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Suggest Remedy For Delayed Speech In A 3 Year Old Child

Posted on Mon, 13 Apr 2015

Question: Hello Doctor. We had done complete blood test for my 3.2 yrs old son. Suggested by a speech therapist since we had consulted the Dr since we felt his speech was delayed. He is talking only one syllable words. ( few of them ). However we found variation in the Throglobulin antibody serum alone which was 5.38 ( upto 4.11). All the other values related to Thyroid was normal. He showed insufficiency in vitamin D also. Is this something to be worried as a parent. Is medication really needed for the kid because he is too young.

Answered by Dr. Sumanth Amperayani (48 minutes later)

Brief Answer:
Need more information please

Detailed Answer:
Hi....

1. Vitamin D insufficiency is not related to speech delay.

2. Regarding Thyroglobulin levels - the serum TSH concentration is such a powerful modulator of the serum Thyroglobulin level that it is usually necessary to know the TSH status of the patient before assessing the significance of any serum Thyroglobulin measurement.

3. But as you quote that all other thyroid related values are normal, I don't think you should worry about it.

4. Your son needs - follow up of thyroid tests in 3 months and most importantly speech therapy.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (9 minutes later)

These are the complete values.

Free T3 ( Serum/Cmia) 3.87
Free T4 ( Serum/cmia) 1.10
TSH ( Serum/cmia) 2.30
Thyroid Peroxidase antibody 0.00

Fyi: I have the stem cells at birth for my son stored. Is this something that can help in case of any issue u think ?

Answered by Dr. Sumanth Amperayani (13 minutes later)

Brief Answer:
Please quote normal values

Detailed Answer:
Hi...please quote normal ranges for each as they differ from lab to lab on method used.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (41 minutes later)

Free T3 (2.4 - 6.7 pg/ml)
Free T4 (0.90 - 1.59 ng/dl )
TSH ( 0.33 - 6.3 IU/ml
Thyroglobulin Antibody ( upto 4.11 IU/ml)
Thyroid peroxidase ( upto 5.61 IU/ml)

Answered by Dr. Sumanth Amperayani (45 minutes later)

Brief Answer:
Stem cell therapy is not of use

Detailed Answer:
Hi...

1. This is normal thyroid function tests. Nothing to worry about.

2. Either these normal thyroid tests or the insufficient range of vitamin D is not related to speech delay.

3. Stem cell therapy is not going to be of use in this regard.

4. Your kid needs - hearing evaluation and speech therapy.

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar