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Suggest Treatment For Difficulty In Pronouncing Words

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Posted on Tue, 29 Aug 2017
Question: Just curious if a new onset sensation is nothing or possibly something underlying...

Its happened before where this ability to pronounce words becomes a tad difficult, i dont mean like a stroke difficult, but almost as if my tongue and/or jaw arent functioning 100%. Its more of a sensation than an actual prevention to pronounce words. Wondering if it could the antibiotic im currently on, stress, undiagnosed anxiety, or if its something more serious underlying.

Thank you
doctor
Answered by Dr. Ishu Bishnoi (1 hour later)
Brief Answer:
Cause of difficulty in pronouncing words

Detailed Answer:
Hi XXXX, thanks for asking from HCM.


I can understand your concern. After reading your history, I can say that you had some difficulty in pronunciation. But there was no actual slurring or aphasia. There was one such episode in past also.

You have also mentioned few causes like stress, anxiety, antibiotics. I agree with you. All these factors can cause your symptoms. There are few other causes also like

- Transient ischemic attack - It means sudden, temporary decrease in blood supply to speech area of brain. It occurs in episodes and it is a warning sign of ischemic stroke. It can be ruled out by MRI brain and angiography of neck.brain vessels.

- Tongue muscles or oral cavity muscle weakness - Initially, it present as difficulty in speaking and later manifest as slurring and inability to pronounce words. Patient is usually able to make sounds, but no speech. It can occur due to
Multiple sclerosis (MS)
Myasthenia Gravis (MG)
Involvement of 9,10 cranial nerves due to tumor/ischemia

To diagnose it, you should consult neurologist and get MRI brain done if any doubt. Further, MS and MG need some blood tests to confirm.

In your case, if you are having stress of infection, I think the symptoms are most probably due to mental stress and undiagnosed anxiety. You are quite young to have stroke or ischemia.
To be on safe side, consult doctor and get yourself examined. If physical and nervous system examination is ok, don't worry. Consult psychiatrist to relieve anxiety. He might prescribe you tablet clonazepam.

Hope it will help you. If still in doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ishu Bishnoi (18 minutes later)
Im actually transitioning between insurances right now which is why im on here. That would make an MRI very expensive. I went to a cardiologist for something unrelated, just to rule out heart issues, and he had noted that my stress test was completely normal but that certain areas were getting a little thick (said that exercise would remedy it). Basically he said that ny heart was fine (this was a few months ago) .
doctor
Answered by Dr. Ishu Bishnoi (22 minutes later)
Brief Answer:
management of your symptoms

Detailed Answer:
Hi XXXX, welcome back.


I got your point. Your heart is ok, that is a good news. It also suggests that ischemia is least likely. You can wait for MRI brain.

You should follow few steps and observe if there is relief in your symptoms or not

- Avoid mental stress. Deviate your mind and indulge yourself in some activities which you like

- Drink plenty of water and keep yourself hydrated. It will relieve your dryness of mouth and will give some relief in symptoms.

- Try to do some meditation or Yoga. It will relieve your mental stress and anxiety.

- If possible consult psychiatrist for evaluation. If there is anxiety, he will prescribe you anxiolytics like clonazepam. It will give you some relief.

- Take to your family and friends. Their support will help you.

If still no relief, I suggest you to go for neurological examination and MRI brain.

Hope it will help you. If still in doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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Suggest Treatment For Difficulty In Pronouncing Words

Brief Answer: Cause of difficulty in pronouncing words Detailed Answer: Hi XXXX, thanks for asking from HCM. I can understand your concern. After reading your history, I can say that you had some difficulty in pronunciation. But there was no actual slurring or aphasia. There was one such episode in past also. You have also mentioned few causes like stress, anxiety, antibiotics. I agree with you. All these factors can cause your symptoms. There are few other causes also like - Transient ischemic attack - It means sudden, temporary decrease in blood supply to speech area of brain. It occurs in episodes and it is a warning sign of ischemic stroke. It can be ruled out by MRI brain and angiography of neck.brain vessels. - Tongue muscles or oral cavity muscle weakness - Initially, it present as difficulty in speaking and later manifest as slurring and inability to pronounce words. Patient is usually able to make sounds, but no speech. It can occur due to Multiple sclerosis (MS) Myasthenia Gravis (MG) Involvement of 9,10 cranial nerves due to tumor/ischemia To diagnose it, you should consult neurologist and get MRI brain done if any doubt. Further, MS and MG need some blood tests to confirm. In your case, if you are having stress of infection, I think the symptoms are most probably due to mental stress and undiagnosed anxiety. You are quite young to have stroke or ischemia. To be on safe side, consult doctor and get yourself examined. If physical and nervous system examination is ok, don't worry. Consult psychiatrist to relieve anxiety. He might prescribe you tablet clonazepam. Hope it will help you. If still in doubt, do let me know. Thanks. Take care.