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Restless Leg Syndrome in Children

Restless Leg Syndrome is a common topic among adults, and in commercials on TV. Children, however, makeup a small group of sufferers and are often misdiagnosed or undiagnosed all together because RLS is diagnosed almost entirely by clinical diagnosis, or history of symptoms. Children do not vocalize their symptoms in the same way adults do, or may not refer to them in the same – in addition, some doctors may see RLS as an adult disorder and not make the connection to the child. In reality, it is thought that nearly 1.5 million children are thought to have RLS, among adults with the disorder, it is thought their symptoms began in childhood or adolescence. If there is a question as to a children’s symptoms, ask them questions similar to those asked to adults; if they are able to answer them then it should be assumed RLS is the cause for their discomfort, in turn they should be referred to a Pediatric Nuerologist who may be able to help with evaluation and proper treatment, according to their age.

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According to the Mayo Clinic, a finding has shown that nearly six percent of the children seen in their sleep clinic are actually found to have RLS. Also mentioned is that, as with most disorders, a family history is a major risk factor and should be shared with the child’s doctor if RLS is suspected.

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For years doctors and parents have contributed kid’s nightly complaints of pain in their legs to “growing pains,” what is being discovered now is that many of these kids actually have RLS and it is being missed. There are times when “growing pains” are the actually reason for discomfort, however, if there is a pattern of the pain occurring every night, complain of insomnia, or irritability in the child – it may be something more.

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In reviewing the records of 538 children seen at the Mayo Clinic pediatric sleep center, it was found that out of 32 probably case, 23 were found to be definite diagnosed as RLS.

A common factor in the patients was low iron levels in their blood. Since it is known that low iron levels are a cause of RLS, when it comes to children doctors are not sure if it is due to diet or a genetic linking to the low iron levels. Also noted when referring to genetics, was the child’s mother was more likely the parent who had RLS.

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In the case of children, studies indicate there may be a strong connection between RLS and Attention Deficit Hyperactivity Disorder (ADHD), with both conditions being addressing a chemical imbalance. When children with inattentiveness were examined, many had conditions like sleep apnea or RLS. This further solidifies the idea that inattentiveness is caused by many things, both internal and external. Often children with RLS show symptoms in the way of aggression, hyperactivity, inattention – leading to the idea of the RLS and ADHD link.

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There is hope for both children and adults in that research has found a specific gene associated with RLS. As research continues, this information will help those who currently suffer from RLS and help those in the future.



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