Is there any link between sensory processing and toileting with Noonans? We have a seven-year-old who just cannot stand bright light, loud noises, and he just will not sit on the toilet.

Bearing in mind there are different spectrums of behavioural issues across the entire population we are probably coming to the upper age limit where those behaviours are relatively normal in terms of development, but clearly they are not quite right because they have carried on into slightly older childhood. It may be worth considering other diagnoses in that element. There are other conditions where children are overly sensitive to noises and other senses. It’s worth keeping an eye on; sometimes a general paediatric view, sometimes community paediatricians can be good a teasing out if those signs can be attributed to other diagnoses.