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Overview

Voice Tablet

Voice Tablet

Manufacturer: Serve Pharmaceuticals
Medicine composition: Levocetirizine
Prescription vs.OTC: Prescription by Doctor required

Voice Tablet belongs to the drug group called antihistamine that can help to relieve the symptoms like runny nose, itchy or watery eyes, sneezing, hives that are usually related to all-year round as well as seasonal allergies. The medicine blocks histamine (natural substance) that the body generates during the time of an allergic reaction, relieving you of the symptoms of the reaction. Voice Tablet needs to be taken orally and is available in tablet form as well as a solution. It can be used in the form of combination therapy, meaning you may be prescribed this drug along with other medications. You can take the medicine with your food or without it.

Voice Tablet belongs to the drug group known as antihistamines. It is used for the treatment of the symptoms that are associated with allergies, both seasonal and all-year round. This medication can also be used to get relief from itching caused due to hives. Voice Tablet blocks the release of histamine, a chemical from your body?s cells. It, therefore, provides you relief from the allergic symptoms such as runny nose, sneezing, and watery, red or itchy eyes.

The dosage of Voice Tablet depends on your age, the severity of your condition, medical history and your body?s reaction after the first dose. Your doctor should be informed about your medical history and condition, along with certain conditions like pregnancy, allergies, enlarged prostrate or a kidney disease before you are prescribed to this medicine. You can take Voice Tablet with your food or without it. Also, it is better to take it during the evening, as that can prevent you from feeling drowsy in the daytime. Make sure that you do not take an overdose of the medicine in case you skipped one dose, as it can lead to other side effects.

You should also keep in mind not to stop these medicines suddenly as there is a possibility that your symptoms may get worse. Too much of Voice Tablet can lead to extensive drowsiness. It is advisable to take in the amount as prescribed by your doctor.

The side effects of Voice Tablet can vary depending on the age group. In case of children above 12 years and adults, the common side effects are sore throat, dry mouth, tiredness and nasopharyngitis (inflammation and redness of your throat and nose). Children of 6-11 years can suffer from cough, fever, bleeding from the nose or sleepiness. Children younger than 6 years may experience diarrhea, vomiting and constipation. These mild side effects do not stay long, but you can consult your doctor for a solution. There are some serious side effects though, that need immediate treatment, like:

  • Allergic reactions, that can cause itching, swelling of your face or throat, or a rash
  • Problems related to the kidney, like trouble in urinating, changes in your usual amount of urine or blood in urine
  • Blurred vision
  • Yellowing of your skin or the eyes
  • Difficulty breathing
  • Sudden mood changes like getting agitated, aggressive, having suicidal thoughts

Voice Tablet is known to cause drowsiness, especially in the initial hours. Refrain yourself from activities like driving or using machinery during this period. Also, avoid alcohol as it can further raise your risk of feeling drowsy.

Allergic Rhinitis
Voice Tablet is used to treat the symptoms associated with seasonal and long-term Rhinitis.
Utricaria
Voice Tablet is used to treat chronic skin complications associated with Utricaria.
Allergy
Voice Tablet is not recommended for use if you have a known history of allergy to it.
Kidney Disease
Voice Tablet is not recommended if you are suffering from end-stage kidney disease, were the Creatinine clearance in such cases is less than 10 ml/min. It should not be used in children below 12 years with kidney abnormalities.
In addition to its intended effect, Voice Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Sleepiness Major Less Common
Headache Major Less Common
Blurred vision Moderate Less Common
Running Nose and Cough Major Less Common
Dry Mouth Moderate Less Common
Diarrhea Moderate Less Common
Nausea or Vomiting Minor Less Common
Difficulty in passing urine Minor Rare
How long is the duration of effect?
The effect of this medicine lasts for an average of 24 hours.
What is the onset of action?
The effect of this medicine can be observed within an hour of oral administration.
Are there any pregnancy warnings?
This medicine is not known to cause any harmful effect on the fetus. There is a lack of conclusive evidence from clinical studies and hence benefits and risks should be weighed before usage. Consult your doctor before taking this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
This medicine is not recommended for use in women who are breastfeeding as it can cause side effects for the baby. Consult your doctor before taking this medication.
Below is the list of medicines, which have the same composition, strength and form as Voice Tablet, and hence can be used as its substitute.
Missed Dose instructions
Take the missed dose as soon as you remember. If it is almost time for the next scheduled dose, then the missed dose can be skipped.
Overdose instructions
Contact your doctor immediately if an overdose is suspected. Symptoms of overdose may include dizziness, restlessness, and confusion. Supportive measures like gastric lavage might be initiated based on the severity of symptoms.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Alcohol
Ethanol Moderate
Using alcohol while taking Voice Tablet is not recommended. Any activity requiring a high level of mental alertness should be avoided in such cases.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Alprazolam Moderate
Report the usage of either of the medicine to the doctor. Any activity requiring a high level of mental alertness should be avoided after taking these medicines. Do not stop the usage of any medication without consulting your doctor. Any medicine having sedation as a side effect must be taken with caution while taking Voice Tablet.
Codeine Moderate
Report the usage of either of the medicine to the doctor. Any activity requiring a high level of mental alertness should be avoided after taking these medicines. Do not stop the usage of any medication without consulting your doctor. Any medicine having sedation as a side effect must be taken with caution while taking Voice Tablet.

Popular Questions & Answers

Sir/mam, I have a 6 years old male pomeranian dog n due to some reason I adopted a stray dog (male) in feb 2017. Every thing was ok till now but since last one month pome has become very aggressive n tries to attack the new one, now the situation is such that he attacks on seeing him n is making the younger one (8 months) also aggressive. Pls help me to get out of this mess as I can't leave any of the two. Pls help.

B.V.Sc. & A.H., M.V.Sc- Veterinary Surgery and Radiology
Veterinarian, Hyderabad
Sir/mam, I have a 6 years old male pomeranian dog n due to some reason I adopted a stray dog (male) in feb 2017. Ever...
You are giving too much affection and attention to your dogs. Your dogs are interpreting your behaviour as your submission to them. They become aggressive due to possesiveness. Either for you or the territorial area or both. Please do not give any attention or call their names in pain or try to show that you are worried or scared through your tone. Be rough in your voice and keep them separate. Scolding beating or pulling back will never help but rather increase their aggression. Make them know that you are the Alfa of the pack and not them. Refer some basic dog training books.
1 person found this helpful

I have been hearing voices for more than a year and I have been diagnosed with schizophrenia. I have been taking medication for more than a year. I have memory as well as concentration problem.

MD - Psychiatry, M.B.B.S.
Psychiatrist, Delhi
Hello Lybrate user, Schizophrenia is a complex mental health disorder with various types of symptoms. Hearing of voices, fearfulness, anger, irritable mood, reduced interest, concentration impairment, lack of focus etc are different symptoms. Hence please discuss your symptoms with your Psychiatrist, these may be part of schizophrenia disorder, or other factors like depression, medication side effects, other medical or neurological factors etc. Hence a comprehensive assessment will throw more light on the cause of the index symptom. Treatment approach will be based on the evaluation. However preliminarily I suggest psychotherapy may be able to help you. Hope this helps you. Best wishes for your health and future.
2 people found this helpful

What to do when cough tighten our throat?I have cough Please suggest me something to get rid off that.

MBBS, MD TUBERCULOSIS AND CHEST DISEASES, Diploma in Tuberculosis & Chest Diseases, Diploma in Tropical Medicine Health
Pulmonologist, Kolkata
Warm Saline gargling 3 to 4 times a day for 5-7 days Voice rest If there is any infection then you have to take an appropriate course of antibiotics. Wish you good health.

Hello doc. I have a lot of fat at lower back. I mean it destroys my shape. And no matter how much I workout. I mean cardio. It get burns a little bit. And if after that even if I ate one toffee. Than. It again increases drastically. I am just 20 years old. I am too depressed regarding this. Please help me doc. Even.i don't have enough beard. And my voice is also not so manly or heavy. What's wrong please help. Or advice me a medicine.

MCh - Plastic and Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello doc. I have a lot of fat at lower back. I mean it destroys my shape. And no matter how much I workout. I mean c...
Hello lybrate-user. The fat at the lower back is difficult to burn down by exercises. Few people do go for a minor liposuction treatment for such things. It will remove the entire fat from that area and give you a proper shape. You can enquire about the same or contact me for further details.

My age is 22 year. 4-5 month ago I have erosive gastritis .I am feeling pressure and pain in mid upper chest. I went to Dr. And take medicine's 90-100 days properly and feel much better. After stopping medicine's. Again I feel pressure and pain in chest all the day. Chest is paining during deep breathing, stretching and pushing the chest. My digestion is good now. So why I am still feeling pressure and pain in my chest. Sir please tell me permanent solution.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
My age is 22 year.
4-5 month ago I have erosive gastritis .I am feeling pressure and pain in mid upper chest. I went ...
What you are having is Gastroesophageal reflux disease Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak backwards from the stomach into the esophagus (the tube from the mouth to the stomach). This can irritate the esophagus and cause heartburn and other symptoms. Causes When you eat, food passes from the throat to the stomach through the esophagus. A ring of muscle fibers in the lower esophagus prevents swallowed food from moving back up. These muscle fibers are called the lower esophageal sphincter (LES). When this ring of muscle does not close all the way, stomach contents can leak back into the esophagus. This is called reflux or gastroesophageal reflux. Reflux may cause symptoms. Harsh stomach acids can also damage the lining of the esophagus. The risk factors for reflux include: Use of alcohol (possibly) Hiatal hernia (a condition in which part of the stomach moves above the diaphragm, which is the muscle that separates the chest and abdominal cavities) Obesity Pregnancy Scleroderma Smoking Symptoms can also be caused by certain medicines Common symptoms of GERD include: Feeling that food is stuck behind the breastbone Heartburn or a burning pain in the chest Nausea after eating Less common symptoms are: Bringing food back up (regurgitation) Cough or wheezing Difficulty swallowing Hiccups Hoarseness or change in voice Sore throat Symptoms may get worse when you bend over or lie down, or after you eat. Symptoms may also be worse at night. If you are overweight or obese, in many cases, losing weight can help. Avoid drugs such as aspirin, ibuprofen, or naproxen. Take acetaminophen to relieve pain. Take all of your medicines with plenty of water. When your doctor gives you a new medicine, ask whether it will make your heartburn worse. You may use over-the-counter antacids after meals and at bedtime, although the relief may not last very long. Common side effects of antacids include diarrhea or constipation. Other over-the-counter and prescription drugs can treat GERD. They work more slowly than antacids, but give you longer relief.

Popular Health Tips

Hearing Loss in Children - Know The Signs That Indicate It!

MS - ENT, MBBS
ENT Specialist, Delhi
Hearing Loss in Children - Know The Signs That Indicate It!

You may find out that your child is suffering from hearing loss when he is born or he may be diagnosed with the condition later in life. Hearing loss in children is commonly caused by otitis media, birth problems and on the account of certain injuries or illnesses.

Signs and symptoms

The early stage symptoms of hearing loss in children are as follows:

  1. No reaction to extremely loud noises

  2. No response or reaction to your voice

  3. The child makes some sounds, which taper off

The other symptoms which follow include:

  1. He may pull and rub his ears.

  2. He may act cranky constantly without any proper reason.

  3. He might stop paying attention.

  4. Low energy levels are indicated.

  5. He may find it hard to follow directions.

  6. He may ask you to increase the volume of the radio or TV.

  7. Fever and ear pain are also likely symptoms.

Treatment

Early hearing loss can affect your child’s language learning skills. If the problem is diagnosed and treated soon, the problem with language can be avoided. The method of treatment depends on the cause of hearing loss in your child and the severity of hearing loss.

There are certain medicines for hearing---prescribed by your ENT Surgeon. Pleas take the point watchful waiting. Even if you have slightest doubt of hearing loss contact ENT immediately.

The primary treatment methods of hearing loss in children include the following:

  1. Watchful waiting: Sometimes, the condition may resolve on its own and the treatment involves simple monitoring of your child for positive changes.

  2. Medicines: There are certain medicines for hearing loss in children, which may be prescribed by your pediatrician.

  3. Ear tubes: Ear tubes may be recommended if medicines and monitoring do not work. The tubes allow fluid to drain and help in preventing infections. A minor surgery has to be undertaken on your child for getting the ear tubes placed. This will solve the hearing loss and other related issues.

  4. Hearing aids: Hearing aids may be used to allow your child hear better. It is safe for children to use ear tubes after the age of one month. For the right hearing aid for your child, you need to consult a hearing specialist.

  5. Implants: Cochlear implants are used to treat hearing loss in many children. These are electronic devices which are put in the inner ear to benefit hearing. These should be used only if hearing aids did not succeed and these are meant to be used only in case of children with serious hearing problems.

There are several other devices, which can help your child with hearing loss. For suggestions and recommendations, you must take your child to a hearing specialist.

PCOS: What You Should Know About It?

Fellowship in Reproductive Medicine, MS - Obstetrics and Gynaecology, MBBS
IVF Specialist, Ghaziabad
PCOS: What You Should Know About It?

PCOS or polycystic ovary syndrome is an endocrine disorder in women, in which the female hormones, progesterone and estrogen, are imbalanced. This imbalance leads to the formation of cysts (benign masses) in the ovaries. PCOS tends to affect your heart functions, fertility, menstrual cycle and appearance.

PCOS is a complex condition because it is not entirely clear why some women have such high androgen levels. What is clear is that many women with PCOS also have issues relating to obesity, insulin resistance (a condition where insulin is not effective in lowering blood sugars) and diabetes.

The complexity of PCOS is compounded by the fact that some women with PCOS do not have visible cysts on their ovaries, and some women with cysts in their ovaries do necessarily have PCOS.

How Does PCOS Affect Fertility?

If you’re living with PCOS, the excessive male hormones that your body is creating can interfere with the production of the female hormones that your body needs in order to ovulate. Because your body is not ovulating, progesterone (the hormone that causes the lining of the uterus to thicken) is not being produced. This results in an absence of periods or irregular menstruation. When there is a lack of ovulation and menstruation, conception just isn’t possible.

There are certain symptoms, which can be indicative of PCOS; these symptoms tend to begin as a woman's menstrual cycle starts. In certain cases, however, PCOS may also affect a woman in her mid age. PCOS can also cause excessive hair growth in unwanted places like above the upper lip, chin, arms and chest like a male.

The symptoms are:

  • Increase in the production of male hormone, leads to development of male characteristics
  • The size of the breasts may reduce
  • The tone and the texture of the voice may change and become similar to a man's voice
  • Hair may start to fall
  • You may suffer from acne and pimple breakouts on your face
  • It can lead to sudden weight gain
  • It may affect a woman's fertility
  • It may lead to pain in the pelvis

Other symptoms: Apart from these symptoms, a woman may also experience other health complications such as high levels of bad cholesterol, high blood pressure and diabetes.

Causes: The causes of PCOS are not well known, however, the likely causes are genetics and hormonal complications. If someone in the family has PCOS, then the risk of being affected by PCOS rises significantly. The other likely cause is the overproduction of the male hormone androgen in the female body. Although androgen is a male hormone, the female body also produces it in trace amounts. However, in some cases, when it is overproduced, it might impair the ovulation process.

Diagnosis and Treatment: Once the condition is diagnosed, there are certain treatments, which are recommended for the patient. The condition in itself does not have a cure, but the symptoms can only be controlled.

There are a number of options available, depending on the main issue you are experiencing.

  • Weight loss can be more difficult because of the higher levels of testosterone, but it has a very beneficial effect on balancing hormones and restoring regular periods in obese women. So exercise and a change of diet could have a significant impact.
  • Insulin sensitizers, such as Metformin, reduce the impact of insulin resistance and can also assist in weight loss.
  • Ovulation-inducing drugs such as Clomiphene (Serophene or Clomid) can stimulate the ovaries.
  • If you do not respond to Clomiphene, injectable drugs (FSH) can be used, but these require specialist facilities and close monitoring of the response to avoid severe side effects and multiple pregnancies.
  • IVF treatment may be necessary for very difficult situations.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Feeling Angry - 12 Doctor Recommended Tips!

MBBS, MD - Psychiatry
Psychiatrist, Delhi
Feeling Angry - 12 Doctor Recommended Tips!

Anger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified.

Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations :

  1. Sit down and have a glass of water, slowly. This will help you to calm down a little.
  2. Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time.
  3. Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises.
  4. Now understand what is making you angry. Understand your own anxiety and fear related to the issue.
  5. Let the other person know how you are “feeling”. Start your statements, “I feel hurt/insulted/let down/neglected etc. when you do this”, instead of saying “You hurt/neglect me”. When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive.
  6. Focus on the current issue, don’t bring in past situations.
  7. Tell the other person, what you want or expect, instead of telling what you do not want. E.G. Instead of saying “I don’t want you to go out now”, say “I would like you to stay at home today”.
  8. Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions.
  9. Make an eye contact and be firm but polite while communicating your point of view.
  10. Understand everyone’s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that.
  11. Understand what change you want.
  12. Have realistic expectations from others and also from yourself.
4 people found this helpful

Warning Signs and Emergency Treatment of Cardiac Arrest

MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic and Vascular Surgery, DNB (CTS)
Cardiologist, Noida
Warning Signs and Emergency Treatment of Cardiac Arrest

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person’s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient’s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person’s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person’s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person’s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

4 people found this helpful

Delayed Speech And Language

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Delayed Speech And Language

As with other skills and milestones, the age at which kids learn language and start talking can very. Many babies happily babble" mama" and" dada" well before their first birthday, and most toddlers can say about 20 words by the time they're 18 months old. But what if a 2-year-old isn't really talking yet or only puts two words together? 

Knowing what's" normal" and what's not in speech and language development can help parents figure out if there's cause for concern or if their child is right on schedule.

How are speech and language different?

Speech is the verbal expression of language and includes articulation (the way sounds and words are formed).

Language is the entire system of giving and getting information in a meaningful way. It's understanding and being understood through communication — verbal, nonverbal, and written.

What are speech or language delays?

Speech and language problems differ, but often overlap. For example:

A child with a language delay might pronounce words well but only be able to put two words together.

A child with a speech delay might use words and phrases to express ideas but be difficult to understand.

When do kids develop speech and language skills?

The stages of speech and language development are the same for all kids, but the age at which kids develop them can vary a lot.

During routine speech therapist/ doctors look to see if kids have reached developmental milestones at these ages:

Before 12 months

By the first birthday, babies should be using their voices to relate to their environment. Cooing and babbling are early stages of speech development. At around 9 months, babies begin to string sounds together, use different tones of speech, and say words like" mama" and" dada" (without really understanding what those words mean).

Before 12 months of age, babies also should be paying attention to sound and starting to recognize names of common objects (bottle, binky, etc.). Babies who watch intently but don't react to sound could be showing signs of hearing loss

By 12 to 15 months

Kids this age should have a wide range of speech sounds in their babbling (like p, b, m, d, or n), begin to imitate sounds and words they hear, and often say one or more words (not including" mama" and" dada"). Nouns usually come first, like" baby" and" ball" they also should be able to understand and follow simple one-step directions (" please give me the toy" etc.).

From 18 to 24 months

Most (but not all) toddlers can say about 20 words by 18 months and 50 or more words by the time they turn 2. By age 2, kids are starting to combine two words to make simple sentences, such as" baby crying" or" daddy big" a 2-year-old should be able to identify common objects (in person and in pictures); point to eyes, ears, or nose when asked; and follow two-step commands (" please pick up the toy and give it to me" for example).

From 2 to 3 years

Parents often see huge gains in their child's speech. A toddler's vocabulary should increase (to too many words to count) and he or she should routinely combine three or more words into sentences.

Comprehension also should increase — by age 3, a child should begin to understand what it means to" put it on the table" or" put it under the bed" kids also should begin to identify colors and understand descriptive concepts (big versus little, for example).

What are the signs of a speech or language delay?

A baby who doesn't respond to sound or who isn't vocalizing should be seen by a doctor right away. But often, it's hard for parents to know if their child is just taking a little longer to reach a speech or language milestone, or if there's a problem that needs medical attention.

Here are some things to watch for. Call your doctor if your child:

By 12 months: isn't using gestures, such as pointing or waving bye-bye

By 18 months: prefers gestures over vocalizations to communicate

By 18 months: has trouble imitating sounds

Has trouble understanding simple verbal requests

By 2 years: can only imitate speech or actions and doesn't produce words or phrases spontaneously

By 2 years: says only certain sounds or words repeatedly and can't use oral language to communicate more than his or her immediate needs

By 2 years: can't follow simple directions

By 2 years: has an unusual tone of voice (such as raspy or nasal sounding)

Is more difficult to understand than expected for his or her age:

Parents and regular caregivers should understand about half of a child's speech at 2 years and about three quarters at 3 years.

By 4 years old, a child should be mostly understood, even by people who don't know the child.

What causes speech or language delays?

A speech delay in an otherwise normally developing child might be due to an oral impairment, like problems with the tongue or palate (the roof of the mouth). And a short frenulum (the fold beneath the tongue) can limit tongue movement for speech production.

Many kids with speech delays have oral-motor problems. These happen when there's a problem in the areas of the brain responsible for speech, making it hard to coordinate the lips, tongue, and jaw to produce speech sounds. These kids also might have other oral-motor problems, such as feeding difficulties.

Hearing problems are also commonly related to delayed speech. That's why an audiologistshould test a child's hearing whenever there's a speech concern. Kids who have trouble hearing may have trouble articulating as well as understanding, imitating, and using language.
Ear infection especially, chronic infection, can affect hearing. Simple ear infections that have been treated, though, should not affect speech. And, as long as there is normal hearing in at least one ear, speech and language will develop normally.

How are speech or language delays diagnosed?

If you or your doctor think that your child might have a problem, it's important to get an early evaluation by a speech_ language therapistyou can find a speech-language pathologist on your own, or ask your health care provider to refer you to one.

The speech-language pathologist will evaluate your child's speech and language skills within the context of total development. The pathologist will do standardized tests and look for milestones in speech and language development.

The speech-language pathologist will also assess:

What your child understands (called receptive language)

What your child can say (called expressive language)

If your child is attempting to communicate in other ways, such as pointing, head shaking, gesturing, etc.

Sound development and clarity of speech

Your child's oral-motor status (how the mouth, tongue, palate, etc, work together for speech as well as eating and swallowing)

Based on the test results, the speech-language pathologist might recommend speech therapy for your child.

How does speech therapy help?

The speech therapist will work with your child to improve speech and language skills, and show you what to do at home to help your child.

What can parents do?

Parental involvement is an important part of helping kids who have a speech or language problem.

Here are a few ways to encourage speech development at home:

Spend a lot of time communicating with your child. Even during infancy — talk, sing, and encourage imitation of sounds and gestures.

Read to your child. Start reading when your child is a baby. Look for age-appropriate soft or board books or picture books that encourage kids to look while you name the pictures. Try starting with a classic book (such as pat the bunny, in which your child imitates the patting motion) or books with textures that kids can touch. Later, let your child point to recognizable pictures and try to name them. Then move on to nursery rhymes, which have rhythmic appeal. Progress to predictable books (such as brown bear, brown bear, what do you see?) that let kids anticipate what happens. Your little one may even start to memorize favorite stories.

Use everyday situations. To reinforce your child's speech and language, talk your way through the day. For example, name foods at the grocery store, explain what you're doing as you cook a meal or clean a room, point out objects around the house, and as you drive, point out sounds you hear. Ask questions and acknowledge your child's responses (even when they're hard to understand). Keep things simple, but avoid" baby talk"

Recognizing and treating speech and language delays early on is the best approach. With proper therapy and time, your child will be better able to communicate with you and the rest of the world.