Hi, I'm trying to understand your post. Anger, frustration and impulsivity are normal in a 4 year old. They are still learning how to communicate when they feel this way and how to cope, so they have outbursts. Diagnosing a child as young as 4 with ADD/ADHD would probably not be a good idea as kids vary a lot at that age and things that go along with ADD are normal 4 year old behaviors. For example, it is 5 minutes that a child of 4 should be able to sit and do a project. That is why preschools with the exception of open play have everything in super short increments. Throwing a toy when angry is not unheard of in a 4 year old. I would work to give him other ways of expressing it. Help him use his words instead. Model the behavior you would like to see when frustration/anger is happening. Act the way you want him to act and even role play it out with him.
Are you saying he has a hand tremor and foot tremor? I wasn't sure what you were speaking of and that is something I'd see a neurologist for or at least his doctor.
I also didn't know what you were talking about ovarian cancer cells (is this a boy?) and pancreatic islet cell tumor. But in terms of his behavior, I may have missed something but he doesn't sound to abnormal. Good luck.
One more thing, as every fun loving, active 4 year old needs----- make sure he gets tons of physical activity. This directly helps behavior. Don't let his teacher take away outside playground time as punishment. Good luck.
His anger takes the form of making very tight fists and holding them at his sides and crying.
He did not have these issues this summer. In his new class with a new teacher he is having these issues. We are considering moving him to another class as it might be how his new teacher deals with our son.( constantly getting on to him if he doesnt do what she asks right away. We have found counting to 5 or giving him 2 warnings then timeout works best).
Yes we make sure he gets plenty of activity and sleep.
Thank you for your input.