Tics, Tourette’s Syndrome and Food Allergy-Hypersensitivities

How To Know Related Tics, Tourette’s  Syndrome and Food Allergy-Hypersensitivities

Food allergy can cause headaches, asthma, sneezing, skin rashes, stomach aches, bedwetting, fatigue, irritability, brain fog and other neurological symptoms, cold sores, esophageal reflux, irritable bowel syndrome, itching, hives, muscle and joint pain, fluid in the ears, sinus swelling, hoarseness, vaginal irritation, and even heart palpitations. Food allergens can also cause or aggravate neurologic tic disorders, Tourette syndrome and Attention Deficit Disorder as well as Allergic Tension Fatigue Syndrome

Tourette syndrome (also called Tourette’s syndrome, Tourette’s disorder, Gilles de la Tourette syndrome, GTS or, more commonly, simply Tourette’s or TS) is an inherited neuropsychiatric disorder with onset in childhood, characterized by multiple physical (motor) tics and at least one vocal (phonic) tic. These tics characteristically wax and wane, can be suppressed temporarily, and are preceded by a premonitory urge. Tourette’s is defined as part of a spectrum of tic disorders, which includes transient and chronic tics.

Tourette’s was once considered a rare and bizarre syndrome, most often associated with the exclamation of obscene words or socially inappropriate and derogatory remarks (coprolalia), but this symptom is present in only a small minority of people with Tourette’s.[ Tourette’s is no longer considered a rare condition, but it is not always correctly identified because most cases are mild and the severity of tics decreases for most children as they pass through adolescence. Between .4% and 3.8% of children ages 5 to 18 may have Tourette’s;the prevalence of transient and chronic tics in school-age children is higher, with the more common tics of eye blinking, coughing, throat clearing, sniffing, and facial movements. Extreme Tourette’s in adulthood is a rarity, and Tourette’s does not adversely affect intelligence or life expectancy.

Tics are movements or sounds “that occur intermittently and unpredictably out of a background of normal motor activity”,having the appearance of “normal behaviors gone wrong”.The tics associated with Tourette’s change in number, frequency, severity and anatomical location. Waxing and waning—the ongoing increase and decrease in severity and frequency of tics—occurs differently in each individual. Tics also occur in “bouts of bouts”, which vary for each person.

Coprolalia (the spontaneous utterance of socially objectionable or taboo words or phrases) is the most publicized symptom of Tourette’s, but it is not required for a diagnosis of Tourette’s and only about 10% of Tourette’s patients exhibit it.Echolalia (repeating the words of others) and palilalia (repeating one’s own words) occur in a minority of cases,while the most common initial motor and vocal tics are, respectively, eye blinking and throat clearing.

In contrast to the abnormal movements of other movement disorders (for example, choreas, dystonias, myoclonus, and dyskinesias), the tics of Tourette’s are temporarily suppressible, nonrhythmic, and often preceded by an unwanted premonitory urge.

Immediately preceding tic onset, most individuals with Tourette’s are aware of an urge,similar to the need to sneeze or scratch an itch. Individuals describe the need to tic as a buildup of tension, pressure, or energy which they consciously choose to release, as if they “had to do it” to relieve the sensationor until it feels “just right”.Examples of the premonitory urge are the feeling of having something in one’s throat, or a localized discomfort in the shoulders, leading to the need to clear one’s throat or shrug the shoulders. The actual tic may be felt as relieving this tension or sensation, similar to scratching an itch. Another example is blinking to relieve an uncomfortable sensation in the eye. These urges and sensations, preceding the expression of the movement or vocalization as a tic, are referred to as “premonitory sensory phenomena” or premonitory urges. Because of the urges that precede them, tics are described as semi-voluntary or “unvoluntary“,rather than specifically involuntary; they may be experienced as a voluntary, suppressible response to the unwanted premonitory urge. Published descriptions of the tics of Tourette’s identify sensory phenomena as the core symptom of the syndrome, even though they are not included in the diagnostic criteria.

While individuals with tics are sometimes able to suppress their tics for limited periods of time, doing so often results in tension or mental exhaustion.People with Tourette’s may seek a secluded spot to release their symptoms, or there may be a marked increase in tics after a period of suppression at school or at work.Some people with Tourette’s may not be aware of the premonitory urge. Children may be less aware of the premonitory urge associated with tics than are adults, but their awareness tends to increase with maturity.

They may have tics for several years before becoming aware of premonitory urges. Children may suppress tics while in the doctor’s office, so they may need to be observed while they are not aware they are being watched.The ability to suppress tics varies among individuals, and may be more developed in adults than children.

Although there is no such thing as a “typical” case of Tourette syndrome,the condition follows a fairly reliable course in terms of the age of onset and the history of the severity of symptoms. Tics may appear up to the age of eighteen, but the most typical age of onset is from five to seven. A 1998 study published by Leckman et al. of the Yale Child Study Center showed that the ages of highest tic severity are eight to twelve (average ten), with tics steadily declining for most patients as they pass through adolescence.The most common, first-presenting tics are eye blinking, facial movements, sniffing and throat clearing. Initial tics present most frequently in midline body regions where there are many muscles, usually the head, neck and facial region.This can be contrasted with the stereotyped movements of other disorders (such as stims and stereotypies of the autism spectrum disorders), which typically have an earlier age of onset, are more symmetrical, rhythmical and bilateral, and involve the extremities (e.g., flapping the hands).Tics that appear early in the course of the condition are frequently confused with other conditions, such as allergies, asthma, and vision problems: pediatricians, allergists and ophthalmologists are typically the first to see a child with tics.

Among patients whose symptoms are severe enough to warrant referral to clinics, obsessive–compulsive disorder (OCD) and attention-deficit hyperactivity disorder (ADHD) are often associated with Tourette’s. Not all persons with Tourette’s have ADHD or OCD or other comorbid conditions, although in clinical populations, a high percentage of patients presenting for care do have ADHD.

One author reports that a ten-year overview of patient records revealed about 40% of patients with Tourette’s have “TS-only” or “pure TS”, referring to Tourette syndrome in the absence of ADHD, OCD and other disorders.Another author reports that 57% of 656 patients presenting with tic disorders had uncomplicated tics, while 43% had tics plus comorbid conditions.”Full-blown Tourette’s” is a term used to describe patients who have significant comorbid conditions in addition to tics

Neurological Manifestation in Tourette’s  Syndrome

Neurology Problems and Behaviour Problems
  • Neuro-Muscular Involvement : Accident prone, Poor muscle coordination, Difficulty writing, drawing , Dyslexia/reading problems, Speech difficulties/delays, Difficulty with playground activities, sports, Eye muscle disorder (nystagmus, strabismus), Tics (unusual or uncontrollable movements)
  • Cognitive and Perceptual Disturbances :Auditory memory deficits (difficulty remembering what is heard) Visual memory deficits (difficulty remembering what is seen), Difficulty in comprehension and short term memory, Disturbance in spatial orientation (up-down, right-left), Difficulties in reasoning (simple math problems, meaning in words
  • Motor Skills Disorder: clumsy child syndrome, minimal brain dysfunction, poorly coordinated children, movement-skill problems, physical awkwardness. Dyspraxia (which suggests underlying difficulties in motor planning), perceptual motor difficulties (which suggests problems in perceptual motor integration), minor neurologic dysfunction (MND), and sensory integrative dysfunction.
  • Sensory Integration Dysfunction
  • Seizures (some types, especially if combined with migraine or hyperactivity)
  • Seizures Attacks Non Epelepticus (Nonsiezure episode, Nonepilepticseizure, Nonepileptic paraxysmal disorders or nonepileptic attack disorders) with Normaly Electro Encephalography (EEG). Including : BREATH HOLDING SPELL, BENIGN PAROXYSMAL VERTIGO, RECURRENT ABDOMINAL, MIGREN, TRANSIENT GLOBAL AMNESIA, HIPERVENTILATION, SINCOPE CARDIOGENICM SINCOPE NONCARDIOGENIC AND ”MOTOR SPELL DISORDERS”, HEADBANGING, JITTERINESS, BENIGN INFANTILE MYOKLONUS, TIC, SINDROMA TOURETTES AND CHOREIFORM MOVEMENT
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Autism Spectrum disease
  • Short Attention Span : Impatience, Distraction, Failure to complete projects, Inability to listen to whole story, Inability to follow directions
  • Learning Problems
  • Bedwetting (enuresis)

FIND AND LOOKING FOR: SIGNS AND SYMPTOMS OF GASTROINTESTINAL FOOD HYPERSENSITIVITIES RELATED with Tourette’s  Syndrome

SIGNS AND SYMPTOMS OF GASTROINTESTINALHYPERSENSITIVITIES IN INFANT

Stomach – gastrointestinal
  • Gastrooesephageal Refluks: vomiting
  • Frequent spitting up or vomiting, frequent wet/sour burps, wet hiccups. Silent reflux: food coming part way up more than an hour after eating, spitting up-after six months of age. Rare: projectile vomiting, forceful vomiting through the nose and mouth.
  • Feses: Black, dark, dark green , smelly, like pebbles, liquid or watery
  • Irritability, constant or sudden crying, “colic”, back arching, abdominal pain, chest pain, heartburn, burning sensation in the esophagus, doesn’t tolerate pressure on the stomach.
  • Rare: pain migrating to the shoulder/shoulder blade.
  • Constipation or obstipation
  • Gas (flatulence)
  • Diarrhea or constipation — sometimes even alternating bouts of constipation and diarrhea
  • Chronic diarrhea (stooling above 2 times a day)
  • Bloody Diarrhoe
  • Smelly Stool
  • Mucus in the stool
  • Bowel movements may occur either more often (diarrhea) or less often (constipation) than usual, such as having more than 3 bowel movements a day or less than 3 a week.
  • Bowel movements may differ in size or consistency (may be hard and small, pencil-thin, or loose and watery).
  • The way stools pass changes. You may strain, feel an urgent need to have a bowel movement, or feel that you haven’t completely passed a stool.
  • You may have bloating or a feeling of gas in the intestines.
  • may have lower abdominal pain with constipation that is sometimes followed by diarrhea. Other people have pain and mild constipation but no diarrhea
  • Gastroparisis-also called Delayed Gastric Emptying or Slow Motility
  • Cyclic Vomiting Syndrome
  • Hernia umbilical, scrotal and inguinal
Mouth – Tooth hypersensitive
  • White or dirty tongue
  • bad breath or halitosis
  • Likes oral candidiasis
  • excessive salivation or drooling.
  • Cracked lips: dark lips, dry lips, peeling or chapped. Breaks may appear on the surface, and the lips may become painful and bleed.

SIGNS AND SYMPTOMS OF GASTROINTESTINAL HYPERSENSITIVITIES IN CHILDREN, TEENS AND ADULT

Stomach – gastrointestinal Hypersensitive
  • colic”, back arching, abdominal pain, chest pain, heartburn, burning sensation in the esophagus, doesn’t tolerate pressure on the stomach.
  • Gastrooesephageal Refluks Diseases (GERD)
  • Rare: pain migrating to the shoulder/shoulder blade.
  • Frequent spitting up or vomiting, frequent wet/sour burps, wet hiccups,
  • Silent reflux: food coming part way up more than an hour after eating, spitting up-after six months of age. Rare: projectile vomiting, forceful vomiting through the nose and mouth.
  • Abdominal pain or cramping
  • A bloated feeling
  • Gas (flatulence)
  • Diarrhea or constipation — sometimes even alternating bouts of constipation and diarrhea. You may have bloating or a feeling of gas in the intestines.
  • Some people may have lower abdominal pain with constipation that is sometimes followed by diarrhea. Other people have pain and mild constipation but no diarrhea.
  • Mucus in the stool
  • Bowel movements may occur either more often (diarrhea) or less often (constipation) than usual, such as having more than 3 bowel movements a day or less than 3 a week.
  • Bowel movements may differ in size or consistency (may be hard and small, pencil-thin, or loose and watery).
  • The way stools pass changes. You may strain, feel an urgent need to have a bowel movement, or feel that you haven’t completely passed a stool.
  • Unpleasant taste in the mouth.
  • Gastroparisis-also called Delayed Gastric Emptying or Slow Motility
  • Symptoms that are sometimes present include intestinal gas and passage of mucus in stools.
  • Inflammatory bowel disease
  • Vocal cord nodules, laryngospasm, Barrett’s Esophagus, ulcers, esophagitis, Sandifer Syndrome, fainting
Mouth – Tooth hypersensitive (especially GERD or Frequent Vomiting)
  • Geographic tongue
  • Tooth enamel erosion
  • bad breath or halitosis
  • excessive salivation or drooling.
  • Discoloration of Teeth: yellow
  • Poor dental hygiene
  • teeth grinding or bruxism
  • Dental Caries
  • strong reaction to too much warmth or too much cold.
  • Pain Teeth: short, sharp pain caused by exposure of the dentine
  • Plaque build-up.
  • Cracked teeth
  • Gum disease (gingivitis)
  • Tooth decay near the gum line
  • Stomatitis, Canker Sores (Aphthous Stomatitis Or Recurrent Mouth Ulcers)
  • Cracked lips: dry lips, peeling or chapped. Breaks may appear on the surface, and the lips may become painful and bleed.

OTHER SYMPTOMS FOOD ALLERGIES AND FOOD HYPERSENSITIVITIES in children adult with Tourette’s  Syndrome

Skin Hypersensitivites
  • Redness
  • Swelling
  • Itching
  • Skin lesions
  • Contact dermatitis, a rash that results from either repeated contact with irritants or contact with allergy-producing substances, such as poison ivy
  • Neurodermatitis, a chronic itchy skin condition localized to certain areas of the skin
  • Seborrheic dermatitis, a common scalp and facial condition that often causes dandruff
  • Stasis dermatitis, a skin condition that’s caused by a buildup of fluid under the skin of the legs
  • Atopic dermatitis, more commonly known as just eczema or atopic eczema, a chronic itchy rash that tends to come and go
  • Perioral dermatitis, a bumpy rash around the mouth
  • Ptyriasis Alba
  • Psoriasis
  • Urticaria
  • Ace
  • Xerosis
Respiratory Hypersensitivities
  • Asthma
  • Coughing, especially at night
  • Wheezing
  • Noisy Breathing in Infant (Hipersecretion Bronchus)
  • Shortness of breath
  • Deep Breathing
  • Chest tightness, pain, or pressure
Ear- Nose-Throath Hypersensitivites
  • A stuffy nose, possibly with sniffing. This is the most common symptom in children and may be their only complaint.
  • Sneezing repeatedly, especially after you wake up in the morning. Sneezing can occur as soon as 1 to 2 minutes after you breathe in an allergen.
  • Bleeding Nose
  • A runny nose (rhinorrhea)
  • Watery, itchy eyes. This may be allergic pinkeye.
  • Itchy ears, nose, and throat.
  • Symptoms that may take longer to develop include:
  • Eyes that are sensitive to light.
  • Feeling grumpy or moody.
  • Loss of energy.
  • Poor sleep.
  • Breathing through your mouth because your nose is blocked.
  • An altered sense of smell.
  • A long-lasting (chronic) cough.
  • Problems with sinuses and the tubes that run between the inside of the ears and the back of the throat (eustachian tubes).
  • A sense of pressure in an ear or difficulty hearing.
  • Discomfort or pain in the face.
  • Dark circles or patches under the eyes (allergic shiners).
  • Rubbing the nose, which may cause a crease on the bridge of the nose (allergic crease)
  • Rubbing the nose upward with the palm of the hand to reduce itching and open the nasal passages (allergic salute). This is often seen in children
  • Sinusitis
  • Polip
  • Ear infections
Eyes Hypersensitivites
  • Watery eyes. Eyes can water either because tear ducts are blocked, or because something is irritating them, such as an allergy.
  • Itchiness and burning. Histamine and other chemicals released during an allergic cascade produce these symptoms.
  • Redness.
  • Black circles around the eyes. Sometimes known as allergic shiners, they are the result of constant rubbing and scratching of the skin, which causes a darkening effect. This can be seen in children with allergic rhinitis (hay fever), as well as with other conditions.
  • Sensation that something is in the eye.
  • Cobblestone pattern of lesions on the conjunctiva under the eyelids.
  • Light sensitivity (photophobia).
  • Discharge. The characteristics of the discharge will vary based on the type of condition.
  • Swelling of the eyelid.
  • Symptoms of allergy-related eye conditions may occur alone or can appear in combination with nasal (e.g., sneezing, sniffling, stuffy nose)
  • Abnormal alignment of the eyes, or unusual eye movement after 6 months of age
  • Red-rimmed, crusted or swollen eyelids
  • Watery or red eyes
  • Rubs eyes often
  • Closes or covers one eye
  • Tilts head, or thrusts head forward
  • Struggles with reading or other work that involves close-up vision
  • Blinks more often than normal
  • Mentions that things are blurry or hard to see
  • Squints or frowns a lot while trying to see things
  • Has difficulty following (tracking) objects visually
Hormone Imbalance
  • Hormone Imbalance in Infant: comedo, vaginal discharge (bleeding or mentrual)
  • PMS (Pre Menstrual Syndrome)
  • Hair Loss
  • Weight Problems
  • Loss of Short Term Memory
  • Fatigue
  • Skin Problems
  • Mood Swings
  • Diminished Sex Drive
  • Anxiety and Panic Attacks
  • Premenstrual Asthma
  • Menstrual Migraine
  • Fibromyalgia
  • Interstitial Cystitis
  • Arthritis
  • Chronic Fatigue Syndrome
  • amenorrhoea
  • Polycystic ovary syndrome (PCOS)
  • Endometriosis
  • lanugo
Others Hypersensitivites
  • Anxiety
  • Bed-wetting
  • Depression
  • Diabetes
  • Fatigue
  • Hay fever
  • Muscle aches
  • Obesity
  • Panic attacks

OTHER DISTURBANCES in children and Adult with Tourette’s  Syndrome

Sleep Problems
  • Sleep Apnea
  • Resistance to going to bed
  • Difficulty falling asleep
  • Restless / erratic sleep
  • Nightmares, bad dreams
  • Poor sleep
  • Frequent waking,
  • Frequent ear infections
  • Resists lying down
  • Ccries when placed on back or flat surface
  • Only sleeps when upright on shoulder, car seat, wedge.
Gross Motoric Delayed(especially in patient with GER and frequent vomiting)
  • Delayed motor milestones due to restricted positioning and frequent pain. Gross motor delay can include delay in: Walking, Crawling, Transitions, Rolling, Sitting, Jumping, Stair climbing, Running, Riding a bike andOther large motor skills
  • Difficulty with playground activities
Oral motor Disturbance (especially in patient with GER and frequent vomiting)
  • Developmental apraxia of speech (DAS or dyspraxia of speech). Children with apraxia have trouble moving and coordinating the different parts of their mouths in order to form words.
  • Articulation disorders: These include lisping, leaving out consonants when speaking, and substituting one sound for another.
  • Swallowing disturbances
  • Speech Delayed
  • have a droopy, or “long” face (her mouth frequently hangs open)
  • refuse to eat food that needs to be chewed
  • gag frequently when eating (and not just when she’s asked to swallow her peas)
  • weigh less and be shorter than other tots her age
  • have trouble sticking out her tongue or moving it from side to side
  • be hard to understand
  • drool past the age of 18 months
  • lisp excessively
  • take extra time to form words while speaking
  • use mostly vowel sounds after 18 months (“aah-aah” instead of “mama”)
  • leave out some consonants in words at age three ( “at” instead of “cat”)
  • add extra sounds to words (“animinal” instead of “animal”)
  • substitute certain sounds when speaking (“wittle” instead of “little”); note that this is common in young toddlers, so if a tot who does this improves as she nears age two, she’s likely fine
  • have trouble stringing together syllables in the right order (“minacin” instead of “cinnamon”)
Neurology Problems and Behaviour Problems
  • Neuro-Muscular Involvement : Accident prone, Poor muscle coordination, Difficulty writing, drawing , Dyslexia/reading problems, Speech difficulties/delays, Difficulty with playground activities, sports, Eye muscle disorder (nystagmus, strabismus), Tics (unusual or uncontrollable movements)
  • Cognitive and Perceptual Disturbances :Auditory memory deficits (difficulty remembering what is heard)
    Visual memory deficits (difficulty remembering what is seen), Difficulty in comprehension and short term memory, Disturbance in spatial orientation (up-down, right-left), Difficulties in reasoning (simple math problems, meaning in words
  • Motor Skills Disorder: clumsy child syndrome, minimal brain dysfunction, poorly coordinated children, movement-skill problems, physical awkwardness. Dyspraxia (which suggests underlying difficulties in motor planning), perceptual motor difficulties (which suggests problems in perceptual motor integration), minor neurologic dysfunction (MND), and sensory integrative dysfunction.
  • Sensory Integration Dysfunction
  • Seizures (some types, especially if combined with migraine or hyperactivity)
  • Seizures Attacks Non Epelepticus (Nonsiezure episode, Nonepilepticseizure, Nonepileptic paraxysmal disorders or nonepileptic attack disorders) with Normaly Electro Encephalography (EEG). Including : BREATH HOLDING SPELL, BENIGN PAROXYSMAL VERTIGO, RECURRENT ABDOMINAL, MIGREN, TRANSIENT GLOBAL AMNESIA, HIPERVENTILATION, SINCOPE CARDIOGENICM SINCOPE NONCARDIOGENIC AND ”MOTOR SPELL DISORDERS”, HEADBANGING, JITTERINESS, BENIGN INFANTILE MYOKLONUS, TIC, SINDROMA TOURETTES AND CHOREIFORM MOVEMENT
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Autism Spectrum disease
  • Short Attention Span : Impatience, Distraction, Failure to complete projects, Inability to listen to whole story, Inability to follow directions
  • Learning Problems
  • Bedwetting (enuresis)

How to know Tourette’s  Syndrome related and caused By Food Allergy or Food Hypersensitivity ?

  • If you find sign and symptoms of gastrointestinal, mouth and teeth hypersensitivites. Tourette’s  Syndrome of you or your children may be caused by Food Allergy or Food Hypersensitivities
  • Food allergy or food hypersensitivities, eating or swallowing even a tiny amount of a particular food can cause symptoms such as skin rash, nausea, vomiting, cramping, and diarrhea. Food allergies or food Hypersensitivities may cause symptoms in your skin, stomach, airways, eyes, brain, heart or entire body. Food allergy is an abnormal response to a food triggered by your body’s immune system. Sometimes a reaction to food is not an allergy. It is often a reaction called “food intolerance”. Your immune system does not cause the symptoms of food intolerance. However, these symptoms can look and feel like those of a food allergy. Because the body is reacting to something that is otherwise harmless, this type of allergic reaction is often called a hypersensitivity reaction
  • To diagnose food allergy or food hypersensitivity, a doctor first must determine if the patient is having an adverse reaction to specific foods. The doctor makes this assessment with the help of a detailed history from the patient, the patient’s dietary diary, or an elimination diet. The elimination diet and food challenge test are tools used to identify food allergies or food hypersensitivities not by test allergy or test laboratory. The elimination diet involves removing specific foods or ingredients from diet
  • After elimination and chalenges test, Tics and Tourette’s  Syndrome much better and many other symptoms better. So, exactly Tics and Tourette’s  Syndrome associated with Food Allergy or Food Hypersensitivity

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