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Twins not yet started to talk. Put tongue out frequently. Down syndrome?

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Practicing since : 1982
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I am a bit concerned. My identical twin boys haven't really started talking yet,they stick they tongue out very often. They are 19months old. I was just worried they might have Down syndrome.
Posted Mon, 10 Jun 2013 in Child Health
Answered by Dr. Taher Kagalwala 45 minutes later

First of all, thank you for choosing to pose your query on XXXXXXX I am Dr. Taher. I wish to congratulate you for taking good care of your twins, and being aware of their developmental issues.

Please be rest assured that if the twins had Down syndrome, they would have been diagnosed at birth, since this condition has typical physical attributes that are impossible to be missed by qualified doctors. In fact, Down syndrome is the most easily diagnosed of all genetic syndromes found in human beings!

Also, patients with Down syndrome have a constellation of mental abnormalities, such as abnormalities of behaviour, of cognition (understanding), of intellect, of memory, etc. and not just delayed speech, although the extent of involvement in each of the areas may differ from individual to individual.

Here is what I suggest:

Take them to the Pediatrician or the family practitioner or family nurse practitioner. Ask them to check out the kids for a hearing problem; ask them to evaluate the developmental milestones in all categories; and finally, ask them to check the throat and gullet for possible anatomical problems that are making speech difficult.

If all these things are normal or non-contributory, then waiting is the only answer, as isolated speech delay is one of the most common developmental issues we see in our clinical practice. It is not unusual for some infants and toddlers to start speaking after the age of 2 to 2 1/2 years.

That's all for now. Hope the answer has been helpful for you.

Best wishes and warm regards,

Dr. Taher
Above answer was peer-reviewed by
Follow-up: Twins not yet started to talk. Put tongue out frequently. Down syndrome? 5 minutes later
Thank you very much for your prompt answer.
Would you be able to have a look at the picture I've uploaded of my boys. It will definitely ease my mind if I knew a professional have seen their features.

Kind Regards,
Answered by Dr. Taher Kagalwala 7 minutes later

Of course, I took a look at the two pictures that you uploaded. Your twins are NOT Down or any other chromosomal syndrome. Thank you for your appreciation. If you could help me, do write a review of how you felt about my answer.

Thank you once again.

Dr. Taher
Above answer was peer-reviewed by
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