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What Causes Speech Impairment In A Stroke Patient?

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Posted on Wed, 12 Apr 2017
Question: Had stroke 3 years, 4 months ago, which XXXX up my speech. Eventually, after a year I could rap.
Today, lately, been having problems. Sometimes(especially when my eustachian tube blockage acts up???) I rap, and my mouth feels lazy, cannot pronounce the XXXX. My speech sounds like I am a half-XXXX. I have found, however, when I PUNCH above the left cheekbone of face, I can suddenly speak more clearly, pronounce the god damned words for a few days, but then, three days later, back to XXXX some of the words. I have gradually found a slowly increasing inability to say certain lines like I once easily could even a year after my stroke. IF I CANNOT RAP AGAIN!!! If I cannot get the cash for my sterm cells (XXXX) by Dr. XXXXXXX Cramer, I WILL TRAVEL VIA BUS TICKET TO NYC and threaten, with a loud megaphone, to jump from a high place unless I can get answers from Dr. Oz calling my XXXX cell phone! I LITERALLY XXXX RESENT GOD causing me to lose my once graceful ability to rap and EARN some XXXX cash!
doctor
Answered by Dr. Dr. Erion Spaho (18 hours later)
Brief Answer:
Physical examination by a Doctor is necessary.

Detailed Answer:
Hello and thanks for being on HealthcareMagic,

I have read your question and understand your concerns.

Intermittent issues of speech, as you describe yourself, are mostly caused by oropharyngeal issues such vocal cords compression, paralysis, eustachian tube stenosis, nasal polyps etc.

I see that you had previous issues within oropharyngeal and nasal cavity, so, getting evaluated by an ENT Doctor is the best thing to do at this moment, in order to identify any treatable cause(s) of your speech issues.

As the previous answer to this question by Doctor, physical evaluation by your Doctor (preferably ENT specialist) is necessary to address properly your issues.

Hope you found the answer helpful.

Let me know if I can assist you further.

Kind regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Erion Spaho (27 hours later)
WHAT IS oropharyngeal
doctor
Answered by Dr. Dr. Erion Spaho (2 minutes later)
Brief Answer:
Throat.

Detailed Answer:
Welcome back.

In other words, throat (part of the throat that is at the back of the mouth) is the oropharyngeal region.

Greetings.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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What Causes Speech Impairment In A Stroke Patient?

Brief Answer: Physical examination by a Doctor is necessary. Detailed Answer: Hello and thanks for being on HealthcareMagic, I have read your question and understand your concerns. Intermittent issues of speech, as you describe yourself, are mostly caused by oropharyngeal issues such vocal cords compression, paralysis, eustachian tube stenosis, nasal polyps etc. I see that you had previous issues within oropharyngeal and nasal cavity, so, getting evaluated by an ENT Doctor is the best thing to do at this moment, in order to identify any treatable cause(s) of your speech issues. As the previous answer to this question by Doctor, physical evaluation by your Doctor (preferably ENT specialist) is necessary to address properly your issues. Hope you found the answer helpful. Let me know if I can assist you further. Kind regards.