In recent times, with the increasing discussions about “Er Yang” on social media, related topics have gained popularity. What does “Er Yang” mean for children with tic disorders? What should be done if they are infected, and does it worsen the symptoms?
Today, we will provide answers to these questions from doctors at the Department of Neurology, Shanghai Children’s Hospital. The doctors will also share how to determine if a child has tic disorders. We hope that these answers can alleviate parental anxiety, help parents respond scientifically, and promote the healthy development of children.
Source: Shanghai Children’s Hospital
Author: Sun Xiao’ang, Physician
Reviewed by: Chen Yucai, Chief Physician
1.When a child involuntarily blinks, shrugs, or clears their throat, what is happening?
Parents, if your children have the aforementioned symptoms, there is no need to worry excessively. It may be a manifestation of tic disorders. Tic disorders are most common in children aged 5-10 years. They present with various clinical manifestations and can be categorized into motor tics and vocal tics. The majority of affected children initially exhibit motor tics involving facial movements such as blinking, nose sniffing, and shoulder shrugging. Vocal tics can include throat clearing, coughing, spitting, and hiccuping. However, a small number of children may experience involuntary body movements, imitation of others’ speech or actions, and tense expressions, which often go unnoticed by parents.
2.Does being “Yang” (infected with COVID-19) worsen tic disorders?
Currently, there is insufficient data to suggest that a COVID-19 infection directly worsens the symptoms of tic disorders. Tic disorders can have various triggers, such as increased parental attention, such as closely monitoring children during online classes, which can cause stress and anxiety. Conflicts between parents or with children, excessive fatigue, excessive use of electronic devices, and the consumption of stimulating foods or beverages can also contribute to the occurrence of tic disorders. When a child is “Yang” (infected with COVID-19), they may experience symptoms such as fever and cough, and the resulting physical discomfort may affect their mood, making symptoms like blinking and throat clearing more apparent.
3.What should be done if a child is infected with COVID-19 and also has tic disorders?
Firstly, parents should adjust their own mindset because your mood directly affects the child. It is important to believe that with proper guidance, treatment, and care, tic disorder symptoms can improve, and COVID-19 can be overcome. Secondly, avoid excessively reminding the child about their behaviors and provide a good and relaxed family environment. Enrich the child’s life and ensure proper sleep. During home isolation, maintain a balanced diet, adjust sleep time, and engage in interactive parent-child games during the day. After the child recovers from COVID-19, encourage them to participate in outdoor activities if possible. Lastly, if tic symptoms persist without improvement and significantly affect the child’s life and learning, it is recommended to seek medical consultation at the Department of Neurology or through online specialized clinics. Further examinations should be conducted to rule out other possible conditions (such as chorea or epilepsy). After excluding contraindications, medication intervention can be considered, followed by regular follow-ups with the Department of Neurology.