Hello, dear colleagues.
I have a patient (6 y. o. boy) with strange clinic manifestations. Almost every day near 11:00 am he begin to act very slowly. The consciousness is not affected, it seems that everything is normal with him, but he talks and acts very slowly. It looks like he is drunk, but of course he isn't. And it seems that he himself doesn't recogniza his strange state. After 40 — 60 minutes he abruptly returns to his usual behaviour. Really quick and abruptly: at 11:59 he is slow and at 12:00 he is normal.
What could it be? Something connected with some circadian hormone level? Something neurological? Arterial blood pressure?
Thanks for any ideas.
Hi Roman,
This is quite an interesting case. Are you able to provide more details? How long has this been going for? Did it occur spontaneously or was it after a particular event? Is he currently on any medications? How does the family respond to this situation?
From the information you have provided it could be something psychosomatic. But without further information, it's difficult to pinpoint.
Regards,
Robert
Could be due to a decrease in his sugar levels? 11.00am is pretty far from breakfast.
Dear Vanessa, thank you. I hope no, because he usually eats some fruits or something just before walking outdoor at 10:00 — 10:30 am.
Hi Roman,
This is quite an interesting case. Are you able to provide more details? How long has this been going for? Did it occur spontaneously or was it after a particular event? Is he currently on any medications? How does the family respond to this situation?
From the information you have provided it could be something psychosomatic. But without further information, it's difficult to pinpoint.
Regards,
Robert
Hello, Dr. Eres.
Of course, here are some more details:
1. It seems that it occurs spontaneously. At least the parents can only tell about 11:00 am. And the second feature — the frequency of this phenomenon is higher after respiratory infection.
2. The boy isn't on any medication at the moment, but he takes some biological active supplements: Biotine, Sacharomyces and some prodigestive called Rioflora.
3. They lay him down on the sofa and don't let him run around and do his usual kid's business. Sometimes they measure the arterial blood pressure (circa 120/75 — this is high for his age, as I understand, but he is very high at his height, 115 cm or near it) and heart rate (110+).
Thank you.
Could it related to stress hormone? I am not verse on human especially young boys. But from my rodents stress-study, stress related hormone usually start to peaks in the morning and goes down after near afternoon.
Some says it directly some say indirectly (gut-brain axis) affected the neurological system.
(This is just my 2 cents opinions)
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