HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Facial Grimaces With Clenching Of Teeth In A Child?

my 12 year daughter is having tics for some time and now they have progressed to facial grimaces with teeth clenched and back arches and stiffening. her ceruloplasmin levels have come at 20.1 and 18.6 in two tests. she has no KF rings in the eye, liver function is normal. doctor has asked to do copper serum test as wel as the 24 hour urine copper test. hile we await he has asked to start her on tab sizodon and arkamine. should we do that before we evn know what she has? first he said tourettes syndrome and now it could be wilson disease. should we not first onfirm what this is first. also her atacks ar so like extreme seizures without any fainting. very stressed
Tue, 6 Oct 2015
Report Abuse
Pediatrician, Neonatology,  's  Response
Naturally you will be stressed ,because the conditions that your doctor has mentioned are rare inherited disorders ----and the fact that your ceruloplasmin level is within normal range unlikely to be Wilsons disease .If your daughter had tics and stiffeneing ,does she have abnormal sounds and uttering words repeatedly.I suggest that you visit a pediatric neurologist .If it is tourette syndrome which is a neurotransmitter disorder ,and the medications are meant for that ,very good supervision is necessary at the start.you will have to have a group to manage your childs needs .including tick management ,behavioural management ,social support and so on .Yes you are right ,You have to confirm your diagnosis before starting treatmnet and the management has to be comprehensive and multi faceted instead of single medication therapies.
I find this answer helpful
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Ceruloplasmin


Loading Online Doctors....
What Causes Facial Grimaces With Clenching Of Teeth In A Child?

Naturally you will be stressed ,because the conditions that your doctor has mentioned are rare inherited disorders ----and the fact that your ceruloplasmin level is within normal range unlikely to be Wilsons disease .If your daughter had tics and stiffeneing ,does she have abnormal sounds and uttering words repeatedly.I suggest that you visit a pediatric neurologist .If it is tourette syndrome which is a neurotransmitter disorder ,and the medications are meant for that ,very good supervision is necessary at the start.you will have to have a group to manage your childs needs .including tick management ,behavioural management ,social support and so on .Yes you are right ,You have to confirm your diagnosis before starting treatmnet and the management has to be comprehensive and multi faceted instead of single medication therapies.