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Dr. Pramila

Speech Therapist, Gurgaon

1000 at clinic
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Dr. Pramila Speech Therapist, Gurgaon
1000 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Pramila
Dr. Pramila is a popular Speech Therapist in Sector-54, Gurgaon. You can visit him/her at Bharat Family Clinic in Sector-54, Gurgaon. You can book an instant appointment online with Dr. Pramila on Lybrate.com.

Lybrate.com has top trusted Speech Therapists from across India. You will find Speech Therapists with more than 36 years of experience on Lybrate.com. You can find Speech Therapists online in Gurgaon 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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English
Hindi

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Bharat Family Clinic

Asha USA, Sector 54. Landmark: Near sun city business complex, GurgaonGurgaon Get Directions
1000 at clinic
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I had some breathing problem. When I feel tense. My speech also in trouble. Please tell me what to do now?

MBBS
General Physician, Mumbai
Get your vital parameters of the body checked from a nearby doctor and revert back with findings and also we have to rule out anxiety neurosis
1 person 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

Don't Let These Myths Turn You Off From Speech Therapy

B. Sc. Speech & Hearing
Speech Therapist, Delhi
Don't Let These Myths Turn You Off From Speech Therapy

Speech therapy is a very distinct form of science that is often misunderstood by people in general. While the benefits of such a therapy is countless, people misinterpret what the therapy actually involves and what it does not. If you are avoiding speech therapy due to the following reasons, you should stop doing so as these are nothing but fabricated myths.

  1. Speech therapy is all about talking: Do not think that speech therapy only involves talking with the therapist. The therapy focuses on the overall communication skills of a person, which definitely involves the speech but also the intricacies of articulation and body language. Sign aids and comprehension skills are also paid attention to in such a therapy session. So, if you feel that you have a problem regarding any one of these aspects, you need to visit a speech therapist.
  2. Speech therapy is uninteresting: Nothing can be further from the truth than this. In fact, a visit to a dentist can be boring, but a visit to a speech therapist will always involve interesting activities such as tongue twisters. The therapists often treat children, which means that their offices, house toys, and other games designed to indulge the minds of infants as well.
  3. A qualified speech therapist is needed for the therapy: Another myth, which needs to be dispelled, is that only a qualified speech therapist can help improve the speech of a person. In fact, any person who has a vast knowledge of diction, linguistic insight, and knowledge of grammar can help people with speech impairment. So, before visiting the doctor, the adults in the family should try and clear out the impairment themselves.
  4. Speech therapy fixes issues in the snap of a finger: As with any kind of treatment, speech therapy does not work like magic. It is a continuous and long process that needs to be followed through. The pace of this treatment depends on the patient. Some patients are more receptive to this therapy than others. So, there is no guideline for the treatment of all speech-impaired individuals and one needs to be treated and allowed to get better at their own pace.
  5. Your child will automatically learn perfect speech: If your child suffers from a speech impairment, do not delay a therapy session by thinking that he/she will automatically learn to speak better as they grow up. This way of thinking is not beneficial and hinders the eventual treatment for the impairment. The speech therapist can help you better if you bring your child to him/her as soon as you detect an issue. In case you have a concern or query you can always consult an expert & get answers to your questions!
2440 people found this helpful

I am not able to utter 'र' . For which I can't talk to anyone properly. What should I do. (There is some cut like are on my tongue) . Please respond.

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
This problem can be solved by collection of exercises, speech therapy, treatment and home cure 1. Exercises are effective in treatment of physiological causes in general, exercises are meant to provide strength to the organs associated with speech including tongue, lips, jaw, trachea and lungs consult to good speech therapy clinic 2. Deep breathing exercise are very effective 3. Chewing indian gooseberry, almonds, black pepper, cinnamon and dried dates are known to clear speech congestion 4. This problem can be solved by meditation.
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My 4 year child speaking problem. He speak only few selected word. Please help me.

Masters in Speech Therapy
Speech Therapist, Delhi
He is having delayed speech and language development. You need to work on his receptive and expressive language. Vocabulary development. It is good if you can arrange some speech therapy sessions for him.
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I have some problems with pronunciation like the vowels R, l, and S. Please help me By the way I have open bite .

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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Hi dear sir, I am suffering from stammering problem from childhood and I don't want cure completely at least I need speak with confidence please sir i am begging please help me sir.

B. Sc. Speech & Hearing
Speech Therapist, Delhi
First of all instead of treatment you need to understand your actual problem. For that you should see a speech therapist.
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I am 33 years old. I have Hypothyroidism. My voice has been changed when I was pregnant. Please let me know, what may be the problem. Do I need to consult Endocrinologist or ENT specialist.

BHMS
Homeopath, Faridabad
I am 33 years old. I have Hypothyroidism. My voice has been changed when I was pregnant. Please let me know, what may...
Hi Hypothyroidism can be the cause for hoarse or changed voice. Consult an Endocrinologist only. Share more details of your case so that I could recommend you homoeopathic medicine which will help you.
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My voice is decreasing day by day but their is no pain or no irritation in/out of my throat, what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My voice is decreasing day by day but their is no pain or no irritation in/out of my throat, what should I do?
Do gargle with warm water thrice a day. Drink warm water also. take sinarest it contains ( Acetaminophen+ Pseudoephedrine+ chlorpheniramine). Acetaminophen, chlorpheniramine, and pseudoephedrine is a combination medicine used to throat infection and treat headache, fever, body aches, runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu. Take plenty of water, avoid cold things, cold drinks. Oily foods.
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My voice frequency is very low. When I am talking to someone he/ she understand very late what I am saying. Please suggest

MBBS
General Physician, Jalgaon
Please reduce your weight. Wake up early go for morning walk or jogging daily do pranayam and yoga daily do meditation daily take salads and fruits more take lukewarm water take cap ayurslim by himalaya 2 2 tab supradyn 30 I weight reduction will solve most of your problems.
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