Addressing Speech Concerns in Toddlers: When to Seek Help - Pediatrics

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Hello Dr.
Chang, my daughter is now 3 years old, going on 4 in traditional age, and she is in preschool.
However, since she started speaking, she has been rolling her tongue, and people say that she speaks with a "twisted tongue" in Taiwanese.
What should I do? Should I take her to see a doctor to check if her tongue is too long, or is it a developmental issue?

Ping~, 30~39 year old female. Ask Date: 2005/09/29

Dr. Zhang Guozhen reply Pediatrics


Dear Dr.
Zhang Guozhen of Pediatrics,
Regarding the case of a three-year-old child who is not speaking clearly and shows signs of delay, there may indeed be an issue.
It is possible that the pronunciation will improve over time; however, if there is no improvement by the age of four, I recommend consulting the rehabilitation department of a larger hospital to inquire about pediatric speech therapy programs.
They will first have a rehabilitation physician assess the child, and if necessary, they will provide the appropriate training.
Wishing you peace and safety.

Reply Date: 2005/09/29

More Info


When it comes to addressing speech concerns in toddlers, particularly regarding your daughter's tongue rolling and speech patterns, it's essential to approach the situation with a combination of observation, understanding, and professional guidance. At the age of three, children are typically developing their language skills rapidly, and variations in speech can be common. However, if you notice persistent issues that seem to hinder her communication, it may be time to seek help.


Understanding Speech Development in Toddlers
Children develop speech and language skills at different rates, but by the age of three, most children can use simple sentences and be understood by others. If your daughter is rolling her tongue or using sounds that are not typical for her age, it could be a sign of a speech sound disorder or a developmental issue.

When to Seek Help
1. Persistent Speech Patterns: If your daughter continues to roll her tongue or has difficulty pronouncing certain sounds beyond the typical age range, it may be beneficial to consult a speech-language pathologist (SLP). They can assess her speech and determine if there are underlying issues that need to be addressed.

2. Communication Challenges: If her speech is affecting her ability to communicate with peers or adults, or if she seems frustrated when trying to express herself, this is another indicator that professional help may be needed.

3. Family History: If there is a family history of speech or language disorders, it may be prudent to seek an evaluation sooner rather than later.

4. Physical Concerns: If you are concerned about the physical aspect of her speech, such as whether her tongue is too long or if there are anatomical issues affecting her speech, a visit to a pediatrician or an ENT specialist may be warranted. They can evaluate her oral structures and determine if any medical intervention is necessary.


Steps to Take
1. Consult with a Pediatrician: Start by discussing your concerns with your child's pediatrician. They can provide guidance on whether a referral to a speech-language pathologist is appropriate.

2. Speech-Language Evaluation: If referred, a speech-language pathologist will conduct a comprehensive evaluation of your daughter's speech and language skills. This may include standardized tests, informal assessments, and observations of her communication in various settings.

3. Follow Recommendations: Based on the evaluation, the SLP will provide recommendations, which may include therapy sessions, exercises to practice at home, or strategies to encourage speech development.

4. Encourage Communication at Home: Engage your daughter in conversations, read to her regularly, and encourage her to express herself. Creating a language-rich environment can significantly support her speech development.

5. Monitor Progress: If your daughter begins therapy, keep track of her progress and communicate regularly with the SLP about any concerns or observations you have.


Conclusion
It's natural to feel concerned about your child's speech development, especially when you notice behaviors that seem atypical. Seeking help early can make a significant difference in addressing any potential issues. Remember, every child develops at their own pace, but professional guidance can provide clarity and support to ensure your daughter reaches her full communicative potential. If you have any further questions or concerns, don't hesitate to reach out to a healthcare professional for personalized advice.

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