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Doctor insights on: Trouble Understanding Speech

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Dr. Lois Freisleben-Cook
2 doctors shared insights

Trouble Understanding Speech (Overview)

Trouble understanding speech is where a person has difficulty interpreting spoken language. This may be due to damage to the part of the brain that interprets spoken language, which may occur in a stroke.


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My hearing test is normal but I have trouble understanding speech. Why?

My hearing test is normal but I have trouble understanding speech. Why?

Maybe aphasia: I am glad you had your hearing checked first as that would be the initial thing to look into. If those tests are normal, then how your brain processes speech. Some strokes can affect the part of your brain that allows you to hear and speak properly. Problems are called aphasias. Also, even with normal hearing, some people can be distracted if trying to hear with lots going on. Get checked out. ...Read more

Dr. Lois Freisleben-Cook
2 doctors shared insights

Trouble Understanding Speech (Overview)

Trouble understanding speech is where a person has difficulty interpreting spoken language. This may be due to damage to the part of the brain that interprets spoken language, which may occur in a stroke.


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How to get rid of nervousness before speech?

How to get rid of nervousness before speech?

Performance anxiety: Performance anxiety is helped most by practice and rehearsal. Toastmasters can be a forum for this. Relaxation exercises help. I will often prescribe a low dose beta blocker as Propranolol that helps prevent tremors and increased heartrate, but it can't be used with asthma. Benzodiazepines need to used very cautiously as they can sedate and cause memory problems is used excessively. ...Read more

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Dr. Neigatha Graney Dr. Graney
<b>1</b> doctor agreed:
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Understanding Puberty for Boys (Checklist)

Stage 1: Prepubertal; no signs
once
Stage 2: average age 11.4 yrs (range 9.5 to 13.5 yrs)
once
Stage 2: testicles and scrotum are enlarged. Pubic hair grows
once
Your growth spurt begins two years after your genitals become enlarged
once
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My hearing test is normal but I have trouble understanding speech. Why?

Maybe aphasia: I am glad you had your hearing checked first as that would be the initial thing to look into. If those tests are normal, then how your brain processes speech. Some strokes can affect the part of your brain that allows you to hear and speak properly. Problems are called aphasias. Also, even with normal hearing, some people can be distracted if trying to hear with lots going on. Get checked out. ...Read more

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My hearing is usually normal but I still have trouble understanding speech in restaurant. Why?

My hearing is usually normal but I still have trouble understanding speech in restaurant. Why?

Likely distractions: Even with normal hearing, some people can find hearing in noisy places makes it tough. Distractions can be a problem for some people, and their brains may not be able to filter one thing out from the rest. And if your hearing is on the low end of normal, or if it has decreased from your normal, you may have relative hearing loss as this problem is common as hearing decreases. ...Read more

Dr. Barbara Lavi Dr. Lavi
<b>3</b> doctors agreed:
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Understanding Puberty for Girls (Checklist)

Read a book about puberty
Once
Give your daughter a book about puberty
Once
Buy pads and have them ready before your daughter gets her period
Once
Have first talk about birth control and sexuality with your daughter
Once
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Trouble producing and understanding speech,tiredness,hands stiffness,bloating,obesity and water retention.Have Hashimoto`s,epilepsy,prolactinoma,PCOS.

Trouble producing and understanding speech,tiredness,hands stiffness,bloating,obesity and water retention.Have Hashimoto`s,epilepsy,prolactinoma,PCOS.

Start at Some Basics: No easy answers from a distance. However, for obesity, PCOS & ? helpful for seizures, go all HFLC foods & eliminate ~all carbs. Carbohydrate means sugar, both simple & complex, & these are biggest food drivers of the 1st 2 issues & may ? 3rd. Study: Big Fat Lies, MGovern's Report, Mary Enig, Science for Smart People, Gary Taubes, Peter Attia, NuSI.org, FatChance.html, DietDoctor.com, Paleo, etc. ...Read more

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Trouble producing and understanding speech,tiredness,hands stiffness,bloating,obesity and water retention.Have Hashimoto`s,epilepsy, prolactinoma,PCOS?

Trouble producing and understanding speech,tiredness,hands stiffness,bloating,obesity and water retention.Have Hashimoto`s,epilepsy, prolactinoma,PCOS?

Aphasia: Difficulty comprehending or producing spoken language may be related to your epilepsy in most left-handed people and virtually all right-handed people one would expect to see worsening of your ability to communicate if you have subclinical seizure activity going on in your left frontal or left temporal lobe maybe time to have a visit with your neurologist maybe get another EEG or labs ( or both ) ...Read more

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I have difficulty understanding speech in the background, even with my hearing aid, is there a way to make it better?

I have difficulty understanding speech in the background, even with my hearing aid, is there a way to make it better?

Digital/programable: I wear hearing aids myself and have experienced the same issue. I have found that a digital/programable hearing aid with the ability to adjust it for the environment you're in works the best. Nothing is perfect, but this option is pretty close! ...Read more

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Should I be concerned that strangers can't understand my child's speech?

Should I be concerned that strangers can't understand my child's speech?

It's age dependent: The rule of thumb is that more than 50% is intelligible by age three to strangers. A four year old's speech should be mostly clear to strangers. If this is not the case and you are still concerned please talk to your pediatrician. ...Read more

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When should strangers be able to understand my child's speech?

When should strangers be able to understand my child's speech?

Comes in stages: Most kids will emerge as copycat talkers, trying to mimic what they hear. Clarity comes with repitition, gental redirection and eventual confidence. About half what they say at 2 should be understood by strangers(3/4 by 3 and 95% by 4). Any kid that doesn't should be screened. School districts operate child find programs to get these caught up by school entry. ...Read more

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Daughter age 5. Speech and language say she has understanding, vocabulary, processing, poor concentration and her language is disordered what is wrong?

Daughter  age 5. Speech and language say she has understanding, vocabulary, processing, poor concentration and her language is disordered what is wrong?

Hard to say: This is a complex issue that cannot be addressed without a complete evaluation of the child.Physical exam, testing and the input of speech and language pathologists are needed.Even then, the problem may be defined but the origin may remain elusive.Some kids have this as part of another set of developmental problems while others are otherwise normal.Look for answers with a developmental specialist. ...Read more

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My 5 yo son diagnosed with autism still mumbles sylablles that we can't understand.Speech theraphy once a week here philpines expensive what can I do?

My 5 yo son diagnosed with autism still mumbles sylablles that we can't understand.Speech theraphy once a week here philpines expensive what can I do?

Special Education : Are special education services for children with autism available?These include speech/language & occupational therapy as well as behavioral therapy. Ask his slt if he has joint attention, the ability to share interest in an object or event with another person, as this precedes social communication. Whether he uses asl, pecs, language or an ipad app, insist that he tell you what he wants. ...Read more

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People can't understand me when I speak. Would speech therapy help?

People can't understand me when I speak. Would speech therapy help?

Most likely, yes.: A Speech/Language Therapist will evaluate you, then discuss therapy & prognosis. Is your Articulation Disorder Developmental, from childhood, or from a Central Nervous System insult, Neuromuscular Disorder, Hearing Impairment or any other medical issue? If the onset was in adulthood, I trust you've seen your primary physician in order to find the etiology, or cause. (S)he can refer you to an SLT. ...Read more

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I was very nervous suddenly I understood that I cant speak but I could walk and understand others speech.is it dangerous? Please help me

I was very nervous suddenly I understood that I cant speak but I could walk and understand others speech.is it dangerous? Please help me

Could be bad.: I'm not sure how old you are, but I agree that your worst case scenario here is a stroke, which of course could be very bad. You should be evaluated in an ED right away. ...Read more

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Dr. Alvin Lin Dr. Lin
1 doctor agreed:
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At times i feel I have trouble speaking clearly & many times people can't understand me but i can't tell. Could speech therapy help?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:

Can't hurt: How do you know that many times people can't understand you if you can't tell? If you have any questions about your ability to speak clearly & enunciate, i think it's perfectly reasonable to get a professional evaluation by someone trained to assess speech & communication. Just be prepared to pay out of pocket in case your insurance won't. ...Read more

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I understand "glue ear" can delay speech development. What age is most susceptible to this?

I understand "glue ear" can delay speech development. What age is most susceptible to this?

Ages 1-2: "glue ear" is otitis media with effusion. Due to the frequency of episodes during the first years of life, a young child may spend a large proportion of those years with middle ear effusion and conductive hearing loss, which can affect development of speech/language, as you already know. The incidence of effusion peaks during the second year of life and is more prevalent in wintertime. ...Read more

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After a brain injury that causes someone to not be able to understand speech, is it possible for it to go away over time?

After a brain injury that causes someone to not be able to understand speech, is it possible for it to go away over time?

Yes: The difficulty in understanding speech is called receptive aphasia. This may improve over time depending on the extent and location of the injury. Rehabilitative therapy may help optimize recovery. ...Read more

Dr. Dwight Romriell
22 doctors shared insights

Difficulty Understanding Speech (Definition)

Dysphasia is a communication disorder in which there is trouble expressing language or comprehending language, often due to strokes, ...Read more