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Delayed speech in child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Growth and Development in Children
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2550 Questions
Doctor :   Hi
Doctor :   Iam.Dr....
Doctor :   Please post your query
User :   my son who is three years old is still not talking... what steps do i take to get him to speak
Doctor :   ok. does he make effort to speak one - two words?
Doctor :   Is he having normal developments?
User :   he says few words like amma, thatha, etc
User :   he tries and says the alphabets (most of it)
Doctor :   is he listening or obeying your commands
User :   most of it yes
Doctor :   ok
Doctor :   is he playing and socializing with other peer group
User :   s
Doctor :   hearing problems are most commonly assctd with delayed speech
Doctor :   There are many potential causes of speech impairment.
Doctor :   # Attention deficit disorder (ADD)
# AutismAutism
# Cerebral palsy
Doctor :   # Cleft palate
# Cri-du-chat syndromeCri-du-chat syndrome
# Disorders of the palate
Doctor :   # Gilles de la Tourette syndromeGilles de la Tourette syndrome
# Hearing impairmentHearing impairment
# Learning disability
# Neurological disorders, including stroke, Parkinson's disease, and ALS
# Schizophrenia
Doctor :   # Tongue tie (ankyloglossia)
# Vocal cord injury
Doctor :   so all these are to be checked
Doctor :   from physiological to anatomical
Doctor :   Delayed speech development is one of the common symptoms of developmentally delayed children.
Doctor :   It occurs in 5 - 10% of all children. Boys are three to four times as likely to have speech disorders as girls.
Doctor :   The following tests can help diagnose speech disorders: Doctor :   Denver Articulation Screening Examination
Doctor :   Early Language Milestone Scale
Doctor :   Denver II
Doctor :   Peabody Picture Test Revised
Doctor :   The best treatment is prevention and early intervention by a speech pathologist.
Doctor :   Speech training is an involved and time-consuming endeavor that can have profound results with consistent treatment.
Doctor :   The prognosis depends on the cause of the disorder
Doctor :   Usually, speech can be improved with speech therapy. Prognosis improves with early intervention.
Doctor :   Mental retardation and hearing loss make children more likely to develop speech disorders
Doctor :   At-risk infants should be referred to an audiologist for an audiology exam
Doctor :   Audiological and speech therapy can then be started, if necessary.
Doctor :   As young children begin to speak, some disfluency is common
Doctor :   Children lack a large vocabulary and have difficulty expressing themselves.
Doctor :   This results in broken speech.
Doctor :   If you place excessive attention on the disfluency, a stuttering pattern may develop.
Doctor :   The best way to prevent stuttering, therefore, is to avoid paying too much attention to the disfluency.
Doctor :   Did you understand what i said?
User :   the above info is too much to gather for me
Doctor :   ok
Doctor :   you meet an audiologist/speech pathologist
Doctor :   to discuss
User :   does a preterm baby have a higher probability of delayed speech?
Doctor :   yes
Doctor :   since prematurity may be assctd with poor nerve developments
Doctor :   WWW.WWWW.WW
User :   he was preterm by 2 months born in 32 weeks and his birth weight was 1.45 kgs....could this be the reason for delayed speech?
Doctor :   about the neurology part you can discuss with dr AAAAAAA
Doctor :   yes
Doctor :   i mean the auditory processing part in the brain
Doctor :   Auditory processing is a term used to describe what happens when your brain recognizes and interprets the sounds around you.
Doctor :   The Ă¢??disorderĂ¢?? part of auditory processing disorder means that something is adversely affecting the processing or interpretation of the information
Doctor :   A speech-language pathologist can find out how well a person understands and uses language
Doctor :   Because the audiologist can help with the functional problems of hearing and processing, and the speech-language pathologist is focused on language, they may work as a team with your child.
Doctor :   Did you understand me?
Doctor :   In short he needs an detailed examination
Doctor :   which involves neurologist,speech pathologist etc..
Doctor :   Are you there?
Doctor :   Is there anything else i can help you with now?
Doctor :   Thanks for consultation................
Doctor :   Bye for now...............
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