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Hi! My dad is 63 years old. So this problem started last August, when we noticed that he is having some speech issue. It was like as if he is eating something and talking, when actually his mouth was completely empty. Then the frequency of this slurring increased in some weeks/months (can not recall). When we met our doctor, he advised to get an MRI done. On getting the MRI he concluded that it is because of diabetes and blood pressure that some muscles of the tongue are weak. Since november, my dad is controlling diabetes and blood pressure and has also lost 10 kgs (he was overweight, with strict diet and exercise he has lost 10 kgs and now weighs 80 kgs) So, the slurring problem increased and now its not slurring but lisping. We also noticed that his tongue is not able to touch the roof of the mouth. And there is always some burning sensation on some part of the tongue. We met a few renowned doctors but nothing was concluded. We met a neurologist, who recommended the following tests. MRI, diffused and contrast RNT THYROID ECHO ULTRASOUND OF THE NECK. All the above tests were normal. On meeting our neurologist the last time, he has given the following conclusions. He said - His tongue muscles are weak, And blood supply to the blood is not appropriate. And has given us some medicines. Although on his prescription he has written the following. D/d Multi infarct state e bulbar palsy Bulbar palsy onset AHC He has also written follow up to see for evolution/ evaluation of AHC disease. As you can see what he said and what he wrote was completely different. My question is I did my research on Ahc and bulbar palsy, yes it is very scary but some symptoms are not matching with the symptoms of Ahc and bulbar palsy. He also said - there is no test to conclude this disease, if nothing happens after having the given medicines. We will conclude that he is suffering from Ahc and bulbar palsy. Symptoms that differ His walking is perfect - daily walks for more than 7 kms His muscles are strong No problem with swallowing Please help me out in this.

1 Doctor Answered
Dear lybrate user, you can try consulting a dentist who hs done masters in oral medicine and radiology or in oral pathology. With aging tongue muscles tend to become weak n also mouth gets dry making them difficult to speak properly or swallow. Moistness of mouth also plays a role in speech. Wen a person loses mutiple teeth, the space available for tongue increases n tongue seems to noticably increase in size in older patients. This again causes difficulty in speech. With aging, weak muscle n nerves coupled with slight increased side tongue n absence of muliplt teeth or complete absence of teeth may cause incomplete control over tongue. Taste buds greatly reduce in number with aging causing bald tongue. Nutritional deficiency esp iron deficiency can cause bald tongue n inflamation easily.
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