Q. My father is unable to speak clearly of late and his voice sounds different. What can be done?

Answered by
Dr. Shyam Kalyan. N
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 16, 2017

Hello doctor,

I am worried about my father. He is not able to speak clearly of late. He feels that his tongue has swollen. I have consulted many doctors, but they were unable to diagnose his disease. All his test reports are alright. There was no problem detected. But one doctor tells us that the muscles of his tongue are weak and that is the reason he is not able to speak clearly. What can I do for him? He is currently on CQ10, Rabixin, Seroxat CR, Rivotril, Sinemet, and Motilium.



Welcome to

  • Can you elaborate on the symptoms ?
  1. How old is he?
  2. Does he feel like there is something stuck in the throat?
  3. Is there any change in voice or a hoarseness?
  4. Is there any pain or difficulty in swallowing?
  5. Is there any weight loss or loss of appetite?
  6. Does he smoke?
  7. Does he have an acidity problem?
  8. Did he undergo gastrointestinal endoscopy or laryngoscopy anytime in the past?
  9. Why is he taking Seroxat, Rivotril and Sinemet ? Do you have prescriptions for these?
  10. When the problem of speech started, was it insiduous? Meaning to say, started slowly without him coming to know about it. Or did it start abruptly?
  11. Are there time periods when his speech returns to normal and then worsens again?
  12. Does he find any relief with medicines or steam etc?
  13. Can you upload his test reports?

When you provide all the details, it will be easier for us to arrive at a decisive diagnosis and suggest you the right treatment. With the information you have provided it is not possible to make any conclusions.

Revert with more information to an ENT otolaryngologist online -->

Thank you doctor,

He is 52 years old. He does not feel like food is stuck in his throat, but there is too much hoarseness and change of voice. He says he has difficulty and pain on swallowing. There is no weight loss or loss of appetite. He does not smoke. He does have acidity sometimes. He has never got endoscopy or laryngoscopy done. He is taking those medications for depression. The problem of speech started a year ago. Yes, his speech does return to normal at times and then worsens again. He does not get relief from medicines.



Welcome back to

  • He has a change of voice, as in hoarseness, as well as pain and difficulty while swallowing. So, we must do an upper gastrointestinal endoscopy or at least a laryngoscopy to check the condition of the voice producing area and the esophagus and stomach. Laryngoscopy will show the movement of the vocal cord, whether the movement is equal with phonation and respiration and if there is any abnormality with the vocal cord, sub glottis, epiglottis or pyriform sinus. An upper gastrointestinal endoscopy will check for a possibility of reflux issues.
  • These two tests are essential before we come to any conclusion. There is no basis in taking medicines without an actual diagnosis and to have that, we need to have a look inside. A laryngoscopy will be done by an ENT specialist using an endoscope. The upper gastrointestinal endoscopy will be done by a gastro-specialist.
  • Until the tests are done, I suggest you the following medicines:
  1. Anti-inflammatory enzymes, a combination of Trypsin, Chymotrypsin, and Bromelain to be taken twice daily before meals.
  2. Esomeprazole 40 mg taken twice daily, half an hour before meals.
  3. Syrup Mucaine gel (Oxetacaine, Aluminium hydroxide and milk of magnesia), one teaspoon, taken after meals and at bed time.
  • You are also advised to cut the intake of coffee, tea, spices and acidic food items.

Do ask for further support if necessary. Hope your father gets well soon.

For further queries consult an ENT otolaryngologist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Halitosis is ruining my personal life and career. Please help.

.. problem more on one side? If so, which side is it? Do you have any nose block or reduced sense of smell? Any facial pain or headache or sinus pressure? Is there any postnasal drip? Is the halitosis worse after taking any particular food or drink? ...   Read full

Why are there pain in lower stomach with gas and burning sensation during urination?

.. a lot of water for the urinary problem. Take the following medications for the stomach problem. 1. Capsule Esomeprazole 40 mg once daily before breakfast for four weeks. 2. Tablet Mebeverine 135 mg thrice a day before meals for two weeks. 3. Ta...   Read full

What is the medical treatment to cure antral erosions?

.. to a less spicy, fiber-rich diet, you need to take a course of tablet Esomeprazole 20 mg twice daily half an hour before meals for one month. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask an ENT Otolaryngologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.