Synaesthesia – so what actually is Synaesthesia ?

Synaesthesia

Synaesthesia

Introduction

Synaesthesia is a condition where a sensation in one of the senses, such as hearing, triggers a sensation in another, such as taste.

For example, some people with synaesthesia can taste numbers or hear colours.

A wide range of different synaesthetic experiences have been reported and recorded – a typical example is someone who described experiencing the colour red every time he heard the word “Monday”.

What are the different types of synaesthesia?

There are many different types of synaesthesia, and many people with synaesthesia will experience more than one of these – for example, taste, sound and touch may all produce colours.

Colours and patterns

Research suggests that the most common synaesthetic experiences are associating days, months, numbers and the alphabet with:

patterns or shapes (for example, envisaging the months laid out in lines, spirals or circles)

distinctive colours – for example, “A” may be red and “B” may be blue

Synaesthesia affects people differently. Two people with synaesthesia will often disagree over the colour of letters.

However, there are some trends that appear common to all people with the condition – A is generally perceived as red, B is often blue, and C is often yellow.

Taste and smell


For some people with synaesthesia, spoken words trigger a particular taste, as well as a particular texture, place in the mouth and temperature (for example, “runny egg yolk”).

Taste can also produce colour sensations, or shapes that can be “felt”.

Certain odours may also be perceived as shapes and/or colours, but this form of synaesthesia is thought to be rare.

Touch and other body sensations

Some people experience touch just by looking at someone being touched. This is known as “mirror touch” synaesthesia.

Feelings of pain or touch can also trigger visions or colour, and there has been a documented case of words triggering feelings of body movement.

Advice for people with synaesthesia

Most people with synaesthesia have had it since childhood, so it feels perfectly normal to experience the world in this way. It’s not obtrusive and does not affect day-to-day life. It’s not necessary to see a doctor.

If you think your child has synaesthesia

If you are a parent of a child with synaesthesia, you may wish to discuss it with their teacher so they are aware of it. There is evidence that synaesthesia affects educational ability, either by slightly distracting the pupil, or (most often) by giving slight learning advantages.

It may also be true that your child will learn in different ways to other children. For instance, many people with synaesthesia report a visual style of thinking.

If it comes on suddenly in adulthood

If you suddenly begin to experience symptoms of synaesthesia for the first time as an adult, it’s a good idea to see your GP for an assessment.

This is because there could be underlying factors related to your brain and nervous system that may need investigating.

Is synaesthesia linked to other conditions?

Because the number of people with synaesthesia is relatively small, it is not yet possible to know this conclusively.

An Australian study did not find any evidence of an association between synaesthesia and various mental health problems. In fact, there is growing evidence that synaesthesia may be linked to certain advantages, including enhanced memory, superior perception and being able to think more quickly.

Two small studies published in 2013 suggest that synaesthesia is more common in adults with autism (also known as autistic spectrum disorder) than in adults who do not have an autistic spectrum disorder.

The studies involved screening people with and without autism for synaesthesia. In adults with autism, the prevalence of synaesthesia was estimated to be 17-19%, whereas adults without autism have a much lower prevalence of 2% (for more information, read NHS News: Synaesthesia may be ‘more common’ in autism).

These results appear broadly reliable, but they need to be confirmed in larger studies. If true, these findings imply that the two conditions may share some common cause in the brain.

However, it’s important to note that most people with autism do not have synaesthesia, and that most people with synaesthesia do not have autism.

What’s the cause?

It’s likely that the brain of someone with synaesthesia is “wired” differently, or has extra connections.

brain imaging study has shown that when some people with synaesthesia hear spoken words, a part of their brain normally used to process colour from vision lights up.

Synaesthesia runs in families, although it may skip a generation and may not affect immediate relatives. It’s possible for only one twin to have the condition, or for family members to show different types of synaesthesia. In summary, there is a genetic contribution to synaesthesia, but the environment is also important.

It’s possible for people to “grow out of” synaesthesia: there have been cases of people claiming that they used to experience synaesthesia, but no longer do.

How do people with synaesthesia feel about their condition?

Interviews with people who have synaesthesia show a wide range of feelings towards their condition.

Many are positive about it (“I feel sorry for people who don’t have this”), and can’t imagine their life without it.

Some feel neutral about it, and treat it as something they’ve become used to, which doesn’t affect them in any way.

For a minority, the sensations can disrupt their chain of thought and be intrusive.

How common is it?

Synaesthesia has been estimated to affect at least 4% of the UK population.

Researchers at the University of Sussex have estimated that 1-2% of the UK population experience colour when they see, hear or think about letters and numbers, and that synaesthesia is just as common in women as in men (read the study).

Tourette’s syndrome – what are the signs and symptoms of Tourette’s syndrome?

Tourette's Syndrome

Tourette’s Syndrome

Symptoms of Tourette’s syndrome

If your child has tics, it doesn’t necessarily mean they have Tourette’s syndrome.

Children often develop tics before growing out of them after several months. These are known as transient tics.

For tics to be classified as Tourette’s syndrome, they have to be present for at least a year and include at least one vocal tic.

Tics can be:

vocal (sounds) – such as grunting, coughing or shouting out words

physical (movements) – such as jerking of the head or jumping up and down

Tics can also be:

simple – for example, making a small movement or uttering a single sound

complex – for example, making a series of movements or speaking a long phrase

Most people diagnosed with Tourette’s syndrome have a combination of physical and vocal tics, which can be both simple and complex.

Simple vocal tics

Examples of simple vocal tics include:

grunting

clearing the throat

coughing

screaming

sniffing

squeaking

blowing

Simple physical tics

Examples of simple physical tics include:

blinking

jerking the head

twitching the nose

teeth grinding

rolling the eyes

twisting the neck

rotating the shoulders

Complex vocal tics

Examples of complex vocal tics include:

repeating other people’s phrases (echolalia)

repeating the same phrase over and over again (palilalia)

swearing loudly or shouting inappropriate words and phrases (coprolalia)

Swearing is often associated with Tourette’s syndrome, but it’s actually a fairly uncommon symptom affecting a minority of people with the syndrome.

Complex physical tics

Examples of complex physical tics include:

shaking the head

hitting or kicking objects

jumping

shaking

touching themselves or others

copying the movements of others (echopraxia)

making obscene gestures, such as giving someone ‘the finger’ (copropraxia)

Premonitory sensations

Most people with Tourette’s syndrome experience uncomfortable or unusual feelings before having a tic. These feelings are known as premonitory sensations.

Premonitory sensations are only relieved after the tic has been carried out, in a similar way to how an itch can only be relieved by scratching it.

Examples of premonitory sensations include:

a burning feeling in the eyes that feels as if it can only be relieved by blinking

tension in a muscle that can only be relieved by twitching or stretching the muscle

a dry or sore throat that can only be relieved by grunting or by clearing the throat

an itchy joint or limb that can only be relieved by twisting the joint or limb

Pattern of tics

If your child has Tourette’s syndrome, their tics will probably tend to follow a set pattern. They may be worse during periods of:

stress

anxiety

tiredness

illness

nervous excitement

relaxation after a busy day

On the other hand, the tics are often reduced when they’re doing an enjoyable activity involving a high level of concentration, such as reading an interesting book or playing competitive sports.

You may find your child is able to control their tics when they’re in situations where they would be particularly noticeable, such as in a school classroom. However, controlling tics can be difficult and tiring over prolonged periods of time.

Many children with Tourette’s syndrome often experience a sudden ‘release’ of tics after trying to suppress them – for example, after returning home from school.

When to seek medical advice

You should contact your GP if either you or your child starts experiencing tics.

Many children have tics for several months before growing out of them, so a tic doesn’t necessarily mean your child has Tourette’s syndrome.

However, symptoms such as tics do need to be investigated.

Hypothyroidism – what are the signs of an underactive thyroid?

Hypothyroidism

Hypothyroidism

Many symptoms of an underactive thyroid (hypothyroidism) are the same as those of other conditions, so it can easily be confused for something else.

Symptoms usually develop slowly and you may not realise you have a medical problem for several years.

Common symptoms include:

tiredness

being sensitive to cold

weight gain

constipation

depression

slow movements and thoughts

muscle aches and weakness

muscle cramps

dry and scaly skin

brittle hair and nails

loss of libido (sex drive)

pain, numbness and a tingling sensation in the hand and fingers (carpal tunnel syndrome)

irregular periods or heavy periods

Elderly people with an underactive thyroid may develop memory problems and depression. Children may experience slower growth and development. Teenagers may start puberty earlier than normal.

If you have any of these symptoms, see your GP and ask to be tested for an underactive thyroid.

Read more about getting tested for an underactive thyroid.

If an underactive thyroid isn’t treated

It’s unlikely that you’d have many of the later symptoms of an underactive thyroid, because the condition is often identified before more serious symptoms appear.

Later symptoms of an underactive thyroid include:

a low-pitched and hoarse voice

a puffy-looking face

thinned or partly missing eyebrows

a slow heart rate

hearing loss

anaemia

Reye’s Syndrome – what everyone needs to know!

Reye's syndrome

Reye’s syndrome

Reye’s syndrome is a very rare disorder that can cause serious liver and brain damage. If it’s not treated promptly, it may lead to permanent brain injury or death.

Reye’s syndrome mainly affects children and young adults under 20 years of age.

 

Symptoms of Reye’s

The symptoms of Reye’s syndrome usually begin a few days after a viral infection, such as a coldflu or chickenpox.

Initial symptoms can include:

vomiting repeatedly

tiredness and lack of interest or enthusiasm

rapid breathing

fits (seizures)

As the condition progresses, the symptoms may get more severe and more wide-ranging, and can include:

irritability, or irrational or aggressive behaviour

severe anxiety and confusion that’s sometimes associated with hallucinations

coma (loss of consciousness)

When to get medical advice

As Reye’s syndrome can be fatal, it’s vital that you get medical advice if you think your child may have it.

 

loses consciousness

has a fit or convulsions (violent, irregular limb movements)

You should contact your GP if, after having a cold, flu or chickenpox, your child is:

vomiting repeatedly

unusually tired

displaying personality or behavioural changes (see above)

Although it’s unlikely these symptoms will be caused by Reye’s syndrome, they still need to be checked by a doctor.

Tell your GP if your child has taken aspirin, because the use of aspirin in children has been linked to Reye’s syndrome (see below).

But even if your child hasn’t taken aspirin, Reye’s syndrome shouldn’t be ruled out.

What causes Reye’s syndrome?

The exact cause of Reye’s syndrome is unknown, but it most commonly affects children and young adults recovering from a viral infection – typically, but not exclusively, a cold, flu or chickenpox.

In most cases, aspirin has been used to treat their symptoms, so aspirin may trigger Reye’s syndrome.

In Reye’s syndrome, it’s thought that tiny structures within the cells called mitochondria become damaged.

Mitochondria provide cells with energy and they’re particularly important for the healthy functioning of the liver.

If the liver loses its energy supply, it begins to fail. This can cause a dangerous build-up of toxic chemicals in the blood, which can damage the entire body and can cause the brain to swell.

Diagnosing Reye’s syndrome

As Reye’s syndrome is so rare, other conditions that can cause similar symptoms need to be ruled out. These include:

meningitis – inflammation of the protective membranes surrounding the brain and spinal cord

encephalitis – inflammation of the brain

inherited metabolic disorders – conditions, such as medium-chain acyl-CoA dehydrogenase deficiency (MCADD), that affect the chemical reactions that occur in your body

Blood tests and urine tests can help detect if there’s a build-up of toxins or bacteria in the blood, and they can also be used to check if the liver is functioning normally.

Tests may also be carried out to check for the presence or absence of certain chemicals that could indicate an inherited metabolic disorder.

Other tests that may be recommended include a:

CT scan to check for brain swelling

lumbar puncture – where a sample of fluid is removed from the spine using a needle to check for bacteria or viruses

liver biopsy – where a small sample of liver tissue is removed and examined to look for distinctive cell changes associated with Reye’s syndrome

Treating Reye’s syndrome

If Reye’s syndrome is diagnosed, your child will need to be immediately admitted to an intensive care unit.

Treatment aims to minimise the symptoms and support the body’s vital functions, such as breathing and blood circulation.

It’s also essential to protect the brain against permanent damage that can be caused by the brain swelling.

Medicines may be given directly into a vein (intravenously), such as:

electrolytes and fluids – to correct the level of salts, minerals and nutrients, such as glucose (sugar), in the blood

diuretics – medications to help rid the body of excess fluid and reduce swelling in the brain

ammonia detoxicants – medications to reduce the level of ammonia

anticonvulsants – medications to control seizures

A ventilator (breathing machine) may be used if your child needs help with breathing.

Vital body functions will also be monitored, including the heart rate and pulse, the air flow to their lungs, blood pressure and body temperature.

Once the swelling in the brain has reduced, the other functions of the body should return to normal within a few days, although it may be several weeks before your child is well enough to leave hospital.

Possible complications

As a result of advances in diagnosing and treating Reye’s syndrome, the majority of children and young adults who develop it will survive, and some will make a full recovery.

However, Reye’s syndrome can leave some people with a degree of permanent brain damage caused by the swelling of their brain.

Long-term difficulties sometimes associated with Reye’s syndrome include:

poor attention span and memory

some loss of vision or hearing

speech and language difficulties

problems with movement and posture

difficulty swallowing

problems with everyday tasks, such as dressing or using the toilet

If your child develops any long-term problems, an individual care plan will be drawn up to address their needs. The plan will be reassessed as they get older.

Read more about living with disability and care and support.

Preventing Reye’s syndrome

Because of the possible link between aspirin and Reye’s syndrome, aspirin should only be given to children under 16 on the advice of a doctor when it’s felt the potential benefits outweigh the risks.

Children under 16 should also not take any products containing:

acetylsalicylic acid

acetylsalicylate

salicylic acid

salicylate

salicylate salts

Some mouth ulcer gels and dental gels contain salicylate salts. These shouldn’t be given to children under 16 years of age. There are alternative products that are suitable for under 16s – ask your pharmacist for advice.

Ulcerative Colitis – what are the signs and symptoms of Ulcerative Colitis?

Ulcerative Colitis - what are the signs and symptoms of Ulcerative Colitis?

Ulcerative Colitis – what are the signs and symptoms of Ulcerative Colitis?

Ulcerative Colitis

Ulcerative colitis is a long-term condition, where the colon and rectum become inflamed.

The colon is the large intestine (bowel), and the rectum is the end of the bowel where stools are stored.

Small ulcers can develop on the colon’s lining, and can bleed and produce pus.

Symptoms of ulcerative colitis

The main symptoms of ulcerative colitis are:

recurring diarrhoea, which may contain blood, mucus or pus

abdominal (tummy) pain

needing to empty your bowels frequently

You may also experience fatigue (extreme tiredness), loss of appetite and weight loss.

The severity of the symptoms varies, depending on how much of the rectum and colon is inflamed and how severe the inflammation is. For some people, the condition has a significant impact on their everyday lives.

Symptoms of a flare-up

Some people may go for weeks or months with very mild symptoms, or none at all (known as remission), followed by periods where the symptoms are particularly troublesome (known as flare-ups or relapses).

During a flare-up, some people with ulcerative colitis also experience symptoms elsewhere in their body. For example, some people develop:

painful and swollen joints (arthritis)

mouth ulcers

areas of painful, red and swollen skin

irritated and red eyes

In severe cases, defined as having to empty your bowels six or more times a day, additional symptoms may include:

shortness of breath

a fast or irregular heartbeat

a high temperature (fever)

blood in your stools becoming more obvious

In most people, no specific trigger for flare-ups is identified, although a gut infection can occasionally be the cause. Stress is also thought to be a potential factor.

Read more about living with ulcerative colitis.

When to seek medical advice

You should see your GP as soon as possible if you have symptoms of ulcerative colitis and you haven’t been diagnosed with the condition.

They can arrange blood or stool sample tests to help determine what may be causing your symptoms. If necessary, they can refer you to hospital for further tests.

Read more about diagnosing ulcerative colitis.

If you’ve been diagnosed with ulcerative colitis and think you may be having a severe flare-up, contact your GP or care team for advice. You may need to be admitted to hospital.

 

What causes ulcerative colitis?

Ulcerative colitis is thought to be an autoimmune condition. This means the immune system – the body’s defence against infection – goes wrong and attacks healthy tissue.

The most popular theory is that the immune system mistakes harmless bacteria inside the colon for a threat and attacks the tissues of the colon, causing it to become inflamed.

Exactly what causes the immune system to behave in this way is unclear. Most experts think it’s a combination of genetic and environmental factors.

 

Who’s affected?

It’s estimated that around 1 in every 420 people living in the UK has ulcerative colitis; this amounts to around 146,000 people.

The condition can develop at any age, but is most often diagnosed in people from 15 to 25 years old.

It’s more common in white people of European descent (especially those descended from Ashkenazi Jewish communities) and black people. The condition is rarer in people from Asian backgrounds (although the reasons for this are unclear).

Both men and women seem to be equally affected by ulcerative colitis.

How ulcerative colitis is treated

Treatment for ulcerative colitis aims to relieve symptoms during a flare-up and prevent symptoms from returning (known as maintaining remission).

In most people, this is achieved by taking medication such as:

Mild to moderate flare-ups can usually be treated at home. However, more severe flare-ups need to be treated in hospital to reduce the risk of serious complications, such as the colon becoming stretched and enlarged or developing large ulcers. Both of these can increase the risk of developing a hole in the bowel.

If medications aren’t effective at controlling your symptoms, or your quality of life is significantly affected by your condition, surgery to remove your colon may be an option.

During surgery, your small intestine will either be diverted out of an opening in your abdomen (known as an ileostomy), or used to create an internal pouch that’s connected to your anus (known as an ileo-anal pouch).

 

Anus
The anus is the opening at the end of the digestive system where solid waste leaves the body.
Chronic
Chronic usually means a condition that continues for a long time or keeps coming back.
Disease
A disease is an illness or condition that interferes with normal body functions.
Genetic
Genetic is a term that refers to genes- the characteristics inherited from a family member.
Inflammation
Inflammation is the body’s response to infection, irritation or injury, which causes redness, swelling, pain and sometimes a feeling of heat in the affected area.
Pain
Pain is an unpleasant physical or emotional feeling that your body produces as a warning sign that it has been damaged.
Remission
Remission is when the symptoms of a condition are reduced (partial remission) or go away completely (complete remission).
Stools
Stool (also known as faeces) is the solid waste matter that is passed from the body as a bowel movement.
Ulcers
An ulcer is a sore break in the skin, or on the inside lining of the body.