 7 Aug 2014
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Psychiatrist,  's  Response
Symptoms of anxiety usually become more obvious and frequent when the child/adult is conscious and is aware. It will be lesser while distracted or at sleep. But there can be variations as well.
I would like to ask few questions?
1. Is these abnormal movements more following some activity/ excertion?
2. Does it become less frequent while he is distracted (like watching tv)?
3. Is there a family history of Epilepsy/Fits/Seizures

At the outset it does not appear to me like an anxiety related condition and I would suggest a neurological opinion if it persists.
Hope I have answered your queries. Feel free to write if you need further clarifications. Get well soon.
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Suggest Treatment For Anxiety

Symptoms of anxiety usually become more obvious and frequent when the child/adult is conscious and is aware. It will be lesser while distracted or at sleep. But there can be variations as well. I would like to ask few questions? 1. Is these abnormal movements more following some activity/ excertion? 2. Does it become less frequent while he is distracted (like watching tv)? 3. Is there a family history of Epilepsy/Fits/Seizures At the outset it does not appear to me like an anxiety related condition and I would suggest a neurological opinion if it persists. Hope I have answered your queries. Feel free to write if you need further clarifications. Get well soon.