What causes difficulty while speaking?
Patient: My 2 year is not really talking yet but he makes alot of sounds. He is doing alot of grunting/growling noises & also tries to say words but it sounds like it's with his throat but with his mouth closed. He has good hearing and I can't see any problems with his tounge. Could there be something to do with his throat that is preventing him from making certain sounds? He says, hey, hi, daddy ("dede"), no, but doesn't show alot of jaw movement to say words like "ball". (he is seen for speech but only twice a month) Doctor: Hi, thanks for asking. I can understand your concerns. I would like to ask you certain things.How is his non verbal communication?is he making those sounds for communication intent or just like that?How is his socialization?Can he imitate facial movements like sticking out his tongue or puffing his cheeks?Depending on all these he may either have specific language delay or oral motor coordination problems or autism.Evaluation by a developmental and behavioural paediatrician will help you get to an appropriate diagnosis and then get treatment accordingly.I hope I have helped youThank youDr. Meera KotechaDevelopmental and Behavioural Paediatrician