Should I Take My Non-Talking Toddler to a Specialist? Here's What to Know - Pediatrics

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If my baby is not speaking, which specialist should I take him to see?


Hello, Doctor: My son is almost two years and one month old, but he only speaks a few words.
I would like to take him to the hospital for an evaluation.
Which department should I visit? I currently live in Taichung; could you please advise whether Zhongshan Hospital or Veterans General Hospital in Taichung has similar services? Also, will the costs be very high? Is there any coverage under the National Health Insurance? Additionally, I would like to ask if roseola is something that every child gets.
My son has never had it, and I'm wondering if that is a concern.
I apologize for taking your time, and I understand that you are very busy and tired.
Thank you for your help, and I appreciate your hard work.

Xiao Yu Er, 20~29 year old female. Ask Date: 2007/02/06

Dr. Chen Rongtai reply Pediatrics


Dear Little Fish's Mother,
Regarding your inquiry about language development delay, which specialty should you consult? Issues related to hearing and language may involve pediatrics, rehabilitation medicine, and otolaryngology.
It is recommended to first have your child evaluated by a pediatric neurologist, and if necessary, they can refer you to other specialists.
As for costs, if the physician determines that further evaluation is needed, it should be covered by health insurance.
Additionally, roseola is a viral infection that commonly occurs in infants and toddlers aged six months to one and a half years, with recurrent high fever as the primary symptom.
Overall, roseola is considered a benign illness, and nearly all affected children fully recover after a few days of fever and rash.
As for your younger son not having contracted it, there is no need for excessive concern, as there are also a few cases where symptoms are mild and may go unnoticed.
Wishing you good health and all the best,
Nantou Hospital

Reply Date: 2007/02/06

More Info


It’s understandable to be concerned about your toddler’s speech development, especially at the age of two when many children are starting to form sentences and express themselves more clearly. If your son is only saying a few words, it may be beneficial to consult a specialist to assess his speech and language development.


When to Seek Help
The general guideline is that by age two, children should be able to say at least 50 words and start combining two words together. If your child is not meeting these milestones, it’s a good idea to seek an evaluation. Early intervention can be crucial in addressing any potential speech or language delays.


Which Specialist to See
For your son, you would want to consult a pediatrician first, who can then refer you to a speech-language pathologist (SLP) if necessary. The SLP specializes in diagnosing and treating communication disorders, including speech delays. In Taiwan, you can find these specialists in hospitals or clinics that focus on child development.


Where to Go in Taichung
In Taichung, both Taichung Veterans General Hospital and Chung Shan Medical University Hospital are reputable institutions where you can seek help. They typically have pediatric departments and may have speech-language pathologists on staff. It’s advisable to call ahead and inquire about their services related to speech therapy and whether they have specialists available.


Costs and Insurance
Regarding costs, it can vary depending on the hospital and the specific services provided. In Taiwan, many medical services, including consultations and evaluations for developmental delays, are covered by the National Health Insurance (NHI). However, the extent of coverage can differ, so it’s best to check with the hospital’s billing department or your insurance provider to understand what will be covered.


Concerns About Roseola
As for your question about roseola, it is a common viral infection in young children, typically characterized by a sudden high fever followed by a rash. Most children will experience it by the age of two, but not all children will get it. If your son has not had roseola, it is not necessarily a cause for concern. Each child’s immune response and exposure to viruses can vary significantly. If you have specific concerns about his health or development, discussing them with your pediatrician during your visit is a good idea.


Conclusion
In summary, it is advisable to take your son to a pediatrician for an evaluation of his speech development. They can guide you on the next steps and refer you to a speech-language pathologist if necessary. Don’t hesitate to seek help, as early intervention can make a significant difference in your child’s communication skills. Remember, every child develops at their own pace, but being proactive is a positive step in supporting your son’s growth. Thank you for your thoughtful questions, and I wish you and your son the best on this journey!

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