How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask healthydoc Your Own Question

healthydoc
healthydoc, Board Certified Physician
Category: Neurology
Satisfied Customers: 1986
Experience:  Board Certified U.S. Neurologist
55821379
Type Your Neurology Question Here...
healthydoc is online now
A new question is answered every 9 seconds

Here is my situation. My son is 4 and autistic. He has always

Customer Question

Here is my situation. My son is 4 and autistic. He has always displayed self injurious behaviors which have been highly elevated in the last month. There has been severe punching of himself in the face and head, and most recently, his chin. When his hands are restrained to prevent from hitting, he manages to knee himself extremely hard in the face, nose, mouth, etc. My question is this. Could this behavior be symptomatic of seizures? If so, what would the best course of action be (please understand our local neurology department, even with referrals from numerous doctors, refuse to see him because there has been no diagnosis of headaches or seizures)? In order to treat this, if in fact these are seizures that he is experiencing, could a medically induced coma be recommended? If that is necessary, what is the chance of good outcome?
Submitted: 1 year ago.
Category: Neurology
Expert:  healthydoc replied 1 year ago.

healthydoc :

Hello and thank you for your question.

healthydoc :

Aggressive behavior is common in children with autism. There are several forms of aggression. Physical aggression can cause an autistic child to hurt himself and others when directed at inanimate objects. Autistic children also can engage in verbal aggression that includes insults and yelling.


healthydoc :

When an autistic child becomes aggressive, staying calm and talking quietly while refraining from saying anything inflammatory. When faced with this situation, caretakers should remove objects that could prove dangerous, and ask that others leave the room so that the autistic person is in a one-on-one situation with a trusted individual. These efforts should help quiet down an aggressive child and soothe the aggression temporarily.


healthydoc :

behavioral therapy works to teach appropriate social behaviors in the belief that it will help stem aggressive behavior. Behavioral interventions can include applied behavior analysis, in which good behavior gets rewarded and poor behavior ignored; sensory integration therapy, in which autistic patients slowly build up tolerance for stimulation that triggers aggression; and play therapy to teach improved social skills in a controlled setting.


healthydoc :

Along with the behavior therapy medications can also help to ease the behavior. Medications like Serequel can help to calm his behavior as study suggest anti psychotic drug can reduce these type pf behavior by 70%.

healthydoc :

It is not likely to be a seizure activity as if he had seizures he would have other symptoms like muscle jerking, lip smacking and would feel lethargic.

healthydoc :

Please get back to me if you have any further questions. Thank you.

Customer :

Understood. However, tomorrow we have an appointment with his developmental pediatrician who may recommended a possible hospitalization. Now when he was a year and a half (pre-diagnosis) he was admitted for a day due to extreme constipation (which was due to his autism, unknown at the time). When the doctors were trying to run tests and get x-rays and such done he needed to be sedated to a very dangerous level (the doctors later told us that they were uncomfortable in pushing it that far) and still required 5 people to hold him down. Could there be a need for this in this situation if hospitalization is required? What tests should we get done? Any info you have or even a point in the right direction would be thoroughly appreciated.

healthydoc :

There are certain diseases where self-injurious behavior is commonly seen. Autism is one of those conditions. To some degree children with autism feel disconnected from their world and are not able to sense things. This lack of feeling often triggers behaviors which lead to self injury as it is something that gives them sensory input. Self-injury also helps them feel more grounded in their surroundings.

healthydoc :

This behavior is clearly harmful as such helping your son find an alternative means of sensing his environment may be the best therapy of all. This takes time and training with a good therapist who are trained at working with autistic children. I'm quite sure that this behavior does not represent seizure activity as it is goal directed. Seizure activity is not goal directed activity.

healthydoc :

Some psychologists state that the self-injury is a form of relieving anxiety. Regardless of its reason this behavior needs treatment with anti psychotic meications.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
< Last | Next >
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
  • http://ww2.justanswer.com/uploads/NE/neuromd2012/2012-6-6_171449_frank.64x64.jpg Dr. Frank's Avatar

    Dr. Frank

    Board Certified Physician

    Satisfied Customers:

    6629
    Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
  • http://ww2.justanswer.com/uploads/jesbrain2015/2010-5-21_162329_jack.jpg Jack Scariano Jr's Avatar

    Jack Scariano Jr

    Neurologist (MD)

    Satisfied Customers:

    1056
    Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    2846
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    1848
    Board Certified U.S. Neurologist
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/Phytube/2010-9-7_192331_PicVB1a_164by64.jpg Phytube.com's Avatar

    Phytube.com

    Neurologist (MD)

    Satisfied Customers:

    86
    Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications
 
 
 
Chat Now With A Neurologist
healthydoc
healthydoc
Neurologist
1986 Satisfied Customers
Board Certified U.S. Neurologist