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Published on: August 13, 2015
Presentation Of Children With Masturbation
Syed Sajid Hussain Shah1, Bibi Aalia2, Shahzad Najeeb3
1Paediatric Nephrology, Institute of Kidney Diseases, Peshawar.
Insights
Childhood masturbation (CM) involves genital self-stimulation in pre-adolescent children. Consider CM in young children with vague symptoms, especially when seizures are not strongly indicated.
Area of Science:
- Pediatrics
- Child Psychology
- Neurology
Background:
- Childhood masturbation (CM) is characterized by genital self-stimulation in pre-adolescent children.
- Accompanying symptoms can include sweating, tachycardia, blushing, muscle contraction, and increased breathing rate.
Purpose of the Study:
- To present a case series of three children diagnosed with childhood masturbation.
- To highlight the importance of considering CM in the differential diagnosis of unexplained symptoms in young children.
Main Methods:
- Case series of three pediatric patients presenting with vague symptoms.
- Clinical observation and video recording of patient behavior were utilized for diagnosis.
- Diagnostic criteria for childhood masturbation were applied.
Main Results:
- Three cases of childhood masturbation were identified in children aged 2-3 years.
- Presenting symptoms included to-and-fro movements, thigh rubbing, and genital manipulation with autonomic signs.
- Video evidence aided in confirming the diagnosis in two cases.
Conclusions:
- Childhood masturbation should be considered in the differential diagnosis for young children with unexplained symptoms.
- It is crucial to differentiate CM from other conditions, such as seizures, based on clinical presentation.
- Behavioral therapy and parental counseling are key components of management for childhood masturbation.
Abstract:
Childhood masturbations (CM) is stimulation of genital by pre-adolescent children with accompanying symptoms including sweating, tachycardia, blushing, muscle contraction and increase rate of breathing. We are presenting case series of three patients, who presented with history of vague symptoms and ultimately diagnosed and managed as case of CM. A 2 years old girl presented with history of to and fro movements. A 3 years old girl presented with history of rubbing of inner thighs and 3 years old boy presented with history of holding and rubbing genitalia with forward bending and symptoms of increase breathing, flushing and sweating. Video recording was available with two patients, which helped in making final diagnosis. Parents were counselled and patients referred for behavioural therapy. Conclusion: In young child CM should be considered in differential diagnosis whenever history is not fully suggestive of seizures.
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