I took Jess to the pediatrician for the follow-up yesterday. The pediatrician told us that it is "extra paramital movement" and most likely is caused by the amitryptyline we started her on to prevent migraines. The pediatrician said if it doesn't go away in a few days to let her know and she will call the neuro to try to figure it out. She DID stop to look at the info I had on Pediatric Tremors from the site wemove.org . Thanks Beth for giving me that link, I really appreciated it. This type of medication IS listed as potentially causing this tremor - and treatment if this medication causes it is to not take the medication. The pediatrician did tell us to give her 1-2 benadryl caplets every 4 hours until the tremor stops. She "thought" it would help. She did try to look it up, but after spending 25 mins going in and out of our room and her office to try to find out, couldn't spend anymore time looking it up. Jessie's allergies are acting up, so that is fine. Otherwise we problem wouldn't try the benedryl so much. I DO have another medical problem with Jessie though. The pediatrician told us that she is not comfortable prescribing ANYTHING to jess since Jess is on "so much medicine" and is so very sensitive to medications. Jess is on Keppra daily and on midrin and skelaxin as needed for migraines and muscle spasms in her back, respectively. It surely doesn't seem like a whole lot of medications, esp as she is pretty stable on those. The pediatrician basicly said that Jessie will need to see a specialist for ALL medical needs from here on out. So what do I do for a sinus infection? I guess I try to see one of the other docs, but I am just uncomfortable. This doctor knows Jess quite well. And Jess does have odd reactions to medications. JEss HATES teh male docs in the practice because they treat her like an idiot. They treat girls VERY differently than boys, at least from how they treat MY girl and boys. For an emergency I will tolerate them. I would go to another pediatrics practice, but there is only 1 other. They are not tied into the local hospital, so they can't pull up labs and scans on the computers. They put a LOT of pressure on parents to have the whole family seen there - they are more a 'family' practice than a pediatric practice, AND 1 of the partners almost killed me a few years ago.by overprescribing a medication to prevent migraines. It is NOT a medication that is used frwquently to prevent migraiens, and the doctor started me at a level that is way too high anyway. I am just very leery of the entire practice. The other problem with the pediatrician not wanting to treat Jess is that the specialist WON'T. They tell us to go tot he pediatrician and then have the pediatrician call them. The neuro is the worst about it, but all of them do it. I am going to have to write a nice letter to the neuro to ask how to handle things. I am confused. This really IS something that the neuro should have treated after the ER ruled out everything "obvious". At least from what I ahve learned online about it. Do I keep taking Jess into the current pediatrician practice and only schedule her with other peds? Why is it always some STRANGE reaction with Jess? Oh, right. She is related to me. And husband. (Is this proof husband really ID an alien???) Thanks for any advice/opinions/suggestions. I really appreciate them, and am quite nervous about having a child that NONE of the docs really want to treat. And I can't give her back. The warranty expired.