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Dr. Kumar Gaurav

Speech Therapist, Delhi

Dr. Kumar Gaurav Speech Therapist, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Kumar Gaurav
Dr. Kumar Gaurav is a renowned Speech Therapist in Greater Kailash, Delhi. You can visit him at CCAW in Greater Kailash, Delhi. Book an appointment online with Dr. Kumar Gaurav and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Speech Therapists in India. You will find Speech Therapists with more than 41 years of experience on Lybrate.com. You can find Speech Therapists online in Delhi 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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Hindi

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Greater Kailash Part 1, DelhiDelhi Get Directions
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I cannot talk with people nicely because of my stammering. I cannot even say my name. I do not have speech therapist in my area. Can anyone suggest me what should be done? Do ayurveda has its cure?

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist, Kolkata
Hello lybrate-user. You can do deep breathing and some relaxation therapy that are really effective.
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I am having a voice problem the words spoke by me could not be understandable to the another man to whom I answered it is because I have paralysis 3 years back which I recovered but the voice is not proper.

PDDM, MHA, MBBS
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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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.

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What is the purpose of the below tablets GATOP D ACELFLAME plus. And OXGX tablets which Dr. suggested me when I went for my voice change.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
these are pain killer and antibiotic medicines. to find out cause of voice change ..it may due to throat infection. or thyroid problems. pl. checkup thyroid profile , cbc, and consult again.
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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, lips.help me

MBBS
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.
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I am 65 year working male. For 4 year I have suffering by speech disorder. Neuro physician diagnosed my problem as dementia but allopathic medicine not give relief. Is any treatment in ayurveda?

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
The management in ayurveda is far better. It includes shirodhara, karnapooran, kavalgrahan, abhyang & swedan. Orally also you should start ayurveda medicine.
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How can I improve my communication skill, because when I am speaking some times I am not speak cleared voice .

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 user. You can improve your communication skill with the help of personality development training. Take care.
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I stammer alot. Whenever I am angry or nervous or maybe speak in a rush, I stammer. Mostly in vowels. What should I do?

MBBS
General Physician, Jalgaon
I stammer alot. Whenever I am angry or nervous or maybe speak in a rush, I stammer. Mostly in vowels. What should I do?
Please Do meditation regularly Do pranayam and yoga daily Practice for good vocabulary for 30 minutes daily Take Saraswatarishta 15 ml twice daily with water for 3 mths.
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My child is 5 years old. His speech is not clear yet and he is not able to speak clearly. Should I see a speech therapist. Can this treated at home?

MASLP
Speech Therapist, Hyderabad
Consult a speech pathologist for assessment of speech & language skills. If only clarity i. E speech intelligibility is an issue or there is any lag in language needs to be confirmed. Treatment approach depends on severity of problem. Remedial measures will be discussed after diagnosis and frequency, duration of speech therapy needed will be estimated.
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My brother suffering from stammering. Till 7year. When he was in tension he doesn't speak anyword. U answer me. Plzz.

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, welcome to lybrate. Stammering is" speaking with sudden involuntary pauses and a tendency to repeat the initial letters of words" or" say something with difficulty, repeating the initial letters of words and with sudden involuntary pauses" stammering could be due to two reasons. First reason is vocal cord misalignment. Second is psychological performance anxiety. First of all you should consult an ent specialist and evaluate your vocal chords. If there is problem, ent specialist will be able to correct it. If there is no problem with your vocal chords, you should consult a psychologist for stammer therapy. Take care.
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I have stammering problem for which I feel uncomfortable sometimes. Can you suggest me a good therapy?

MBBS
General Physician, Mumbai
You need to contact a speech therapist and take treatment till you can talk properly which can take even a year
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I can't pronounce some words correctly. When I try to pronounce L it sounds like N. Please suggest me some solution.

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Audiologist,
Dear take speech therapy and apply the techniques to start the words, find the l sound, initial medial and final words and sentence, you consult the speech therapist evaluated the words that you can't pronounce after that clinicians apply the techniques for u, also practice at home, but first take the speech therapy.
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I speak very fast. How I can improve it? Is any treatment is there? What is the problem in my mouth? Give me solutions.

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Chennai
I speak very fast. How I can improve it? Is any treatment is there? What is the problem in my mouth? Give me solutions.
Prolongation technique prolongation technique that means prolong the vowels, syllables and words. Example" caaaarr for car" for more details consult speech therapist. Read the books through prolongation technique. Do this technique for 15 to 20 days to reduce the rate of speech.
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When I record my voice and listen to that so It Sounds as I am speaking through my nose and it really pisses me off. I can't speak clearly and many words stuck im mouth pls let me how can I get over on this and I have nasal allergy problem as well.

Masters in Clinical Psychology
Psychologist, Jaipur
When I record my voice and listen to that so It Sounds as I am speaking through my nose and it really pisses me off. ...
Hi lybrate-user, You need build confidence, there are people speak with their nose or sound so, there is no problem in that, you have to feel good about yourself. All the above mentioned problems are due to lack of confidence. We always can work on that and for that we need to speak more, there are certain therapies and session where we can work upon your confidence and voice. Feel free to contact me Thanks,
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3 days before I had taken 3 glass cold drink. And now m feeling common cold and my voice become deep. What should I do?

MBBS, FAM, diploma in weight loss
General Physician, Meerut
Take cetrizine 10 mg twice a day for 3 days and avoid cold drinks. Take steam inhalation and drink warm water.
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Sir I have done endoscopy because of voice not coming clear 3 month completed. In endoscopy found nodule on vocal cord. Doctor suggest me surgery what should I do. Can not this problem treated without surgery. I am very worry sir. Please suggest me what should I do?

MD - Psychiatry
Psychiatrist, Chennai
Vocal nodule unless it becomes hardened can be made to resolve by voice rest and preventing voice abuse. Are you a singer. Since vocal chords are a sensitive area, better get 2nd opinion before proceeding to surgery. All the best.
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Sir, I am suffering from stammering since childhood age. Presently I am 27 years old and even suffering from severe stammering, due to which I am unable to find out suitable job for me. And In daily life stammering bothering me. I am in too much tension and need your help. Waiting for your reply hopefully.

Masters in Speech Pathology and Audiology
Speech Therapist, Gurgaon
Hello lybrate-user. As your problem has been since childhood, it's deep rooted. You need regular speech therapy and counselling. Your family members also have to be councelled.
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Why is my voice so hoarse? .I am suffering to some hearing problem.in my ear canal it is a small whole .what should I do?

BHMS, DCAH
Psychologist, Vadodara
Why is my voice so hoarse? .I am suffering to some hearing problem.in my ear canal it is a small whole .what should I...
Hello lybrate-user, please consult ENT first and then for your hearing problem and hoarse voice, you can rely on homeopathy .it will suit you and make you alright.
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Sir I am suffering from stammering from my childhood please help to cure from this problem.

D.H.l.S.,BASLP, B.ED. S.E.
Speech Therapist, Delhi
Dear first time properly speech and language assessment by speech therapist breathing exercise by different types air small and long sentence slow speed speaking exercise mirror in front slow speed speaking words and sentence exercise.
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My son is having problem of delayed speech. He responds to instructions well, and understands things well but can not speak three words at a time. He is 3 years old. One doctor advised MRI, EEG and BERA test. Please advise.

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Audiologist,
Yes you do the bera test, after test consult the speech therapist, and evaluate the delayed speech, take continues speech therapy, they have apply some techniques for the children in improve the language development, you can't do this at home so first consult speech therapist after take speech therapy you practice that's techniques at home to your child. Less his geuster and don't give anything whatever they wants first tell the child speak properly.
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