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Sometimes there is no clear cause, it is just a totally meaningless vocal tic or fear and agitation that can't be soothed. Distraction can sometimes help with that... change his position, put on some music, take him for a walk. There are medications that can help too, but it may take experimenting to find something that works without zonking him out. If all else fails put on some headphones or get busy in another room so you don't go batty.