Dr. Somnath Mukherjee

you may have to speak with a low tone on a daily basis to become short of breath. Some peoples lung capacity is only so much and it is better to live with what you have rather than to go for treatment for something you should not be bothered about. I.

Stammering is typically recognised by a tense struggle to get words out. This makes it different from the normal non-fluency we all experience which includes hesitations and repetitions. Commonly it involves repeating or prolonging sounds or words, or getting stuck without any sound (silent blocking). Sometimes people put in extra sounds or words. Often people lose eye contact. Some people who stammer talk their way round difficult words so that you may not realise they stammer at all. This avoidance of words, and avoidance of speaking in some or many situations, is an important aspect of stammering. Stammering varies tremendously from person to person and is highly variable for the person who stammers who may be fluent one minute and struggling to speak the next. Get an mri brain and eeg with a psychiatrist evaluation.

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. Kindly get your serum testesterone levels done and revert.

"For Sinus and Nose problems, try taking steam inhalation for 3 times a day. To know how to take steam, please read instructions below to know - how to take steam inhalation for best results. If problem is not solved in 2-3 days, you may need additional medicines. Techniques to steam 1) Boil a pot of water. 2) Pour water into a large flat pan or bowl. If you use a casserole, water will remain warm for longer duration. 3) Place your head over the bowl at a distance of 1 feet. 4) Cover your head and bowl with a large towel (like a tent), take long breath through your nose and breath out through mouth. Take a break every 1-2 minutes until you feel relatively cooler. Do it for 10 minute twice or thrice a day. If you feel that the treatment is getting too much for you, raise the towel so that fresh air is brought into the area and breathe through your mouth a couple of times and then resume Take care - Take all precautions while dealing with hot water. Also, keep children away and wan others that you are dealing with boiling hot water. Other way is - by an Electric steamer available in market and take steam through it. It is more convenient. "

Since he comes under the definition of mild mental retardation (now called general intellectual disability), he will always have limitations in his daily living. Still an I q of 70 means that he can manage most of the routine things with little assistance. You and your parents should focus on training him for self care, travel, communication and perhaps a simple vocation that he can turn into an occupation. Marriage, like any other legal contract, requires both parties (bride and groom) to fully understand the nature of the contract, at the time of the alliance. The iq by itself doesn't matter. Every person with an iq of 70 will have different levels of understanding. That is the legal angle. So he can get married. However, focus on making him as independent as possible.

Hi there, I am very glad for your question. Exercises for stammering Exercises are effective in treatment of physiological causes of stammering. In general, exercises are meant to provide strength to the organs associated with speech including tongue, lips, jaw, trachea and lungs. Many people who stammer have found these exercises to be beneficial in reducing the intensity and in some cases, completely curing stammering problem. The exercises should preferably be done every night in a secluded area, before going to bed. An exercise regimen comprising of the following exercises are beneficial in treatment and cure of stammering. Stammering Exercise #1 Loudly and clearly pronounce the vowels A, E, I, O and U. Be overly articulate and distort your face strongly, every time you utter the vowels. Stammering Exercise #2: Open your jaws as wide as you can without exerting hard. While the jaws are still open, lift your tongue upwards to touch the roof of mouth with the tip of your tongue. While still in contact with the roof of your mouth, drag the tip of your tongue towards the back of your mouth. When your tongues get stretched to the maximum (without hurting), hold there for few seconds. Next pull out your tongue outside the mouth and stretch it downwards as if attempting to touch the chin. Hold in that position for few seconds. Repeat 4-5 times. Stammering Exercise #3: Deep breathing exercise are very effective in curing speech disorders like stammering as they help to strengthen the respiratory organs and to relax neuromuscular tension that builds up in the body. Stammering can be controlled by learning to voluntarily control the rhythm of words by implementation of specific breathing patterns. There can be many variants of deep breathing exercises and one can choose any or all exercises which he/she is comfortable doing. Some of the variants are: A) Inhale deeply through mouth and exhale slowly, immediately after inhalation. B) Inhale deeply through mouth and push your tongue outside the mouth while exhaling. C) Inhale deeply through mouth, at the same time, press your chest muscles inward. Exhale slowly You can have your own variations of these deep breathing exercises, as long as they provide some respiratory motion, swelling of the abdomen and workout for chest and other speech organs. Do not overdo any exercise and bring variations, every one or two minutes. Stammering Exercise #4: Reading exercises are helpful in identification of patterns of repetition of syllables that cause stammering and thus reduce bottlenecks of fast reading. For this exercise, take a text and read it fast without laying emphasis on the quality of speech. Speedy reading will help a subconscious identification of each word. Prefer the speed to the quality of speech. Let the words be wrongly spoken and do not stop on any particular word or syllable. This exercise, if continued for 2-3 months is very effective in relaxing muscular tension and correcting all obstructions of the speech. Stammering Exercise #5 Singing is a very effective exercise for stammering. Singing helps the sufferer learn to better control breath and the phonatory muscles. Another very effective treatment for stammering involves participation in theatrical activities. Theatre helps shed down several inhibitions and is very effective remedy for stammering. Lifestyle Changes to Treat Stammering Fighting inferiority complex: Developing confidence in ones own ability to speak correctly is probably the only real solution to cure stammering. However building self-confidence when one makes nervous mistakes in every sentence is not easy. Inferiority complex is natural in people who stammer. Dealing with this complex is the most paramount task in overcoming stammering. Talking openly when the person approaches with the subject is vital in handling this complex. Maintaining a relaxed environment at home gives the child an opportunity to speak without stress. Watch out your breath: As a general thumb rule, one should breathe from the belly and not from the chest. Breathing from the belly naturally calms down and relaxes nervous and muscular tension and is a helpful habit in curing stammering and related disorders. Family support: Family support is of vital importance in treatment of stammering. Family members should use all possible means to deliver the person of his state of anxiety which is the only cause of stammering in a large number of cases. Family members must: Not punish or react harshly on a person who is stammering Listen carefully, when such a person speaks Adapt to speak slowly and not interrupt when a person stammers Be patient and wait for the person to complete words Not complete sentences or words when such a person is trying to speak. Consulting a speech therapist: Speech therapy has been used to cure or reduce the intensity of stammering. Speech therapist try to diagnose the causes of stammering and accordingly prescribe exercises, medications and/or scalpel intervention in certain cases. In case of physiological defects, speech therapy is compulsory to treat stammering. While speech therapist mainly concentrate on speech corrections, they may also adopt psychotherapies like hypnosis, impoco, role plays or cognitive behavioral therapy, if diagnosis suggests a psychological cause for stammering. Many therapist also use acupuncture, yoga spa treatment and other relaxation techniques to assist in treatment of stammering. Many cities have specialized speech therapy centers which offer intensive cures and therapies for stammering. Hearing aid: There are also some hearing aids that help to reduce or eliminate stammering. The electronic device records the user’s voice using a microphone and sends it back to his ears after a delay of about split seconds or at a slightly different frequency. Simultaneous speaking and the ability to listen to how it is heard by others is very effective in helping one who stammers correct his errors. Though familiarization with the device may take up to a few months, they often succeed in breaking the psychological barrier that prevents normal speech. Once the barrier is broken and the practitioner gains confidence, he/she can start speaking normally without using the device. Food for those who stammer While there are no particular foods that can be used to cure stammering, some food are known to be beneficial for speech organs. For instance, chewing Indian gooseberry, Almonds, Black pepper, Cinnamon and dried dates are known to clear speech congestions. Thus they can be taken internally in moderate quantities to address symptoms of stammering. Other recommendations for Treating Stammering Stammering is known to be aggravated by fatigue, anxiety or nervousness. A positive environment at home and at workplace is of paramount importance in helping a Person who stammers cure his disorder. Above all, stammering can not be cured overnight. It takes time and patience but the rewards at the end of it all are really worth the time. Stammering Trivia What’s common amongst Aristotle, Churchill, Darwin, Moses and Rousseau? Ans: They all stammered! I hope this helps. I wish you a very quick and speedy recovery.

Hello, take bc no. 25, 5 tabs twice daily and alpha liv, 2 tsp, once daily after dinner. Take plenty of water at frequent intervals. You are advised to join the speech therapy classes for the stammering issue. Repeat those words on which you stammer, means words which are not clear and don't hesitate after some time if you practice well then your speech will become better.

Hello, This is common problem This problem can be solved by Speech therapy Kindly consult me privately for further management

Dear Suhail. Loss of voice completely is not a normal or common case. Whole of vocal chords must be involved. Please follow the present treatment or consult an experienced ENT surgeon. Take care

Tests can be suggested only after proper consultation. For warts take homeopathic medicine Thuja 200 (5 pills 3 times a day) for 3 months.

Hello, This problem can be solved by Collection of Exercises, Speech therapy, treatment and home cure 1.Exercises are effective in treatment of physiological causes of stammering. In general, exercises are meant to provide strength to the organs associated with speech including tongue, lips, jaw, trachea and lungs. Kindly 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 i can give you address of rajyoga meditation center near your house (this is free of cost)

You should go to a dental clinic for physical examination to find out the cause of the disease, because treatment depends upon the cause. May have gingival hyperplasia in this disease gums get enlarged. Gingivectomy is the treatment after confirmed diagnosis.

Work on your self esteem and confidence. You do need counsellor's help to make you understand your worth and how to overcome social phobia.

I will suggest you to eat nutritious home made food with adequate fluid intake and get your vital parameters of the body checked from a nearby doctor and follow up with findings.

It may not be possible to regain your previous voice,as there must be some injury to your vocal cords

Stammering may be the indication of any underlying anxiety problems. See a clinical psychologist who can evaluate and give psycho therapies like relaxation training, cbt and so forth. If necessary the psychologist will refer you to a psychiatrist for medications. It is not a serious problem. If you have a strong will and follow the treatments/practices certainly you can overcome it. All the best.

Not exactly, there are no effective medicines as such for speech dvelopment. However, you may visit speech therapist for the help. Thanks.

You consult a good speech therapist he will be able to help you out of this problem and as you are saying it started only 8years back, there are good chances of recovery also.

Hello, don't worry , wait for some more time , some kids have delayed mile stones. you should keep on practising with him at home.He will start speaking all words gradually. Now you can give him BC no. 21 , 3 tabs twice daily. Thanks.