The cold wind is blowing gently and autumn is here. Since September, many parents have reported that their children’s tic symptoms have worsened again, and some children who have been off medication for a long time are “reporting” again. So, what is the reason why many children’s tics have worsened in this beautiful fall season? First, September is the start of the school year. Many children cannot adapt to the stressful routine that comes with the start of the school year, instead of the casual and lazy life of summer vacation. In addition, many school tests, new teachers, and new schools come after the start of the school year, which inevitably aggravates tic symptoms under the dual stimulus of learning pressure and environmental change. This situation is even more obvious for children who have just started the first grade or for new students in the first year. The second reason for this is the change of season. The transition from the hot summer to the cool autumn, in this time of climate change, many children are accidentally hit – a cold. The first thing you need to do is to take a look at the website. The child who has already “recovered” may relapse. In addition, autumn is also a good season for many allergic diseases. If a child with tics also has allergic rhinitis, conjunctivitis or hives, the itchy nose, sneezing, itchy eyes and itchy skin caused by these allergic diseases may also trigger or aggravate tics. Also, cold stimulation is one of the reasons for the aggravation of twitching symptoms in children. As the saying goes, it is cold in the morning and evening in autumn, so when the cold wind blows into your child’s eyes, for example, it can cause frequent blinking due to eye discomfort. So, what should parents and children do to deal with this “eventful autumn”? In fact, as long as you know the reasons that can trigger the aggravation of twitching, parents and children will know what to do. 1. arrange a “transition period” for your child before the start of the school year to adapt to the rhythm of life after the start of the school year, to understand the changes in the environment of the new semester in advance, so that your child has a psychological preparation. You should be able to identify new problems in the new semester and communicate with your child or teacher to solve them in time. 2. Treat minor illnesses early. If you catch a cold, treat it promptly. Usually, for most children, if the cold is not serious, drink more water and take rest, the nose will heal naturally after a few days. But not for children with a history of Tourette’s syndrome. Even a little physical discomfort can have a “magnifying” effect on their senses, so when a child with Tourette’s syndrome has a cold, he or she should take some medication to relieve the cold symptoms as soon as possible. It is important to avoid sudden changes in temperature and to add and remove clothes to avoid catching a cold. 3. Avoid allergens as much as possible to reduce the occurrence of allergies, and if allergy symptoms appear, seek medical attention and give anti-allergy treatment. 4. Pay attention to keeping warm as the weather gets cooler. Children with tics are often sensitive to cold stimuli, so add clothes in time, especially when going out. 5. Let your child take part in some appropriate physical exercise to enhance physical fitness; live a regular life, avoid stimulating food, eat more vegetables and fruits, and have balanced nutrition. To prevent autumn dryness, pears, silver fungus, lilies, lotus seeds and white radish are all good ingredients. In this beautiful autumn, may parents and children have a “high autumn” good mood! (Welcome to the WeChat public number: Chen Yuyan Pediatric Clinic)