The child is still hesitant to walk independently?
Hello Doctor, my son will be 1 year and 3 months old in October.
He is currently not walking independently but enjoys crawling very much.
He climbs up and down stairs quite well.
Regarding his speech, I’ve noticed that he only calls "mama" or "dada" when he is crying or in a bad mood; otherwise, he ignores us when we ask him to say those words.
He also has a limited vocabulary.
Does this indicate a delay? Should we consider intervention or rehabilitation? Additionally, he previously had a fever with febrile seizures, and later experienced seizures without fever.
An EEG showed epileptic activity, but he hasn't had any seizures for almost three months.
Could this be contributing to his developmental delays? Thank you, Doctor!
VIVI, 0~9 year old female. Ask Date: 2015/09/22
Dr. He Shenglong reply Pediatrics
Hello: The child has experienced febrile seizures, followed by convulsions, and the EEG shows epileptiform activity.
Currently, they are under medication for control, right? It is recommended to continue follow-up with a pediatric neurologist.
If the seizures are severe, recurrent, and difficult to control, there may be concerns about developmental delays.
At one year and three months, the child should be learning to walk.
They can vocalize words like "mama" and "dada." It is suggested to patiently encourage them to articulate sounds and to support them in a safe environment while gradually letting go to walk.
Please observe their progress, and if improvements are not satisfactory, consult a physician for evaluation.
Wishing you all the best.
Thank you for your letter!
Reply Date: 2015/09/22
More Info
Understanding delayed walking and speech development in toddlers can be quite complex, especially when considering various factors that may influence a child's growth and development. In your case, your son is currently 15 months old and has not yet begun to walk independently, preferring to crawl instead. Additionally, his speech development appears to be limited, as he only calls out for his parents when upset and has a small vocabulary.
Firstly, it is important to recognize that each child develops at their own pace. The milestones for walking typically range from 9 to 15 months, with many children taking their first steps around their first birthday. However, some children may take longer, and this can be perfectly normal. Crawling is a significant developmental milestone in itself, as it helps strengthen the muscles necessary for walking and enhances coordination. If your son is crawling well and navigating stairs, this indicates that he is developing gross motor skills, even if he has not yet transitioned to walking independently.
Regarding speech development, by 15 months, many children can say a few words and may start to combine words into simple phrases. However, it is not uncommon for some children to have a limited vocabulary at this age. The fact that your son only calls out for you when he is upset could suggest that he is still learning to express himself verbally. Encouraging language development can be beneficial, and this can be done through interactive play, reading, and singing. Engaging him in conversations, even if he does not respond, can help stimulate his language skills.
The history of febrile seizures and the subsequent diagnosis of epileptiform activity on EEG can raise concerns about your child's development. While it is possible that these medical issues could have an impact on his developmental milestones, it is essential to consider that many children with similar histories go on to develop normally. The fact that he has been seizure-free for three months is a positive sign, but ongoing monitoring and communication with your pediatrician or a pediatric neurologist are crucial. They can provide guidance on whether any further evaluations or interventions are necessary.
If you are concerned about your son's development, it may be beneficial to consult with a pediatrician or a developmental specialist. They can conduct a comprehensive assessment to determine if there are any underlying issues that need to be addressed. Early intervention can be critical in supporting children who may be experiencing delays in walking or speech. Programs that focus on physical therapy, occupational therapy, or speech therapy can provide tailored strategies to help your child reach his developmental milestones.
In summary, while your son may be experiencing some delays in walking and speech, it is essential to approach this with a balanced perspective. Each child is unique, and many factors can influence their development. Encouraging his physical and verbal skills through play and interaction, while also seeking professional guidance, can help ensure that he receives the support he needs to thrive. Remember, early intervention is key, and being proactive can make a significant difference in your child's development.
Similar Q&A
Understanding Speech Delays in Toddlers: When to Seek Help
Hello Doctor: The child is currently one year and nine months old (with a four-year-old sister). During the day, the grandparents take care of him, and the parents only care for him after work in the evening. He started walking at one year old and is now quite active; he climbs h...
Dr. Lin Yishou reply Pediatrics
Hello, parents. Based on your description, your child is developing well. If you still have concerns, you can ask the physician to evaluate your child during the routine vaccination visit.[Read More] Understanding Speech Delays in Toddlers: When to Seek Help
Addressing Speech Delays in Toddlers: When to Consult Rehabilitation Specialists
Hello Doctor: My precious son is almost 2 years old and his speech development is not on par with his peers. Due to his language expression difficulties, he often screams loudly, to the point of losing his voice and becoming hoarse yet still continues to shout! An ENT specialist ...
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses to your questions and some suggestions: 1. Your child may be experiencing language barriers due to the following factors: a. Insufficient expression, leading to difficulty in communication, which may result in y...[Read More] Addressing Speech Delays in Toddlers: When to Consult Rehabilitation Specialists
Understanding Language Development Delays in Toddlers: Key Insights
Hello Dr. Hong, my son will be 3 years old in a month and a half. His overall development seems normal, but his speech is still quite delayed. He understands everything that is said to him and sometimes responds with 3-4 words, but at other times he just babbles like a 1-year-old...
Dr. Hong Shaohui reply Pediatrics
It is recommended that you first visit the pediatric outpatient clinic at a regional teaching hospital in the Keelung area. A pediatrician will conduct a differential diagnosis to assess the child's growth and development. If necessary, the pediatric specialist may refer the...[Read More] Understanding Language Development Delays in Toddlers: Key Insights
Understanding Speech Delays in Toddlers: When to Seek Help
Is a 2-year-and-1-month-old child who can recognize and call "dad" and "mom," and is taught to say words like "sister," "dog," and "goodbye," but only speaks when happy, considered to have language delay? The child does not usuall...
Dr. Xiao Kaiwen reply Pediatrics
By the age of 2, a child should be able to say around 10 meaningful words and combine them in phrases (such as "mommy," "hug," "daddy," "dog," "grandma," etc.). They should also be able to meaningfully identify one or two body par...[Read More] Understanding Speech Delays in Toddlers: When to Seek Help
Related FAQ
(Pediatrics)
Speech Disorders(Pediatrics)
Brain(Pediatrics)
Tongue(Pediatrics)
Infant Growth(Pediatrics)
Foot(Pediatrics)
Medical Report(Pediatrics)
Enterovirus(Pediatrics)
Teething(Pediatrics)
Pediatric Sleep(Pediatrics)