Diction Problems

My son is tongue-tied. My husband and I disagree on whether or not he also has a diction problem. I can’t take my son to the doctor because he refuses to speak to anyone but direct family (those of us who live with him; he won’t even speak to his grandparents). How can I tell, and what should I do about it?

Diction Problems

Dr. Greene’s Answer:

The best way to determine whether or not he has a diction problem would be for a doctor or speech therapist to hear him talk. But if he will not talk at the office, perhaps a videotape would work, so they could get an idea how his mouth moves when he speaks.

They can get some idea from a physical exam (where the tongue-tie connects on the tongue and on the gum line–right on the tip of both is more likely to need surgery), but most kids with tongue-tie do not need treatment. But if there is a question about speech development, it makes sense to have that aspect looked at.

Dr. Alan Greene

Dr. Greene is the founder of DrGreene.com (cited by the AMA as “the pioneer physician Web site”), a practicing pediatrician, father of four, & author of Raising Baby Green & Feeding Baby Green. He appears frequently in the media including such venues as the The New York Times, the TODAY Show, Good Morning America, & the Dr. Oz Show.

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