<s>[INST] I have a7 yr old boy in my class that makes vowel sounds constantly, had been diagnosed by a doctor already to have urinary incontinence, has some attention difficulties not diagnosed yet and is messing in his pants. I just want to help this boy. I m wondering about ticks if this could all be related to some thing [/INST] DearWelcome to ChatDoctorWe understand your concerns went through your details. Please do understand Urinary Incontinence has also been associated with attention deficit hyperactivity disorder (ADHD). You also mention some attention problems with the child. You should concentrate on ADHD and move forward for a cure with the help of an experienced professional child psychiatrist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. </s>