Tic Disorders
Dr. Weyrich's Naturopathic Functional Medicine Notebook
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Etiology
Elevated urinary levels of 3-hydroxyphenyl-3-hydroxypropionic acid (HPHPA) and other markers of dysbiotic overgrowth with Clostridia spp. are common in tic disorders [GP].Dr. Starr associates hypothyroidism with tic douloreux [Starr2005, pg 156].
Diagnosis
- Organic Acid Test (elevated markers for gut dysbiosis).
Differential Diagnosis
- Hypothyroid (Basal body temperature below 97.8 degrees F, elevated TSH, or depressed T3).
- Vitamin B12 deficiency [Stuart2006].
Treatment
- Treat dysbiosis if present.
ICD-9 Codes
| ICD9-Code | Description | Comments |
|---|---|---|
References
Unless specifically noted above, references used in the construction of this web page include the following:[FDM] Lecture notes from Functional Medicine University.
[SCNM] Lecture notes from Southwest College of Naturopathic Medicine.
[UT] Lecture notes from the University of Tennessee graduate programs in Chemistry and Biochemistry.
[Shaw2008] Shaw W. Biological Treatments for Autism & PDD, Third Edition. (2008).
[Starr2005] Mark Starr. Hypothyroidism Type 2: The Epidemic. Columbia, MO: Mark Starr Trust (2005).
[Stuart2006] J.J. Stuart & S.M. Pacholok. Could it be B12? An Epidemic of Misdiagnoses. Sanger, CA: Quill Driver Books/Word Dancer Press (2006).
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This web page is http://www.DrWeyrich.com/disorders/tics.html - Phone Dr. Weyrich at (480) 423-6952