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Neurology  (Expert Forum)
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my brother
Answered by
Lama Chahine, MD - Neurology
Cleveland Clinic Cleveland - OH
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

my brother

by ajgirl1, Sep 24, 2008 09:59AM
My brother has speech problems. Whenever he wants to say bottom, he says bottomen.  what should we do to help him?

by Lama Chahine, MD, Sep 28, 2008 10:11AM
Thanks for using the forum.Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.

Without the ability to examine your brother and obtain a history, I am unable to provide him with a diagnosis. However, I will try to provide you with some general information regarding speech disorders.

There are several possible causes of speech disorders. It is important to remember that in younger children, for example at the age of 3, certain mistakes in language articulation are normal/expected, and improve with age. The mistakes your brother makes may be normal for him, depending on his age. Some speech problems are normal up to the age of 5. However, they may also be due to an underlying problem. The problems related to speech could be local, due to problems in moving the tongue, lips, etc. from a neurologic causes (nerve or muscle), from central nervous system problems (such as apraxia of speech) or ENT causes, such as impaired hearing.

My advice is that you raise your brother's speech problem with his pediatrician. He may also benefit from evaluation by a certified speech pathologist. He/she can evaluate your brother's speech and determine whether or not this is normal or whether further evaluation is necessary. Referral to a neurologist may or may not be warranted depending on their assessment.

Thank you for using the forum, I hope you find this information useful, good luck
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