Paediatrics, by video or in person
Speech and Language Delay
The signs, the danger signs that mean hospital now, and how to see a doctor by video from anywhere in Nigeria.
Signs to look for
Speech and Language Delay
- No babbling by about ten months
- No words by about eighteen months
- Not joining two words together by about two years
- Not understanding simple instructions
- Speech that family members cannot understand by about three years
Published Mezo prices. Each links to what the price covers.
Children learn to understand and use words at different speeds, and many late talkers catch up. But some delays are a sign that a child needs help, and help works best when it starts early. Common causes include hearing loss, often from glue ear, a specific speech or language disorder, autism, or global developmental delay. Growing up with more than one language does not cause speech delay. A doctor reviews the child's development, arranges a hearing test, and refers to a speech and language therapist or developmental specialist when needed.
Medically reviewed by Dr Debo Odulana, Founder and Chief Executive, Mezo. Last reviewed . This page is general information, not a diagnosis. Care is decided with you after an examination.
Symptoms
- No babbling by about ten months
- No words by about eighteen months
- Not joining two words together by about two years
- Not understanding simple instructions
- Speech that family members cannot understand by about three years
- Losing words or skills the child already had
When to See a Doctor
See a doctor if your child is not reaching the speech milestones for their age, does not respond to their name or to sounds, or if you are worried about their hearing or development. See a doctor promptly if your child loses words or skills they already had. Go to a hospital if a child suddenly stops speaking or understanding, with weakness, confusion, a fit or drowsiness.
Treatment options
- A hearing test, first, for any child with speech delay
- A full developmental review by a paediatrician
- Speech and language therapy
- Treatment of glue ear when it is affecting hearing
- Daily talking, reading and singing with your child, and less screen time
What it costs on Mezo
Starting cash prices for the treatments used for this condition.
Common Questions
Does speaking two languages at home cause delay?
No. Children can learn two or more languages from birth. They may mix words at first, but bilingualism does not cause speech delay.
Should I wait and see if my child catches up?
If your child is behind the milestones, it is better to get a check now. Many children do catch up, but a hearing problem or another cause is easier to help early.
Can a paediatrician assess speech by video?
A video call is a good first step: the doctor can take a developmental history, watch your child play and talk, and arrange a hearing test and referrals.
Need Help?
A children's doctor on a video call, who tells you whether your child needs to be examined in person.
See a paediatrician by videoIf any of the danger signs on this page applies, go to the nearest hospital now instead.
Find a verified paediatrics specialist near you.
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