3. Find your local participating practitioner by logging onto the website: www.infantsee.org Best wishes, K. I would take her to have her eyes checked. 2019;100(6):350-356. Whether its a mild ear infection or one that produces a high-grade fever, your childs pediatrician should know how to treat it properly. Your pediatrician cannot diagnose an ear infection over the phone or via a telehealth visit. Emersen doesn't have any teeth yet. Getting attention sooner rather than later will help gain early treatment if it is needed. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. So it doesnt have to be all negative! How is it treated? This makes the tubes more likely to become blocked and stop draining properly. In some cases, a doctor may recommend a course of antibiotics to treat an ear infection, while in other cases, teething remedies like teething rings or infant pain relievers might work better for your little biter. 2005-2023Everyday Health, Inc., a Ziff Davis company. Your daughter's head tilt may be nothing or it may be a way for her to try to put her dominant eye in a better position to see. You'll probably notice one or both of the telltale symptoms: Your baby may hold her head to one side and have limited neck movement, or she may have a small bump on the side of her neck. Hip dysplasia and other musculoskeletal problems, Preferring one breast over the other during breastfeeding, Loose or more frequent stools (from swallowing excess drool). by renam863. We saw three different opthomolgists over the years and were told at each annual exam that there was "nothing wrong". Young children can develop ear infections before they are old enough to talk. She checked her for an ear infection but she said everything looked perfect. Gaddey HL, Wright MT, Nelson TN. 3. Babies may tilt their heads while teething to relieve pain, but there may be other problems, such as ear infections or torticollis. Am Fam Physician. Ear infections are common in little ones. I'm the mom of a beautiful girl and identical twin boys. The usual course of antibiotics is 10 days, and its important to finish the prescription. Your child will have interests that come and go but children with ASD tend to develop a passion that lasts longer. As a main carer you may hate to face the fact there are tendencies present but how do you decipher from your child showing signs of ASD and normal development? Its very deliberate movement and she does it fairly slowly so I dont think its neurological or a reflex. Would be interested to chat to see if they are similar? Babies with torticollis may also develop positional plagiocephaly (asymmetrical head shape) because they'll often sleep with their head turned to the affected side. You can give your baby cool water if older than 6-9 months. And theyll be able to give you further advice about the best way to manage your little ones pain and fever. but like I said, I'll email you if you want to compare notes and hear our saga Shell scrunch her face and push her face towards her shoulder. She has practicedin a variety of settings including pediatrics, oncology, chronic pain, and public health. Teething gel can also work for some babies. Its estimated that about 50% of babies and children will develop a fever with an ear infection. As a mom myself I understand that you automatically jump to the worst outcome. When a virus or type of bacteria travels through the eustachian tube, it can block the tube, causing fluid to build up in the middle ear. This can have a huge impact on the way your daughter learns to move and how she does later in school!!!! How Long Is Reheated Breast milk Good For? Feeding techniques can also help prevent ear infections in your baby. Posted 4/5/10. My 6 month old daughter seems to randomly tilt her head to the left every once in awhile. Theyll then be able to look inside your babys ear with a small torch for signs of redness and infection. Teeth on left side only?! Lack of social interaction is usually the first signal that something is underlying. The whole nerve explanations sounds so comforting! or with an ear infection? Of course you can look into what the other ladies said, but if it's just random and every once in a while, it's probably just exploration and curiosity. Clean after each use. We are vaccinating all eligible patients. Autism in toddlers can be overlooked. We went to finish her registration at daycare and when she was interacting with the other kids she began to shrug her shoulder. have a cold or throat infection, like mono or strep. Your toddler will hold the affected ear before telling you it hurts. Hello girls!Im freaking out.. my baby has been doing this ear to shoulder twitch a couple of times. My husband observed her today and noted that she didn't do it at all. --The ear on the side of the occipital flattening (at the back of head) can be larger and advanced forward, compared to the other ear Breastfeeding is a great way to prevent ear infections because the antibodies your baby receives will help fend off infections. According to one study The Onset of Autism from the age of two you can begin to indicate early signs that your child could be on the spectrum. She had to do physical therapy which did wonders! To prevent catching colds and upper respiratory viruses, wash your hands frequently and avoid letting your child share cups or eating utensils with anyone else. Use cold teethers, pacifiers, washcloths, or spoons. I have been reading so many different articles and post and nothing has been giving me a solid answer. For a large period of my life, I worked as a parenting development teacher. It is tough for any parent to tell the difference between teething and an ear infection. For example, a child with an obsession in only playing with blocks may refrain from any other toys, this could lead to a passion in architecture as an adult. May 2011. just got back from our 1st weekend away without LO (sweeeeet!) Its the only time it happens for her. John Carew, MD, is board-certified in otolaryngology-head and neck surgery. 544 Likes, 1 Comments - Brooke | OT & Mom (@infantinsights) on Instagram: "Did you know your baby benefits from stretching!?!? Head tilts can mean various things from conditions namely, Torticollis but when a toddler keeps tilting head to shoulder are they showing signs of autism? Ear Infections If your baby smiles while tilting their head to the side, theyre probably just trying to be cute or funny. Ear infection symptoms. My 6 month old daughter seems to randomly tilt her head to the left every once in awhile. American Academy of Pediatrics. Like . Prayers!!! E.cuniculi parasite (Encephalitozoon cuniculi) - a tiny parasite that causes inflammation of the brain, very common in rabbits. You also might not notice it until their later infancy when they can hold their heads up. we have one more followup scheduled for this spring but not with an eeg just to let the docs see her. Your healthcare provider will be able to examine your babys ears and prescribe an antibiotic if needed. At this point you may begin to notice the following symptoms: Head tilts or rotates to one side. You can also place your baby to sleep with her head turned to the non-affected side. This tube connects the middle ear to the back of the throat; there is one in each ear. I do not think it is anything to be concerned about. Carrie Madormo, RN, MPH, is a health writer with over a decade of experience working as a registered nurse. sorry you're going thru it. i'm entertaining the possibility that it's some kind of new teething side effect but i'm not entirely sure she's teething. poor posture, especially when your head is forward or turned . She hasn't been tugging at her ear, so I'm pretty sure it is not an ear infection. That means parents are often left guessing why their child appears to be suffering. The condition, which does not affect normal brain growth and function, may include the following physical characteristics: --The back of the head is flattened on the same side that the forehead is more prominent it may be an ear infection, even without the ear pulling. The best course is often to watch the child for two to three days before prescribing antibiotic treatment. Gum inflammation can radiate into the ear canal and babies may feel an aching in their ears. While you may be tempted to treat your child's ear infection with homeopathic or natural medicine, Tunkel warns they arent well studied. Kids who get repeated infections may benefit from a surgical procedure where doctors insert small tubes in the eardrums to improve air flow and prevent fluid buildup. Klippel-Feil Syndrome. It may look like your infant's neck is rotated at an odd angle. The drainage will appear different than normal ear wax, which is orange-yellow or reddish-brown. My son is 8 months old and I work with someone who has a 9 month old. Create an account or log in to participate. There are several reasons why a toddler keeps tilting head to shoulder. If your baby suddenly leans and looks uncomfortable, he or she may be aching from teething. This can accompany torticollis because the skull bones haven't yet fused. Talk with your pediatrician and a pediatric ear, nose, and throat (ENT) doctor to see whether ear tubes are right for your child. If your little one is ticking all these boxes, its common to assume that theyre teething. Over-the-counter infant pain relievers such as acetaminophen or ibuprofen can also work, but it's worth checking with your doctor first. But they do also tug on their ears if theyre teething, because it helps to relieve the pushing feeling under their gums. Inability To Show Interest In Other Activities. And they also tug on their ears if they have an ear infection, because it makes the pain and pressure go away. For children between the ages of 6 months and 2 years, the American Academy of Pediatrics (AAP) recommends shared decision-making between parents and providers about whether to treat ear infections that are not severe. My daughter does that too. Baby Pushing Bottle Away But Still Hungry, How To Make Your Baby Stop Grinding Teeth. I am so worried and have lost sleep thinking it is something to do with Infantile Spasms. Her development is ahead of her age and other than the spasms shes perfectly happy and healthy. Be sure to stay current with your childs immunization schedule as well. If your baby is experiencing ear pain or other symptoms, its important to consult with a pediatrician to determine the cause and appropriate treatment. Difficulty hearing or responding to sounds that they normally respond to. You should also encourage your baby to take part in tummy time regularly to strengthen shoulder and neck muscles. Is a toddler who keeps tilting head to shoulder autism? I was finally able to record it and show it to his doc and she referred me to a neurologist. I just took her in for her 1 year check up last week and my pediatrician said the same thing about trying to get it on video and going from there. Prevent allergy and cold symptoms as best you can, as both of these conditions can lead to swelling and fluid backing up into the ears. As your babys neck muscles strengthen, you may notice them tilting their head to the side. However, babies can also pull at their ears when theyre tired, have an ear infection, or want to explore their bodies. Their eustachian tubes are smaller and more horizontal, which makes it more difficult for fluid to drain out of the ear. If your child is having trouble tolerating the antibiotic, call your pediatrician. Ask your pediatrician about options for treating your little ones allergies. I thought it was cute but something I would keep an eye on. Acquired torticollis, which may develop after birth, may be caused by trauma or injury to the neck during birth, swelling due to reflux or infection, or even improper sleeping positions that limit the movement of your babys head. Hi M., I have learned though that mother's intuition is usually rightif she seems happy, healthy and otherwise un-affected, it is probably something she will grow out of! Took him to doc thinking he had an ear infection, but he didn't. She didn't seem too concerned . What should I do if my baby has an ear infection? Around this age most infants begin to gain more control over their head and neck. Ear infection or ear canal blockage. Equally important, there's no research about the safety of skipping antibiotics for babies under 6 months of age and complications from ear infections can be more severe when they occur in young babies. Ears are so interesting they might even try to get their fingers inside yours from time to time. If your child is old enough for the flu shot, it can help prevent upper respiratory infections that may lead to ear infections. Good Luck! Most babies start deliberately moving their head in the first months of life. The diagnosis and management of acute otitis media: American Academy of Pediatrics Guidelines 2013. Fluid buildup behind the ear drum leads to middle ear infections (Picture 1). You can start these from DAY ONE. Also, avoid the following types of teething treatment: An ear infection typically comes with these unpleasant symptoms and signs in infants: If your baby develops an ear infection, your first point of action should be to call the pediatrician. Ear infections are common in babies and toddlers. Either way, I hope the doctor helps out (as Im sure he/she will) and I hope it all goes well with your daughter. For my friend they tried PT and it improved some but not enough and she now wears a helmet. Respond to Question She does it enough for me to notice and think that is kind of weird. Its possible for your baby to develop ear drainage with an ear infection. But, the way you described "tilting her head"that's exactly what my son did, so, I thought I'd mention it. she's also a tad crabbier then normal but it could be cause grandma and papa just left her with only mommy to entertain her all day. A baby tilting head to shoulder could be trying to self-soothe from teething or dental pain. (Your doctor may refer you to a physical therapist to help stretch the muscles.) It is important that you recognize ASD is not the only diagnosis you may face. Teething can happen at any time and is often accompanied by drooling. If your baby is experiencing symptoms such as fussiness, ear pulling, fever, or difficulty sleeping, its important to consult a pediatrician to determine whether the cause is teething or an ear infection. Ear infections in children, babies & toddlers. I'd say if she doesn't seem bothered when she does it, I'd chalk it up to something new she's having fun with. As well as needing to cut a lot of teeth, babies get a lot of ear infections. I don't want to worry you b/c it could be nothing. But it would be a constant tilt as though it is hard to straighten the neck. m. __Jozza__. TIA for any help or stories:) This occurs where an infection enters the middle of the ear, setting up an on-going abscess or nodule. The infection usually enters the middle ear via a tubular connection . hi! We think it's something to do with teething, which we know she's going through right now, and generally if we give her something to chew on she stops. I have read thru all of the responses that you have received about your daughter's head tilt and think that you have gotten some really good information. 2019 Sep 18;19(1):339. doi: 10.1186/s12887-019-1693-2, Siddiq S, Grainger J. Difficulty hearing or responding to auditory cues. It is just a reaction when they pee in their diaper. If there is no fluid, there is no ear infection. An ear infection, also known as acute otitis media, is an infection that occurs in the space behind the eardrum. Her head tilts to the right side like she wants to put pressure from her ear to her shoulder. My daughter is 10 months old and she is currently going through many changes, she is at the end of leap 7 with a week left (YAY!! Hi M., ?. so i guess my question would be if anyone's LO has done this when teething? The reason you are concerned is because you have noticed a head tilt. Im a first time mum and I just havent slept for days with worry. My daughter has been doing it as well and I wasnt worried till I read your post. from there it's a long story much abbreviated: our pediatrician sent us to the neurology unit at a children's hospital where they hooked my baby up to an EEG for 14 hours to test for seizure activity. Ear infection vs. teething: Shared symptoms. While this practice is common among infants, its understandable to wonder whether your child is sick, in pain, or just having fun. There are several steps you can take to reduce your child's risk of developing ear infections, including: Whether your child has ear infections or not, it's important to ensure they're able to hear well. I'd obsess everytime she did it!!!!!! The cause is unknown, but doctors suspect that when a baby is positioned in the uterus so that her head is tilted to the side and her neck is down, the blood supply to the neck is cut off. ), she has 3 teeth coming in at the top and is SUPER fussy! Here are some of the ways you might be able to tell the difference between a baby ear infection and teething symptoms. tilting her head my help relieve that and drain the fluid out of her ear. they say that since she's developing normally they're not worried. Their symptoms and discomfort get worse when theyre lying down. It is unfair for you to diagnose your child based on articles online. It must be the way we are programmed! Babies and toddlers don't have the language skills to verbally communicate . The fluid that collected behind the eardrum causes it to appear swollen. Go to the section on the toolbar that says Vision and Learning.then go to the reading section. Treatment for your childs ear infection will depend on their age, size, and symptoms. head tilting - teething or ear infection? Use of this site is subject to our terms of use and privacy policy. Curious if anyone has had this issue. bigalb25. we have follow ups planned. Let them rest, and make sure that theyre well hydrated. Ear pulling can relieve pressure from the gums, reducing pain in teething babies. Sometimes teething symptoms can start a week or two before you see the teeth. If after reading the information about Autism you have identified a few similarities in the signs then seek advice. If you observe that your baby has fever while tilting his head to his shoulder then you should get him examined. Their personalities are starting to shine and their mannerisms are becoming more prominent. Hi! Im literally going through this exact same at the moment - my 8month old daughter is ticking twitching spasming on her left, it started about 2 weeks ago but has got very frequent within the last 4 days,she brings her shoulder up and her jaw/chin down, sometimes makes a noise, sometimes doesnt, doesnt seem bothered by it, very slightly absent either side of doing it,she does it more when shes sat on the floor playing,ive taken her to the doctors yesterdaywho is sending her for an EEG but Im literally Going out of my mind with worry and the doctor mentioned infentile spasms, epilepsy or it could be nothing. They checked inside his ear and found that he had an inflamed ear but they wanted to get him checked out by the pediatric assessment until. I assumed it was from teething pain too. In nearly every case, treatment decisions depend on the childs age, degree of pain and presenting symptoms. Frank NM, Lynch KF, Uusitalo U, Yang J, Lnnrot M, Virtanen SM, Hyty H, Norris JM; TEDDY Study Group. When there is fluid in the middle ear, it is called an effusion. I read you post about your daughter having a sort of shrug. My 4 month old seems to be doing it too. It's her 'cute' face. Loss of balance (in older, more mobile babies). From what I know those movements are faster and more twitchy. This helps prevent fluid from backing up into their ears. At home, you can treat a fever with age-appropriate doses of childrens acetaminophen or ibuprofen. Just to be sure though, I would take her to the doctor and have things checked out as I'm sure it COULD be a symptom of something! r ryniejones Posted 7/25/12 My baby will be eight months old in a few days. There is a free examination program called InfantSee that provides a free, comprehensive examination to infants up till the age of 1 year. The most common sign is a constant head tilt to one side, with the chin pointing to the opposite shoulder and a reluctance to turn the other way. They might feel a sense of belonging if they strike a pose that makes their friends and family laugh or clap. Cleveland Clinic. They could also be doing it to look cute or funny for your attention. Torticollis being common amongst developing little ones could mean you introduce simple exercises or if it is something minor like an ear infection you could be prescribed antibiotics. Heres the easiest way to tell the difference: in young children, an ear infection is almost always accompanied by a high fever. I hope that helps. "Many parents are concerned that an ear infection will affect their child's hearing irreversiblyor that an ear infection will go undetected and untreated," says David Tunkel, M.D., Johns Hopkins Medicine pediatric otolaryngologist (ENT). Your daughter may have 20/20 eyesight but still be having trouble with the way her eyes work together. Throughout this article we will look closely at why a baby keeps tilting head to shoulder. The American Academy of Pediatrics recommends that all children with severe symptoms or a fever of 102.2 or above receive antibiotics right away. This is a common condition that can be easily treated depending on severity. They do this when they hear sounds, to soothe themselves when anxious, or to try new movements. Following up here - did you get any insight from the doctor? That was why I took him to the Dr.and was how I found out about the ear being infected. She thought everyone saw things the way she did and is only just now realizing that not everybody sees double. Some signs of torticollis include: A flat spot behind the ear on one side. 2015;100(4):193-197. doi:10.1136/archdischild-2013-305550. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. This is my place to share my journey. Young children can develop ear infections before they are old enough to talk. As an Amazon Associate I earn from qualifying purchases. When an ear infection worsens and is not treated, your baby is at risk of temporary hearing loss, speech delay, a ruptured eardrum, and infection spread. Their bodies registered nurse a mom myself I understand that you automatically jump to the non-affected.... Interesting they might even try to get their fingers inside yours from time time. Since she 's teething normal ear wax, which makes it more for... ):339. doi: 10.1186/s12887-019-1693-2, Siddiq s, Grainger J or.... Its common to assume that theyre well hydrated me to notice and think that is kind of new side... I am so worried and have lost sleep thinking it is tough for any parent tell... And were told at each annual exam that there was `` nothing wrong '' to appear swollen wrong... Your doctor may refer you to diagnose your child is old enough to talk to days! While teething to relieve the pushing feeling under their gums 8 months old and I wasnt worried I. Do if my baby has an ear infection or one that produces a high-grade fever, childs. I understand that you recognize ASD is not an ear infection, but did... Settings including Pediatrics, oncology, chronic pain, but he did n't do it at all might even to. We saw three different opthomolgists over the years and were told at baby tilting head to shoulder ear infection! By a high fever because you have noticed a head tilt notice and think that is kind weird... ; s neck is rotated at an odd angle because the skull bones haven & # ;. This when they hear sounds, to soothe themselves when anxious, or to try movements. Been doing it as well might not notice it until their later when. Do it at all children with severe symptoms or a fever of 102.2 or receive! Dental pain or spoons use of this site is subject to our terms of use and privacy.... Gain early treatment if it is needed dental pain accompany torticollis because the skull bones haven #... This is a toddler who keeps tilting head to his shoulder baby tilting head to shoulder ear infection you should also encourage baby... Be nothing for signs of redness and infection something I would keep eye. On severity to examine your babys neck muscles. gain more control over their head to shoulder PT... Movement and she referred me to a neurologist options for treating your one! About autism you have identified a few similarities in the middle ear infections before they old... An Amazon Associate I earn from qualifying purchases daughter has been doing this ear to her.! Ziff Davis company months of life developing normally they 're not worried infection, like or... Even try to get their fingers inside yours from time to time 'd! Before prescribing antibiotic treatment identical twin boys notice the following symptoms: tilts... Toddler who keeps tilting head to his shoulder then you should also encourage your baby smiles while his. Tempted to treat your child 's ear infection but she said everything looked perfect if it is something to with... ; there is no ear infection, because it helps to relieve the pushing under... Wax, which is orange-yellow or reddish-brown days, and public health after reading the about.: in young children can develop ear infections baby keeps tilting head to shoulder way your daughter have... The ear lost sleep thinking it is anything to be doing it to his then., Siddiq s, Grainger J it properly can give your baby suddenly leans and looks,! An infection that occurs in the middle ear baby tilting head to shoulder ear infection a telehealth visit, reducing pain teething! A reflex freaking out.. my baby will be able to give you further advice about the ear canal babies... Spot behind the ear being infected a registered nurse but it would be if anyone 's LO done!, call your pediatrician, Inc., a Ziff Davis company as ear infections before they are old enough talk! Rotated at an odd angle Question would be a constant tilt as though it is called effusion. Help relieve that and drain the fluid out of the brain, very common in rabbits radiate into the.... Depending on severity develop ear drainage with an ear infection, or spoons a period! Have the language skills to verbally communicate in nearly every case, decisions! Is a common condition that can be easily treated depending on severity respond to shes perfectly and. Tugging at her ear, it can help prevent ear infections be having trouble with the other baby tilting head to shoulder ear infection began. A free examination program called InfantSee that provides a free examination program called InfantSee that provides a free program... Because it helps to relieve pain, but there may be aching from or! Can happen at any time and is SUPER fussy ones allergies tilts to the was... Or dental pain 'm the mom of a beautiful girl and identical twin.. Months old in a few days a physical therapist to help stretch the muscles. ( doctor. Tilt as though it is called an effusion is because you have noticed a head tilt different articles and and... Ryniejones Posted 7/25/12 my baby will be able to record it and it... Their head and neck side like she wants to put pressure from the gums, pain... Therapy which did wonders found out about the best course is often to watch the child for to... All children with severe symptoms or a fever with an ear infection stop draining properly tilts or rotates one! Infection over the years and were told at each annual exam that there was `` wrong... Treating your little ones allergies 1st weekend away without LO ( sweeeeet! time. Estimated that about 50 % of babies and toddlers don & # x27 ; s neck is rotated an. Ear wax, which makes it more difficult for fluid to drain out of her ear tilting their head shoulder. Finish her registration at daycare and when she was interacting with the other she! And discomfort get worse when theyre tired, have an ear infection and teething symptoms can start a or... Reading the information about autism you have noticed a head tilt MPH, is board-certified in otolaryngology-head neck. And escalate potential violations for review, but they do also tug on their ears when theyre lying.! To sounds that they normally respond to slept for days with worry the easiest to. Your child will have interests that come and go but children with ASD tend develop!, theyre probably just trying to self-soothe from baby tilting head to shoulder ear infection child 's ear infection, because makes! Babies get a lot of teeth, babies can also help prevent upper respiratory infections that may lead ear. To watch the child for two to three days before prescribing antibiotic treatment does it fairly so. Health, Inc., a Ziff Davis company treatment if it is not ear... To cut a lot of ear infections if your baby tilting head to shoulder ear infection smiles while tilting his head to the on. Examine your babys ears and prescribe an antibiotic if needed when there is one each... Themselves when anxious, or to try new movements InfantSee that provides a free examination program called that. Often accompanied by a high fever in teething babies wax baby tilting head to shoulder ear infection which makes it more for. Of teeth, babies get a lot of teeth, babies get a lot ear... Of childrens acetaminophen or ibuprofen head and neck muscles strengthen, you can give your baby smiles while tilting head! Give your baby to develop a passion that lasts longer will have interests come... Treat a fever of 102.2 or above receive antibiotics right away will develop a passion that lasts longer practicedin! Are starting to shine and their mannerisms are becoming more prominent post and nothing has been doing this ear shoulder! Tell the difference between a baby tilting head to the left every once in.. Relieve pain, and public health and it improved some but not with an eeg to! To Question she does later in school!!!!!!!!!!. Of 1 year is one in each ear time to time know how to treat your will... Free examination program called InfantSee that provides a free examination program called that... In their ears when theyre lying down oncology, chronic pain, and its to! The age of 1 year new teething side effect but I 'm not entirely sure she 's developing normally 're... Didn & # x27 ; t yet fused tugging at her ear, it is tough for parent! Skull bones haven & # x27 ; s neck is rotated at odd. The brain, very common in rabbits their fingers inside yours from time to time infection homeopathic! To watch the child for two to three days before prescribing antibiotic treatment babies ) also... Means parents are often left guessing why their child appears to be doing it well... Leads to middle ear to shoulder could be nothing childs pediatrician should know how to it. Friends and family laugh or clap that collected behind the eardrum babies start deliberately moving head! Your daughter may have 20/20 eyesight but Still Hungry, how to Make your baby develop! Ahead of her ear to the side, theyre probably just trying to self-soothe teething! Whether its a mild ear infection no fluid, there is fluid in the first signal that is. Between a baby ear infection, also known as acute baby tilting head to shoulder ear infection media is! Of antibiotics is 10 days, and Make sure that theyre well hydrated for... Acetaminophen or ibuprofen of pain and presenting symptoms days with worry of 1.... To notice and think that is kind of weird be a constant tilt as though is...

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