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Speech issues / what are some possible causes?

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newlywedT
LIF Adolescent

Member since 9/11

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Speech issues / what are some possible causes?

DS is 27 months old and has issues with his speech. The ped said that a stranger should be able to understand 50% of the words he says at age 2.

We have submitted a request to get him evaluated by EI (it sucks, I mentioned that my mom speaks chinese sometimes and the EI rep says they have to find someone who speaks both - we actually dont want that but they said its the law)

He has issues saying things like:
Finger = ging-ger
orange = R-gin
water = (I dont remember what he says)
macaroni & cheese - nani cheese
avocado - coco
and a bunch of other stuff - although I think the last 2 is just because he is young, but the first 3 are definitely issues.

We noticed his upper lip seems to be very connected to his gums (it looks as if his tie almost reaches his teeth) - so perhaps its caused by that?

What other causes of speech issues could there be?

Thanks

Message edited 5/2/2018 12:36:46 PM.

Posted 5/2/18 12:36 PM
 
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NervousNell
Just another chapter in life..

Member since 11/09

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..being a mommy and being a wife!

Re: Speech issues / what are some possible causes?

Hearing issues can cause speech issues.
Does he have a lot of ear infections, etc?

Posted 5/2/18 1:04 PM
 

jams92

Member since 1/12

6105 total posts

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Re: Speech issues / what are some possible causes?

Posted by newlywedT

We noticed his upper lip seems to be very connected to his gums (it looks as if his tie almost reaches his teeth) - so perhaps its caused by that?



Did you point that out to your pediatrician - What did your pediatrician say about it?
Did they do a hearing test bc as the pp mentioned, it could be hearing related.

If the pediatrician is not worried about either of those things, there could be no real "cause". He could just need a little extra help. Kids develop at different paces and perhaps a little time with a speech person can give him a boost.
good luck with the EI evaluation. I believe there is a time limit in which they have to come to evaluate him so keep up on them if necessary.

Posted 5/2/18 1:25 PM
 

NYCGirl80
I love my kiddies!

Member since 5/11

10413 total posts

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Re: Speech issues / what are some possible causes?

Posted by newlywedT


We noticed his upper lip seems to be very connected to his gums (it looks as if his tie almost reaches his teeth) - so perhaps its caused by that?

Thanks



DD has this, but it does not affect her speech. This usually just causes the middle 2 teeth to have a large space. She'll likely need to have it corrected before her adult teeth come in. The bigger concern, according to the dentist, is that if she falls and it rips, it will bleed a lot and may need stitches to close. Regardless, it doesn't affect speech.

Has your son had his hearing evaluated? DD also has issues with her ear (poor kid!) and she's regularly evaluated by the ENT for loss of hearing. They were initially concerned that it could affect her speech, but again, we are lucky and it does not.

I'd start with a hearing test.

Posted 5/2/18 1:31 PM
 

newlywedT
LIF Adolescent

Member since 9/11

792 total posts

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Speech issues / what are some possible causes?

>>NervousNell
Hearing issues can cause speech issues.
Does he have a lot of ear infections, etc?
>>

Thats true, forgot about that.
The pastor at my old church - his daughter would pronounce things weirdly because she had hearing issues.

No ear infections that we know of.
He's only been sick a handful of times, nothing too serious.

But hearing issues only affect certain sounds/words?
Wouldnt he mispronounce everything if he has hearing issues?


>>jams92
Did you point that out to your pediatrician - What did your pediatrician say about it?
Did they do a hearing test bc as the pp mentioned
>>

We just noticed the upper lip thing this week.
No hearing test has been performed or mentioned.


>>NYCGirl80
DD has this, but it does not affect her speech.
>>

From reading online, it seems like a tongue tie could affect speech, but a lip tie - not so much.
so maybe it is hearing related.

Thanks everyone

Posted 5/2/18 3:02 PM
 

Aries14
Can't plan life...

Member since 8/08

2860 total posts

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Speech issues / what are some possible causes?

my daughter has speech issues. Like others have said, sometimes there is no "cause" for it. We did find out recently that she is dyslexic and has a processing disorder. I wouldn't say all kids with speech issues have something like that but I was surprised to find out that speech problems were early signs of these things.

Posted 5/2/18 3:45 PM
 

MrsT809
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Member since 9/09

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Speech issues / what are some possible causes?

Sometimes it's a matter of weak muscles. That is something a speech pathologist would work on. When you have the eval the speech pathologist with probably have a lot of info and feedback beyond what your ped can tell you.

Posted 5/2/18 3:48 PM
 

SLPRunner
LIF Adult

Member since 12/13

1101 total posts

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Re: Speech issues / what are some possible causes?

I'm glad your pediatrician encouraged you go to EI. As a speech pathologist some of those issues you mention are somewhat within the range of normal for a 2 year old. If your son has good receptive language, EI won't give therapy for not being understood at this point. As you get closer to 3, you can contact your school district to be evaluated through CPSE.

Try not to worry too much though. My son made a lot of those errors too at that age. And at close to 4, he talks a lot and is understood by most. I did have him evaluated him recently for speech but he didn't qualify.

Sounds like he has a tongue tie. I doubt the tongue would cause all of those issues. Some of the issues you describe are developmentally, and what we call phonological. Some kids just develop that way. Like the 'ginger' is called backing because he is substituting back sounds for the front sounds. Very common. As he gets older, he will likely grow out of a lot of those substitutions. I think around 2 years 9 months you can start going through your school district for CPSE.

Posted 5/2/18 6:16 PM
 

muffaboo
LIF Adult

Member since 12/10

3797 total posts

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Re: Speech issues / what are some possible causes?

Posted by SLPRunner

I'm glad your pediatrician encouraged you go to EI. As a speech pathologist some of those issues you mention are somewhat within the range of normal for a 2 year old. If your son has good receptive language, EI won't give therapy for not being understood at this point. As you get closer to 3, you can contact your school district to be evaluated through CPSE.

Try not to worry too much though. My son made a lot of those errors too at that age. And at close to 4, he talks a lot and is understood by most. I did have him evaluated him recently for speech but he didn't qualify.

Sounds like he has a tongue tie. I doubt the tongue would cause all of those issues. Some of the issues you describe are developmentally, and what we call phonological. Some kids just develop that way. Like the 'ginger' is called backing because he is substituting back sounds for the front sounds. Very common. As he gets older, he will likely grow out of a lot of those substitutions. I think around 2 years 9 months you can start going through your school district for CPSE.


Yes, all of this.

I was only concerned about DD's articulation. We had her evaluated at 25 months through EI. She did not qualify because her receptive language (her ability to understand information) was totally fine, advanced even. We were then able to have her evaluated at 2.5 through the school district b/c they will give services for articulation only. She qualified and received speech therapy 3x/week for a year (she was just recently declassed). There wasn't any "reason" for her articulation delays. Now, her language skills are very advanced, even though her articulation is not absolutely perfect, it is more than age appropriate.

You can go through the district the year your child turns 3. So if his birthday is between Jan. 1 and June 30, he would be eligible January 2nd of the year he turns 3. If his birthday is between July 1 and Dec. 31, he is eligible July 1 of the year he turns 3.

Posted 5/2/18 6:37 PM
 

LSP2005
Bunny kisses are so cute!

Member since 5/05

19453 total posts

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L

Re: Speech issues / what are some possible causes?

So my daughter has been in speech for 4 years and is graduating from speech this year. Her issue was that her jaw was small and her tongue was larger, so it created a speech issue.

Her friend has a speech issue because she has some hearing loss.

A child could also have a cognitive delay which may cause speech issues.

Posted 5/2/18 9:05 PM
 

NoPlaceLikeHome
LIF Toddler

Member since 10/15

429 total posts

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Speech issues / what are some possible causes?

Our situation is different as my child is nonverbal but they think he may have Apraxia. If your sons pronunciation is consistently the same I wouldn't be concerned about this though.

Ie: if he said Finger as ginger one day, linger another, ginder another, etc. that's when a specialist may consider Apraxia as a possibility.

Posted 5/3/18 9:17 AM
 

KarenK122
The Journey is the Destination

Member since 5/05

4430 total posts

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Karen

Speech issues / what are some possible causes?

Have hearing checked and also check for tongue or lip tied. That can definitely cause articulation problems. As far as them testing in Chinese language as well, they only need to do that if Chinese was the language spoken in the home full time. You do not want them classifying him as an ELL learner.

Posted 5/3/18 11:03 AM
 

starbrightgirl8
LIF Adolescent

Member since 1/16

537 total posts

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Speech issues / what are some possible causes?

I'd suggest just waiting for the evaluation results. We just had our 3 year old evaluated because we only understand him 25% of the time. His pediatrician and his teachers told us to get him evaluated by the district when he turned 3. They had told us it wasn't worth getting him evaluated for EI because services are rarely given for speech only at that age.

To our shock, he's within normal range across the board, except a slight delay in one area. It's not enough to get him services through the school district. We're all confused because we can't understand him, so we're not sure how the evaluation came back that way. He's been making more progress recently, so we're going to see how he's doing at the end of the summer, and then get him re-evaluated if needed.

Posted 5/3/18 11:08 AM
 

newlywedT
LIF Adolescent

Member since 9/11

792 total posts

Name:

Speech issues / what are some possible causes?

Thanks for the replies everyone.

Just to clarify, I dont think they will test him in chinese, BUT I was told that the evaluator has to be fluent in both.
We have no choice in the matter.

Not sure I like that.
I feel that will cut the pool of potential evaluators.

Plus some other concerns we have - oh well, we'll see what happens.

Thanks!

Posted 5/3/18 3:53 PM
 

muffaboo
LIF Adult

Member since 12/10

3797 total posts

Name:

Re: Speech issues / what are some possible causes?

Posted by starbrightgirl8

I'd suggest just waiting for the evaluation results. We just had our 3 year old evaluated because we only understand him 25% of the time. His pediatrician and his teachers told us to get him evaluated by the district when he turned 3. They had told us it wasn't worth getting him evaluated for EI because services are rarely given for speech only at that age.

To our shock, he's within normal range across the board, except a slight delay in one area. It's not enough to get him services through the school district. We're all confused because we can't understand him, so we're not sure how the evaluation came back that way. He's been making more progress recently, so we're going to see how he's doing at the end of the summer, and then get him re-evaluated if needed.


Did the evaluator do a speech sample? I ask b/c my daughter came up ok on the eval too (wouldn’t have qualified) but the therapist did a speech sample which showed how her sound substitutions & omissions in connected speech impacted her overall intelligibility. Without that speech sample, she wouldn’t have qualified.

Posted 5/3/18 5:28 PM
 

3girls1dog
LIF Adult

Member since 10/09

929 total posts

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Re: Speech issues / what are some possible causes?

Does she snore when sleeping. How is her posture at rest are her lips closed tongue resting against palatal plate or does she have open mouth posture with tongue low in her mouth? any pacifier or thumb sucking? Oral motor weakness is common in children. Many sound errors are developmental. Best bet is to have the evaluations. EI doesn't always approve for articulation but as other mentioned CPSE will and you can call your district to see at what age you can have her evaluated. You usually won't have to wait until she is 3.

Posted 5/4/18 6:33 AM
 

starbrightgirl8
LIF Adolescent

Member since 1/16

537 total posts

Name:

Re: Speech issues / what are some possible causes?

Posted by muffaboo

Posted by starbrightgirl8

I'd suggest just waiting for the evaluation results. We just had our 3 year old evaluated because we only understand him 25% of the time. His pediatrician and his teachers told us to get him evaluated by the district when he turned 3. They had told us it wasn't worth getting him evaluated for EI because services are rarely given for speech only at that age.

To our shock, he's within normal range across the board, except a slight delay in one area. It's not enough to get him services through the school district. We're all confused because we can't understand him, so we're not sure how the evaluation came back that way. He's been making more progress recently, so we're going to see how he's doing at the end of the summer, and then get him re-evaluated if needed.


Did the evaluator do a speech sample? I ask b/c my daughter came up ok on the eval too (wouldn’t have qualified) but the therapist did a speech sample which showed how her sound substitutions & omissions in connected speech impacted her overall intelligibility. Without that speech sample, she wouldn’t have qualified.



She did not do a speech sample, and it didn't seem like anything other than the evaluation would make any difference to our school district. They said basically that only kids with a disability qualify, and he at most has a delay. It's like good news that his speech problem is not as bad as we thought, but frustrating because we feel like he needs help. We're planning to give it a little time, because it does seem like he's making some progress and then if he's still behind we'll try to go through our insurance.

Posted 5/4/18 9:18 AM
 

muffaboo
LIF Adult

Member since 12/10

3797 total posts

Name:

Re: Speech issues / what are some possible causes?

Posted by starbrightgirl8

Posted by muffaboo

Posted by starbrightgirl8

I'd suggest just waiting for the evaluation results. We just had our 3 year old evaluated because we only understand him 25% of the time. His pediatrician and his teachers told us to get him evaluated by the district when he turned 3. They had told us it wasn't worth getting him evaluated for EI because services are rarely given for speech only at that age.

To our shock, he's within normal range across the board, except a slight delay in one area. It's not enough to get him services through the school district. We're all confused because we can't understand him, so we're not sure how the evaluation came back that way. He's been making more progress recently, so we're going to see how he's doing at the end of the summer, and then get him re-evaluated if needed.


Did the evaluator do a speech sample? I ask b/c my daughter came up ok on the eval too (wouldn’t have qualified) but the therapist did a speech sample which showed how her sound substitutions & omissions in connected speech impacted her overall intelligibility. Without that speech sample, she wouldn’t have qualified.



She did not do a speech sample, and it didn't seem like anything other than the evaluation would make any difference to our school district. They said basically that only kids with a disability qualify, and he at most has a delay. It's like good news that his speech problem is not as bad as we thought, but frustrating because we feel like he needs help. We're planning to give it a little time, because it does seem like he's making some progress and then if he's still behind we'll try to go through our insurance.


That stinks, sorry. I thought I may have to put up a fight at our initial CPSE meeting, even the evaluator thought we may not get anything. But, the committee was amazing. I am a teacher so I sit on CSEs all the time and am very familiar with them. It was the easiest meeting I've ever witnessed...until her declassification meeting lol.

Posted 5/5/18 1:48 PM
 
 

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