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Dr. Pavitra Kiran

Speech Therapist, Chennai

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Dr. Pavitra Kiran Speech Therapist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Pavitra Kiran
Dr. Pavitra Kiran is a renowned Speech Therapist in Guduvancheri, Chennai. You can meet Dr. Pavitra Kiran personally at Nesam in Guduvancheri, Chennai. Book an appointment online with Dr. Pavitra Kiran on has an excellent community of Speech Therapists in India. You will find Speech Therapists with more than 35 years of experience on You can find Speech Therapists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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I have issues with my speech. While speaking, the words that contain C or S, air blows through nose which is blocked due to tonsillitis and heavy cough. Is there a way except speech therapy to cure it. I am okay with operation if that cures it 100%.

Masters in Audiology
Speech Therapist, Jaipur
If you hv any anatomy problem in your nose than go for operation otherwise go for speech therapy only.
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My brother have a problem of voice. He is male and his voice is like female voice he is 19 year's old. What should he do for getting male voice?

Speech Therapist, Hyderabad
This problem of high pitched voice is called puberphonia in medical terms. Voice therapy can help him speak in low pitch. Male voice. Consult a voice therapist.
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I am suffering from stammering, I've taken speech therapy but it's worthless, suggest me what to do.

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Properly speech and language assessment by speech therapist advice; _ breathing exercise by different types properly seating front of mirrir small and long sentence exercise direction speech therapist.
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I am 18 years old boy and my voice is not deepen yet. I had consulted a n ENT specialist and he told that I am having PUBERPHONIA. Tell me how to cure this and how many days are required to cure this and where to cure this?

Masters in Speech Pathology and Audiology
Speech Therapist, Gurgaon
You are definitely having puberphonia. Speech therapist can correct your voice. I it will take 2 months.
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I am 25 years old. I am facing stammering problem. Is there is any medicine to cure?

B. Sc. Speech and Hearing
Audiologist, Delhi
There is no medicine for stammering as its not a disease. Stammering is psychogenic in most of the cases. See a speech therapist.
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Causes of Stuttering

Speech Therapist, Noida

Many young kids go through a stage between the ages of 2 and 5 when they stutter, repeating certain syllables, words or phrases, prolonging them, or stopping, making no sound for certain sounds and syllables. Stuttering is a form of dysfluency — an interruption in the flow of speech.

In many cases, stuttering goes away on its own by age 5; in others, it lasts longer.

There's no cure for stuttering, but effective treatments are available and you can help your child overcome it.

Experts think that a variety of factors contribute to stuttering, including:

  • Genetics about 60% of those who stutter have a close family member who stutters.
  • Other speech and language problems or developmental delays.
  • Differences in the brain's processing of language: people who stutter process language in different areas of the brain. And there's a problem with the way the brain's messages interact with the muscles and body parts needed for speaking.
  • High/increased activity level.
  • Rapid rate of speech.

I am 23 years old I have stammering problem for 23 years. What is the solution to cure that.

MSc, PGDGC, M.Phil - Psychology
Psychologist, Chennai
Hi, check whether the stammering arises from the beginning of your birth or it is situational basis. If it is situational basis means you are anxiety it seems, be in that anxiety situation for longer time, this will reduce your anxiety. If it is from birth, ignore this condition, accept your problem of difficulty.
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Hello. Sometimes I have speaking problem. I feel difficult to utter words. But it happens only when I feel nervous. May be its due to stage fear. But what is the solution for this. Kindly suggest.

M. Phil Clinical Psychology
Psychologist, Hyderabad
You can gradually get over the fear. Initially, try to rehearse a speech in front of a mirror. Then try to give a speech in front of your parent or sibling, then in front of a friend. Gradually increase the number to two and then three and so on. Try to achieve this over a period of 6 months. Have faith, i' m sure you'll get over it.
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Hi Dr. I am suffering from brain tiredness. I easily get tired after that even I can't talk properly. Different words I say. Pls suggest supplement so I get energetic.

M.Sc - Psychological Counseling, B.A ( Hons) - Psychology
Psychologist, Delhi
Hello, try taking some glucon d, if you are not a diabetes patient. Add dates, walnuts and almonds to your diet. Drink plenty of fluids, like, coconut water, buttermilk, plain watter, sweetlime juice. All the best.
2 people found this helpful
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

1 person found this helpful

Common Problems That can Affect Your Voice

ENT Specialist, Delhi
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Problems that create difficulty in speaking-

I’m an ENT specialist. I served in the army for 15 years, following which I am now in private practice in Vasant Vihar, South Delhi. Today, we will discuss hoarsness, or cracking of the voice or difficulty in speaking.

Hoarseness of the voice quite commonly arises if you have some kind of a vocal strain or a sore throat that has not been adequately treated. Nowadays, we believe that acidity reflux can also cause hoarseness. If your voice has been hoarsed and you are not speaking for more than at least two to three weeks, it is essential for you to have your vocal cords checked and diagnosed because we want to make sure that you are not suffering from any dangerous disease like cancer or some other problem which can spread and which is important for us to treat early.

If you go to the ENT specialist for an appointment, they normally will give a local anaesthetic in your throat and take a detailed look at your vocal cords with scopes which are either 70degreese or a 90-degree radioscopy. Sometimes they will like to do flexible fibre operated laparoscopy which would let them see your vocal cords in great detail. my request to you is hoarseness that is persisting for some time please do not ignore as it could be as serious problem.

As well as health tips are concerned we normally request people to not to speak very loudly not to speak for very long a period at a time. If your throat goes dry while speaking please use some sips or water to moisten your throat. Avoid smoking avoid drinking alcohol and avoid taking chilled water because these can affect your vocal cords in a negative way.

If there is a problem you can get in touch with me via lybrate through the various problems available or call my clinic set up an appointment for us to evaluate you and find out your cause and treat you.


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I've been suffering from mouth ulcer occasionally. I couldn't eat or even speak. It comes all around the mouth, in the tongue, me

General Physician, Cuttack
1. Apply zytee/gelora gel 2-3 times 2. Take one capsule of becosule daily 3. Wash your mouth with hexidine mouth wash 2-3 times daily 4. Avoid acidic/spicy food, take soft food which is easier to chew. Take healthy balanced diet 5. Brushing with soft brush twice daily 6. Maintain good oral hygiene.
2 people found this helpful
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Hiii plzzz tell me how to get rid off from stammering. I need home excise and home treatment only.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Keep listening to sanskrit shlokas and reciting them. Many times stammering is a result of low self confidence. You need to be aware of your strengths and try to improve upon your skills. You may take an appointment with a counsellor.
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I have rough voice from last three days what can I do to recover it early as possible.

General Physician, Cuttack
You may be having laryngitis. 1.Do warm saline gargling 2-3 times daily 2.Take throat lozenges 3.Give voice rest 4.If no relief,you have to take antibiotic . 5.Consult me for further advice
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When I give presentation, interviews I start stammering, and when I talk to my friends I used to talk normally why it happening, there is any medicine to stop stammering. Please suggest me. Its very painful full.

General Physician, Cuttack
1.speak slowly/confidently and give a pause in between words while speaking 2.avoid anxiety/ nervousness/inferiority complex 3.consult speech therapist for further advice
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I want to know whether I am tongue tied or not .i m 18 years old .i feel little difficult in speech when I speak fast.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate user. I don't see any reason to call you tongue tied. Feeling little difficulty in speech when speaking fast is not tongue tied. Don' worry. Take care.
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Hello, my voice is very low that Every time I talk to someone, I have to repeat my words twice or thrice, what should​ I should I've to do to get loud and clear voice.

Master of science in audiology, Bachalor in audiology and speech
Speech Therapist, Delhi
Hello Mr. lybrate-user, first it should be diagnosed. There are many reasons to get reduced loudness. Generally our voice loudness and voice depends on length ,mass and tension of vocal cord which is situated in throat. Another thing you have mentioned about clearity, if all the articulator like tongue, teeth etc are fine. You should not have problems in clearity. If any abnormalities are there in articulator structure and function speech can be unclear. Try using open mouth approach when you talk. Or otherwise you can contact speech therapist. Further any queries feel free to connect us.
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I am 20 years old I have voice problem my voice is too much deep and I feel shame at the time of presentation so tell me how I clear my voice into good and sharp.

General Physician, Nashik
Breathe deeply and exhale on a hisssssssing sound. Repeat 10 times. Proper breathing is the foundation for a healthy voice AND control over nervous energy that can make the voice quiver. Say “Mm-mmm (as in yummy) Mmm-hmm (like yes) ” Repeat 5 times. This develops mask resonance, which creates a clean and vibrant sound by creating a clean approximation of the cords and a resonance that will sound great and project easily. Say “Mm-mmm. Mmm-hmm.” up and down your vocal range, from low to middle to high and back again, 10 times.
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I have voice problem I can't speak loudly what should I do to solve the problem to get a normal voice.

General Physician, Nashik
Breathe deeply and exhale on a hisssssssing sound. Repeat 10 times. Proper breathing is the foundation for a healthy voice AND control over nervous energy that can make the voice quiver. Say “Mm-mmm (as in yummy) Mmm-hmm (like yes) ” Repeat 5 times. This develops mask resonance, which creates a clean and vibrant sound by creating a clean approximation of the cords and a resonance that will sound great and project easily. Say “Mm-mmm. Mmm-hmm.” up and down your vocal range, from low to middle to high and back again, 10 times.
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