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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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 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 »


Dr. Payas Joshi

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 »

I got braces on my lower teeth, and my orthodontist placed a bite block on the right side jaw, causing discomfort and speech problems. Is it normal to have a bite block only on one side?

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 »


Dr. Mayank Khandelwal

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 »

I have had shivering issues for a few years. Despite taking medications, it is not resolved. Kindly help.

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 »


Dr. Aditya Gupta

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 »


Dr. Gursimran Singh

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 »

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 problem...  Read Full »

Why are there speech problems post brain stroke?

Query: Hello doctor, I am a 28-year-old male and I am telling about my disease. I had a brain stroke two years ago. The incident led to speechlessness and I went to a speech therapist for eight months. Now I got a high-profile job but my speech is not good and I am not able to form words. My doctor said th...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect the patient's identity). I understand your concern, but there is not much to be done besides logopedy. But I suggest taking Piracetam 1200 mg twice daily. Consult your specialist doctor, discuss wit...  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, e...  Read Full »


Dr. Anuja Rajendra Sonawane

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 ...  Read Full »

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 »

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