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Is It A Matter Of Delayed Speech And Language Development If A 2 Year Old Hasn't Yet Spoken?

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Posted on Wed, 4 Apr 2018
Twitter Wed, 4 Apr 2018 Answered on
Twitter Mon, 3 Jul 2023 Last reviewed on
Question : Hello Doctor,

Our Boy XXXXXXX is now close to 23 months old(Born on 26-May-2016). He is aging well. His height and weight and other parameters are as per the norms. He rides his bike and a standout at that. But he doesn’t talk. He understands what we say. He responds by giving us remote, phone, water etc whenever we ask him to get them. He points at objects in the alphabet book and other kids' books that we taught him. He responds when we call out his name. He does everything but talk. He blabbers a lot when we say anything to him. He only says 'caaish' for car when he sees one.

Just to give more information on his birth details, he didn’t cry when he was born but cried within next 6 hours. he was fed within one hour of his birth.

What seems to be the problem. Is he just a late-talker? What treatment is suggested in this case. What can we do at home to make him talk.

Please let me know if you need any additional information to suggest the best possible solution.

Thank you
XXXX
doctor
Answered by Dr. Diptanshu Das (13 minutes later)
Brief Answer:
Early intervention is essential

Detailed Answer:

Hello,

I would insist you to get your child evaluated at the earliest. I would not consider it to be a case of late talking and early detection. Following it by early intervention is essential for prevention of disabilities. You need to act fast.

The first step would be to meticulously rule out any hearing problems. It is possible that the child is interpreting the visual cues when being asked for something.

Once hearing problems are ruled out, the next thing would be to interpret whether it is a case of apraxia. It appears that his cognition is proper and he can comprehend what is being communicated to him.

The next thing is communicating back. In order to do that, he needs to send appropriate brain signals and needs appropriate muscular coordination for the speech to be delivered. It needs to be understood where among the two lies the problem. Depending on that a speech and language pathologist (SLP) can intervene.

Please do not ignore this. Act fast.

Hope I have answered your query. Feel free to write back.

Regards,
Dr. Diptanshu Das
Pediatrician
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Diptanshu Das (32 minutes later)
Hello Doctor,

Thanks for your reply. Are we late already? and for the evaluation, who do we reach out to, I mean the specialist doctor and the tests that needs to be run for evaluation.

And after initiating corrective course of action, how soon can we expect the results and are there any problems in the long run?

Thank for your time on this
XXXX
doctor
Answered by Dr. Diptanshu Das (2 minutes later)
Brief Answer:
Contact provided

Detailed Answer:

Hello,

The cognitive development progresses very rapidly prior to, at, and after birth. At time goes, it slows down. Needless to say, we need to act fast. It is not something like its already late or something. It is just that the more late you are, the more buses you miss and it might be hard to catch up.

Progress will occur step by step. Let us not speculate on the long run.

Hope I have answered your query.

Regards,
Dr. Diptanshu Das
Pediatrician
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3879 Questions

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Is It A Matter Of Delayed Speech And Language Development If A 2 Year Old Hasn't Yet Spoken?

Brief Answer: Early intervention is essential Detailed Answer: Hello, I would insist you to get your child evaluated at the earliest. I would not consider it to be a case of late talking and early detection. Following it by early intervention is essential for prevention of disabilities. You need to act fast. The first step would be to meticulously rule out any hearing problems. It is possible that the child is interpreting the visual cues when being asked for something. Once hearing problems are ruled out, the next thing would be to interpret whether it is a case of apraxia. It appears that his cognition is proper and he can comprehend what is being communicated to him. The next thing is communicating back. In order to do that, he needs to send appropriate brain signals and needs appropriate muscular coordination for the speech to be delivered. It needs to be understood where among the two lies the problem. Depending on that a speech and language pathologist (SLP) can intervene. Please do not ignore this. Act fast. Hope I have answered your query. Feel free to write back. Regards, Dr. Diptanshu Das Pediatrician