Speech Problem

Speech problems are disorders that affect the way a person creates different voices to form words. Stammering or shuttering is the most common type of speech problem. The other types include apraxia, which is caused due to brain damage, and dysarthria is when the weakness of muscles in the mouth and face cause speech problems.

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Why does my 4-year-old son find it difficult to speak fluently when excited?

Query: Hello doctor, My son is 4.3 years old. He sometimes finds it difficult to speak fluently, especially in the beginning of a sentence and when he is excited. Most of the time he speaks the entire sentence very clearly, without any difficulty. I am attaching his audio and video recording clips. Wha...  Read Full »


Dr. Priyanka Aggarwal

Answer: Hi, Welcome to icliniq.com. I have heard the attached voice recordings (attachment removed to protect patient privacy). The child is stammering. His pronunciation is fine, but the problem is with fluency.It can be due to anxiety. The child might be afraid of performance. There can be psychological c...  Read Full »

Does twitching in the calf muscle mean I have amyotrophic lateral sclerosis?

Query: Hello doctor, I am a 25-year-old female and I am afraid I have ALS. This started with twitching in my right calf muscle two months ago and that has now spread to everywhere. A clinical exam showed slightly asymmetrical brisk knee reflex, and it is brisker on the right leg where it bothers me, not ...  Read Full »


Dr. M. A. Toyeb, Nazma Parveen

Answer: Hello, Welcome to icliniq.com. I can completely understand your concern. First of all, ALS (amyotrophic lateral sclerosis) is a condition which requires time to diagnose especially when it is in the initial stages. You said you experience twitching in your muscles. Do you have any other problems...  Read Full »

I often use wrong words while speaking. Why am I unable to speak fluently?

Query: Hello doctor, I have a problem with speaking. I cannot speak fluently without practicing it in my mind. Many a times I use wrong words accidentally, even though I meant to say some other word. Please help.  Read Full »


Dr. Divakara P

Answer: Hello, Welcome to icliniq.com. These problems suggest a condition called aphasia. It happens due to some problems in a particular part of the brain. Infections in the brain, salt imbalances, liver failure etc., also cause this disorder. I need a detailed history of your problems like the durat...  Read Full »

Can tongue tie in a 3-year-old affect his speech?

Query: Hello doctor, I want to know that whether my kid has a tongue tie or not. My kid will be 3 years old after two months and he is still not speaking properly other than papa, mama, and OK words.  Read Full »


Dr. Syed Tehmid

Answer: Hi, Welcome to icliniq.com. The frenulum is a normal structure. It is only that when it attaches close to the tip, it causes problems with tongue rolling. Ask your child to protrude the tongue. If it causes buckling of the tip, it is tongue tie. And see if he is able to slip undersurface of the to...  Read Full »

Why am I having difficulty in uttering certain words?

Query: Hello doctor,I have a difficulty in pronouncing words that start with a vowel, for example, 'experience' or 'academic'. Whether the word is in the starting or the middle of the sentence, there is always a difficulty. It has been around two and a half years since the problem began. I have to take a ...  Read Full »


Dr. Anuja Rajendra Sonawane

Answer: Hello, Welcome to icliniq.com. You can try to practice the stomach breathing techniques. Try pronouncing each and every vowel in an exaggerated way. For example, continuously say 'Aaaaaaa' for 15 seconds and so on for each vowel sound, you have trouble speaking. I suggest you consult a speech therap...  Read Full »

Why is my 3 year old speaking only very few words?

Query: Hello doctor, My son is 3 years old. He is not speaking like other children of the same age. He is speaking very few words. What do I do?  Read Full »


Dr. Kanwar Deep

Answer: Hi, Welcome to icliniq.com. He has probably not interacted verbally enough with family members and other children of his age. Presuming his hearing capacity is normal, the above mentioned might be the reason. Please interact with him more often in the form of talking to him and storytelling wh...  Read Full »

What does it mean to have a sudden onset of slurred speech?

Query: Hi doctor, My 70 year old father has developed slurred speech from two days. He has diabetes, benign prostate hypertrophy, and history of vascular dementia. He does not have weakness, paralysis, or numbness. He does not have hypertension or any cardiac disease. He refused to do a CT scan in the ER....  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. In a patient, having risk factors, like diabetes mellitus and acute onset slurring of speech, it raises the possibility of developing an acute stroke. Though there may be other causes too. I would suggest undergoing the following tests: MRI of the brain or NCCT (non-...  Read Full »

After puberty, I feel hard to speak in a normal tone. Why?

Query: Hello doctor, I have a question about my voice. As a kid, I had a raspy voice the entire time until puberty. After I hit puberty, I do not think my parents noticed anything, but people have said I sound like Kermit the frog or that I need to stop mumbling. The problem I have is that I have to try qu...  Read Full »


Dr. Mehak Agarwal

Answer: Hi, Welcome to icliniq.com. If your nose is blocked then you may have nasal polyps or some nasopharyngeal mass like adenoid or may have deviated nasal septum. For that, an endoscopy or CT scan is required. It may alter the voice. After ruling out these possibilities, you can consult a speec...  Read Full »

What causes vertigo and sudden loss in speech?

Query: Hello doctor,My wife is 32-years-old with no medical illness. She suddenly experienced vertigo six days before, followed by aphasia and right-sided weakness. She was immediately taken to the emergency department for a stroke workup and stroke code. They did a head and neck CT and a brain MRI. The re...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I carefully read your questions and would agree with your doctor on the conclusion of migraine. Let me explain as follows: The brain MRI (magnetic resonance imaging) has excluded any possible stroke, which would cause a permanent disability (attachments removed t...  Read Full »

After wearing dental veneers, I have lisping. What to do?

Query: Hi doctor, I recently got six porcelain veneers across my top front teeth, and now I have a lot of difficulty in my speech. I have a slurring sound while saying 's' and 't' in particular. I always had a bit of a lisp, but now it is so much worse that I am embarrassed to talk at all because I sound ...  Read Full »


Dr. Honey Nandwani

Answer: Hi, Welcome to icliniq.com. If you have a lisping problem, then it can be due to the thick edges of the veneers, and also you need proper training to speak properly. It takes some time for the muscles of lips, cheeks, and tongue to coordinate with the veneers and adjust accordingly so that you ca...  Read Full »

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