Tonsil Removal May Cure ADHD in Kids

Huh. Who'da thunk it?

Tonsil removal may cure ADHD behavior in kids
10:59 PM CDT on Saturday, August 11, 2007
Contra Costa County Times

TUCSON, Ariz. — Little T.J. was a monster. There's no other way to say it.

Extremely hyperactive, the toddler ran around in circles, destroying everything in his path. He got kicked out of day care and banned from friends' homes.

His own grandmother called the 2-year-old a "monster." Friends told his family that T.J. — short for Terence Johnson — was destined to be "the next serial killer."

"He was so out of control, I was at my wits' end," said his mother, Heather Norton. "It is hurtful to realize nobody likes your child."

That was then. Today, as T.J. gets ready to turn 3, he is a changed boy. Lively, to be sure, but affectionate instead of mean.

"It's a total turnaround — this is a different child," Ms. Norton said. "Everybody notices the difference."

A frontal lobotomy? Electroshock therapy? Powerful drugs?

No, T.J. had his tonsils out.

The removal of a child's tonsils can, in some cases, significantly improve, even cure, severe hyperactivity often diagnosed as attention deficit hyperactivity disorder.

Now affecting more than 2 million U.S. children, ADHD most often is treated with psychoactive drugs, sometimes for a lifetime.

But in some children, simply removing the tonsils also has removed the diagnosis, by restoring normal behavior.

"Sometimes you get really great results, sometimes you see partial results in these children," said Dr. Damian Parkinson, the psychiatrist who suggested T.J.'s behavior might be related to his tonsils.

The key to making that connection is how the child sleeps. Snoring, restlessness, apnea, and gasping for breath during the night are clearly linked to hyperactive daytime behavior in very young children. And enlarged or infected tonsils and adenoids — immune-related tissue masses in the throat — most often are the cause of "sleep-disordered breathing."

In one recent study, at the University of Michigan, 22 children with ADHD and sleep-disordered breathing had adenotonsillectomies. After one year, 11 no longer battled ADHD.

"These improvements are remarkable because hyperactivity and inattention generally are expected to be chronic features in affected school-age children," the researchers wrote in a report published last year in Pediatrics.

As a result of this and other recent studies, "doctors conducting healthy-child checkups should always ask about snoring, poor sleep, behavioral and learning problems, and look for physical signs such as enlarged tonsils and adenoids," reads a summary published in the Journal of the American Medical Association in June.

Ritalin For Infants

Good God. I will have to look it up, but I am pretty sure this is one of the signs of the end times.

GPs 'Giving Ritalin to Babies Under A Year Old'
By PAUL SIMS
30th July 2007
Daily Mail

Thousands of children are needlessly being prescribed mind-altering powerful drugs for hyperactivity, according to opposition MPs.

Research suggests that some GPs are even handing out Ritalin pills to children under a year old.

Almost 400,000 youngsters aged between five and 19 are being treated with Ritalin and similar drugs for attention deficit hyperactivity disorder, or ADHD, despite fears about the drugs' side-effects.

The Conservative Party says the number of prescriptions for behavioural problems has risen by 156 per cent in the last six years.

Those diagnosed with ADHD often display disruptive behaviour and have difficulty paying attention to specific tasks.

In the last five years alone, NHS spending on stimulant drugs such as Ritalin has trebled - despite concerns over the potential health risks.

Official guidelines recommend drug treatment only for the most severely affected children. But the Tories claim that Ritalin and similar drugs are being prescribed to those with mild symptoms.

A formal diagnosis of ADHD should take many hours, but they say some GPs are prescribing powerful drugs after brief consultations.

This is despite reports of sideeffects such as cardiovascular disorders, hallucinations and even suicidal thoughts.

At least nine deaths have been reported to the UK's Medicines and Healthcare Products Regulatory Agency since Ritalin became available in the early 1990s. Shadow Commons leader Theresa May said: "They are powerful prescription drugs and we don't know what their long-term effects are. Despite this, they are being given to children before they are a year old.

"I have no doubt that there are children in the UK with ADHD who will benefit from Ritalin.

"But the increase of prescriptions raises questions in my mind as to whether it is being prescribed properly in each and every case.

"A six-year-old who was prescribed Ritalin experienced low moods and marked depression and tried to throw himself out of a window within two months of starting treatment. He recovered after drug withdrawal."

She is calling on NHS bosses to review their policy on prescribing such drugs. "With such widespread use of these prescription medicines we need a review of the current guidelines, with a view to tightening them," she said.

"More research should be done into the effectiveness of non-drug treatment and natural remedies to treat ADHD."

As there are no official records on the number of children prescribed Ritalin in Britain, the Tories used research compiled from global studies conducted over the past decade.

It comes after a report by the University of California showed the use of ADHD drugs has tripled worldwide since 1993.

Monthly prescriptions for Ritalin in England and Wales increased from 4,000 in 1994 to 359,000 in 2004, it claimed.

But Andrea Bilbow, chief executive of ADHD charity Addiss, dismissed the research as "misleading" and claimed that the disorder was still "under-diagnosed and underprescribed".