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Childhood-diseases

Question
Posted by: Kerry | 2020/01/02

Q.

Autism suspicion

Good day Doc, I have a 2 years and 2 months old boy. I suspect that he may be autistic. he cries for absolutely anything and everything. As soon as he gets up, he cries (he wails extremely loud). He cries throughout the day when he doesn't get his way. He wants to bite and hit others all the time, almost as if he is frustrated. He is also very attached to his dad and I. If he is watching TV for example, either of us have to be next to him. Sometimes its even difficult to have a bath as he is crying uncontrollably to be carried. He is also very shy when he meets people and looks at them with his eyes down when he is spoken to. He has a room full of toys but only plays with a selected few that are his favorite. When it comes to food, he will only taste and eat something that he is used to and its a mission to try and get him to try something new. Even doing household chores is a mission, as he wants us to be with him. He is also on Chronic medication for UC so I am not sure if its because of the medication that he behaves this way.

Expert's Reply

A.

Paediatrician
- 2020/01/06

Your question is a very good one, but it is difficult to be sure about the answer. Your son is at the age when children often go through a stage of feeling insecure, often have temper tantrums and also are more likely to have problems with separation anxiety when their parents are not with them at all times. This stage and age is often called the 'terrible two's' However, you give an excellent description of his picky eating that I suspect may include a dislike of certain food textures, his more than usual shyness and his fixation on certain toys which taken together with his constant crying and his other behaviour features may indeed be due to him being in the autism spectrum classification. He can be assessed this age with the question being should he be seen by a paediatric neurologist or by an experienced child psychologist? It would probably be best for your son to be seen by a paediatric neurologist first.

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