By Derrick Lonsdale
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The concern generates fear and becomes a stress factor in itself. Overprotection of a child is the most stressful influence that he can meet. Every physician knows that he makes his patient worse when he displays his own anxiety, and the "bedside manner" is a careful cultivation of personality to project an air of competence and skill which enables the patient to accept that he is in good hands. An acute and relatively trivial illness in a child may quickly be extinguished when appropriate and efficient concern, without anxiety, is expressed, and assuming that the child's defense mechanisms are intact and efficient.
It should be noted, however, that if this were to be a correct interpretation it would have the benefit of logic, since it would serve to awaken the patient from a dangerous state of hypo-oxidation and thus act as a survival reflex. Functional dysautonomia patients have other symptoms. Diarrhea, often intermittent, may alternate with constipation. The stools may be extremely large and bulky, frequently causing blockage of the toilet. This may be associated with encopresis. An enhanced gastrocolic reflex is sometimes experienced and gives rise to postprandial abdominal pain relieved by a bowel movement.
4) was delivered at full term by cesarean section. During pregnancy the mother smoked half a pack of cigarettes a day. She had passed some renal calculi. The infant reportedly had choked occasionally during sleep and appeared to be unduly sensitive to noise, demonstrating frequent sleep starting. Physical examination was normal, with the exception of clinically judged poor neck tone and some diffuse mottling of the skin. At the age of three months, the infant apnea alarm sounded three or four times in a ten day period, and one apnea to cyanosis had been observed while she was awake.