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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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 s... Read Full »
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 can... Read Full »
My son is 3 years old and I am scared that he has ADHD. Please help.
Query: Hi doctor, My son is 3 years old and is going to nursery school. I am scared that he has ADHD. He needs to pay attention to most of the instructions. He behaves normally, but when asked to color or repeat rhymes or songs, he does not listen. But he knows all the alphabets and numbers. I am worried a... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Regarding your child's symptoms of poor attention and behavioral abnormalities, I suspect ADHD (attention deficit hyperactivity disorder). Please give him the following and take him to see a physical therapist. I suggest you take 5 mg or 5 ml... Read Full »
Is twitching in my calf muscle a sign of early onset of ALS?
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 »
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 »
Can surgery repair a soft cleft palate?
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 a... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern for your child. 1. 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. 2. Thissurgery helps in proper development of speech, p... 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 computed tomography... 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: 1. Magnetic resonance imaging (... 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 »
Answer: Hi, Welcome to icliniq.comIf 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 speech therapist... Read Full »
I have shivering despite taking medications. 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 »
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 »
How to treat my loss of speech after chemotherapy?
Query: Hello doctor, I am a breast cancer patient. During post-surgery chemotherapy, I suddenly developed loss of speech. I have already consulted a neurologist, please find the attached reports. I want a second opinion. Please help me. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and reports (attachment removed to protect patient identity) with diligence, and I would like you to know that I am here to help you. There is a clot in one of the blood vessels in the brain. So, there is no blood supply to that area. Becaus... Read Full »
My toddler does not talk but uses action. Please help.
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 »
My 19-year-old sister do not react with some knowledge or speak. Why?
Query: Hello doctor, I have a sister who is 19-years-old, fully grown physically and healthy, but she has no knowledge. She cannot talk, she does not have any idea, her brain is the same as that of a newborn baby. Do we have any treatment regarding this, please help with some suggestions. Read Full »
Answer: Hello doctor, Your sister has developmental delay and predominant speech delay the cause of which could not be identifiable unless we go deep into history. How was her birth? Was she born under normal delivery? Her birth weight, how long she was in the hospital at the time of birth? Is she able to ... Read Full »
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