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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Query: Hello doctor, My 27-month-old toddler is not saying much. When he wants something he will use his hand to get it or use my fingers instead of his to point to a picture or words in a book. He skeals and shouts a lot when he is excited. Read Full »
Answer: Hello, Welcome to icliniq.com. As reported by you, we need to evaluate the hearing of your child by an audiologist. If he does not have any kind of hearing loss. Further, you have to consult a speech therapist nearby or online for detailed evaluation and treatment. There are a lot of factors... Read Full »
Why is my 2-year-old son finding it difficult to speak? Is it normal?
Query: Hello doctor, My son is 2 years old. He can only say a few words like mama, baba, nana, gugu, etc. He cannot even clearly speak his mother tongue. However, he can clearly point a thing when asked. He can also recognize his closed relatives. We have tried to teach him more words like didi, pisi, etc.... Read Full »
Answer: Hello,Welcome to icliniq.com.Firstly, I would like to know if his motor milestones are adequate? If they are not, please evaluate his hearing by an audiologist. It might so happen that he may have a mild or a moderate hearing loss. As you say he points at what is asked, he might be able to hear your... Read Full »
How do I overcome stammering while speaking?
Query: Hello doctor, I always stutter or stammer while speaking. Please guide me. Read Full »
Answer: Hello, Welcome to icliniq.com. Stammering or stuttering is either because of structural or functional aspects. A structural defect is most commonly tongue-tie if you had at birth during your speech development. Functional aspects are almost always due to stress and decreased self-confidence level... Read Full »
My 2-year-old has moderate receptive delay and mild expressive delay. Please help.
Query: Hello doctor, My 2-year-old was diagnosed with a moderate receptive delay and a mild expressive delay. When he was around sixteen months, he could say thank you, stop, mama, daddy, and even his sister's name. At about nineteen months he was diagnosed with an ear infection. The infection was treated... Read Full »
Answer: Hello, Welcome to icliniq.com. It is possible that ear infection or glue ear hampered your child's hearing which in turn could have impaired his normal speech and language development. With support, he will be able to catch up if everything else is normal. It is advisable to continue with speech a... 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 »
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 N... Read Full »
Is it necessary to repair soft cleft palate with surgery?
Query: Hi doctor, My daughter is now 2 years old. She has been detected with a soft cleft palate six months back. As of now, she does not have issue while eating as well as hearing. She used to drink milk with normal milk bottle we are in the process of removing her habit of milk bottle. Our pediatrician ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern for your child. Usually, cleft palate is repaired at the age of 1 to 2 years. As your child has only soft cleft palate (less severe), the surgeon has delayed the timing of surgery. This surgery helps in proper development of speech, preve... Read Full »
Query: Hello doctor, Yesterday, the dentist put braces on my lower teeth. Unfortunately, one of my lower teeth hit on my upper teeth. For that, the doctor inserted a bite block. It is understandable, but he only put a bite block on the right side, leaving me to chew on the left side. There are discomfort a... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. No, it is not normal to place bite blocks on only one side of the mouth. At times when only one tooth requires some separation, we should still fix bite blocks on both sides to provide balance and maintain the integ... Read Full »
After turning 2, my son stopped talking logical words. Please help.
Query: Hello doctor, My son is 4 years old. At one and a half years, he was able to talk and copy words fluently but after 2 plus, he stopped talking logical words. He can copy words if he wants though. He has fear of darkness and instant high volume sound. Night watching is also a habit (10 to 12 nights/... Read Full »
Dr. Bhaisara Baraturam Bhagrati
Answer: Hello, Welcome to icliniq.com. As per your history, the child might have autism spectrum disorders. It will be worthwhile to see a developmental pediatrician or a pediatric neurodevelopmental consultant. You need to carry or record his preschool behavior chart when visiting the consultant. If tre... Read Full »
Query: Hello doctor,I am 37 years old. I have hand shivering, talking problems, and difficulty maintaining eye contact with people. I have had high blood pressure, and I am taking Telimikind-AM. I consulted a specialist doctor for shivering issues, and I have been taking Betacap TR 40 mg for the past two y... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. The symptoms could be due to an anxiety spectrum disorder. Consult a psychiatrist in person for detailed evaluation and treatment. Concurrent cognitive behavioral therapy (CBT) and pharmacotherapy would be helpful. Foll... Read Full »
What is the treatment for Parkinson's disease with loss of balance?
Query: Hello doctor, My father in law is suffering from Parkinson's disease for the past year. We continue taking treatments, but the condition worsens day by day. Now he completely lost his balance, cannot walk alone, cannot do daily work and require assistance, cannot control urinating in the night, and ... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear your FIL‘s symptoms. I read all the reports and the MRI report and the prescription which the doctor wrote (attachment removed to protect patient identity). Considering all the number of falls that he had in a year, it does not seem to be a typical ... Read Full »