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Q1. My child is not speaking at two years of age. What should I do?

Arrange a developmental and communication assessment promptly. A hearing evaluation is also important, even if your child responds to some sounds at home. Depending on the findings, the child may benefit from speech therapy and further developmental evaluation.

Q2. My child responds when I call but is not speaking clearly. Could there still be a hearing problem?

Yes. Responding to loud sounds or familiar voices does not exclude partial hearing loss or difficulty hearing certain frequencies. A suitable hearing assessment can help determine whether hearing contributes to the speech concern.

Q3. Can a child pass a newborn hearing screening and develop hearing loss later?

Yes. Some forms of hearing loss develop later, and certain conditions may not be detected by newborn screening. Parents should seek assessment if speech delay, poor response to sounds, or other hearing concerns arise.

Q4. Which test is best for a child with speech delay: audiometry, OAE, or BERA?

There is no single best test for every child.

Audiometry: Useful when the child can participate reliably in age-appropriate hearing tests.

OAE: Evaluates cochlear responses and is useful in newborn screening and other hearing assessments.

BERA/ABR: Particularly useful when objective assessment is needed, including in young infants or children who cannot reliably complete behavioural testing.

An audiologist or clinician can determine which tests are appropriate and whether more than one is required.

Q5. Should speech therapy begin before the hearing test?

Speech and language assessment can begin while hearing evaluation is being arranged. When hearing loss is suspected, both concerns should be addressed promptly rather than unnecessarily delaying one assessment until the other is completed.

Q6. Can hearing loss be treated without hearing aids?

That depends on its cause and severity. Some conductive hearing problems may improve with medical or surgical treatment. Other types of hearing loss may benefit from hearing aids, cochlear implants, or other rehabilitation options. Management should be based on a proper diagnostic assessment.

Q7. Can speech therapy and hearing aids be used together?

Yes. Children and adults with hearing loss and communication difficulties may benefit from appropriately fitted hearing aids alongside speech and language therapy. The treatment plan should be tailored to individual communication needs.

Q8. How early should hearing loss be detected in children?

Hearing loss should be identified as early as possible. Early detection and appropriate intervention can support speech, language, communication, and learning development.

For more deatils, contact 011-41022755

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