{"id":23546,"date":"2020-08-20T18:01:47","date_gmt":"2020-08-20T10:01:47","guid":{"rendered":"https:\/\/www.columbiaasia.com\/malaysia\/?post_type=health-article&#038;p=23546"},"modified":"2024-03-01T18:08:04","modified_gmt":"2024-03-01T10:08:04","slug":"my-child-has-not-started-talking","status":"publish","type":"health-article","link":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/","title":{"rendered":"My Child Has Not Started Talking"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"23546\" class=\"elementor elementor-23546\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b92652c e-con-full e-flex e-con e-parent\" data-id=\"b92652c\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f1e3b51 elementor-widget elementor-widget-text-editor\" data-id=\"f1e3b51\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>I recently met a couple with a 2\u00bd-year old son who voiced out their concerns to me that their son has not started talking. He has not uttered a single comprehensible word and he only uses finger-pointing and gesturing for communicating. Other than this, he had an uneventful birth history, is a very active and energetic toddler with normal physical development, and has no symptoms to suggest any underlying illness. What could be the reason for this speech delay?<br \/><br \/>Before we start to discuss the possibilities, in this case, I would like to comment that children develop progressively on their own timeline. About 10 to 20 percent of two-year-olds, the majority being boys, are late to develop speech and language. Given time, most of them would catch up by three years old. There might not necessarily be a serious problem if a child seems to start speaking a bit later than others because he or she is a \u2018late bloomer\u2019. However, there are things that are typical for the common majority of children depicting what they can do at a certain age. For instance, a typical two-year-old will be able to speak up to 50 words in two or three-word sentences. The vocabulary of a three-year-old is certainly much higher with up to 1000 words. They can even tell short stories. Knowing what is normal helps to detect what is not.\u00a0<strong>Below are the common speech milestones in children:<\/strong><\/p><ul><li><strong>Birth to five months:\u00a0<\/strong>Coos \/ Laughs \/ Cries \/ Giggles \/ Makes noise when talked to<\/li><li><strong>Six to 11 months:\u00a0<\/strong>Babbles \/ Says first word \/ \u2018Ma-ma\u2019 or \u2018Pa-pa\u2019 \/ Repeats sounds<\/li><li><strong>12 to 17 months:\u00a0<\/strong>Vocabulary of about 5 words \/ Can imitate simple words<\/li><li><strong>18 to 23 months:\u00a0<\/strong>Uses two-word sentences \/ Vocabulary 50 words \/ Unclear pronunciation<\/li><li><strong>Two to three years: Uses three-word sentences \/ Answers simple questions \/ Uses pronouns like \u2018you\u2019, \u2018I\u2019, \u2018me\u2019 \/ Uses descriptive words such as \u2018happy\u2019, \u2018big\u2019 \/ Strangers may not understand speech<\/strong><\/li><li><strong>Three to four years:\u00a0<\/strong>Identifies colors \/ Describes the use of objects \/ Expresses feelings and emotion \/ Strangers may understand what is said<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e4a674a elementor-widget elementor-widget-spacer\" data-id=\"e4a674a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b477b88 elementor-widget elementor-widget-spacer\" data-id=\"b477b88\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-942855e elementor-widget elementor-widget-image\" data-id=\"942855e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"836\" height=\"300\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/08\/health-article-my-child-has-not-started-talking-banner-2.jpg\" class=\"attachment-full size-full wp-image-23552\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/08\/health-article-my-child-has-not-started-talking-banner-2.jpg 836w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/08\/health-article-my-child-has-not-started-talking-banner-2-300x108.jpg 300w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/08\/health-article-my-child-has-not-started-talking-banner-2-768x276.jpg 768w\" sizes=\"(max-width: 836px) 100vw, 836px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c935846 elementor-widget elementor-widget-spacer\" data-id=\"c935846\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e71082a elementor-widget elementor-widget-text-editor\" data-id=\"e71082a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>A child may have speech delay if he or she is unable to fit in the common milestones. Most of the time they will catch up at a later age but it is important to not miss actual problems that cause speech and language delay. They include:<\/p><ul><li>Hearing loss<\/li><li>Prematurity and development delay<\/li><li>Autism spectrum disorder<\/li><li>Learning disability<\/li><li>Neurological disorders \u2013 Cerebral palsy \/ Muscular dystrophy \/ Traumatic brain injury<\/li><li>Ankyloglossia or tongue-tie<\/li><li>Parental neglect or lack of stimulation<\/li><\/ul><p><br \/>A suspected child with speech delay will be assessed for risk factors of having the conditions above. Questions will be asked on birth history, family history, speech and language capabilities, and developmental milestones. The child\u2019s ears, mouth, palate, tongue, and the neurological system will also be examined. Depending on this initial screening, the child can be further subjected to audiological tests, referred to as an ear, nose &amp; throat surgeon, speech-language pathologist, or a pediatric neurologist.<br \/><br \/>Audiological tests to assess the child\u2019s hearing include Otoacoustic emissions (OAE), tympanometry, and brain stem evoked audiometry (BSER). If a child is found to have hearing loss, this is further categorized to type; conductive hearing loss or sensorineural hearing loss and severity of the hearing loss; mild to profound.<br \/><br \/><em>Treatment of speech delay will depend on the cause.<\/em>\u00a0If the developmental delay is merely speech with no other associated conditions, speech and language therapy may be the only treatment needed. It offers a good outcome especially when initiated early. Even when speech delay is caused by other additional factors, speech and language therapy by a trained therapist helps as part of an overall effective treatment plan.<br \/><br \/>When the speech delay is associated with other disorders as mentioned above, it is important to address those issues as well, in addition to speech and language therapy. These include treating the hearing loss, correcting mouth or tongue abnormalities, physical or occupational therapy, behavioral therapy and also treating underlying neurological disorders.<br \/><br \/><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b057e1 elementor-widget elementor-widget-image\" data-id=\"9b057e1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"836\" height=\"300\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/08\/health-article-my-child-has-not-started-talking-banner-3.jpg\" class=\"attachment-full size-full wp-image-23553\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/08\/health-article-my-child-has-not-started-talking-banner-3.jpg 836w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/08\/health-article-my-child-has-not-started-talking-banner-3-300x108.jpg 300w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/08\/health-article-my-child-has-not-started-talking-banner-3-768x276.jpg 768w\" sizes=\"(max-width: 836px) 100vw, 836px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07fd084 elementor-widget elementor-widget-spacer\" data-id=\"07fd084\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b9f9e8 elementor-widget elementor-widget-text-editor\" data-id=\"6b9f9e8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>As parents, it is good practice to be observant of your children\u2019s capabilities and developmental milestones. Equally commendable would be to encourage and nurture your child\u2019s speech by the\u00a0<strong>methods<\/strong>\u00a0below:<\/p><ul><li>Talk to your child. Use proper words with good eye contact. Give your full attention.<\/li><li>Point or gesture to the objects as you describe or narrate.<\/li><li>Read together with your child. Tell easy to understand stories.<\/li><li>Be patient when talking to them. Explain things carefully using simple words.<\/li><li>Sing together simple songs or nursery rhymes.<\/li><li>Let them answer questions posed by other people instead of answering on their behalf.<\/li><li>Ask them questions with multiple answers and give them plenty of time to answer.<\/li><li>Allow your child to interact and play with children who have good speech and language skills.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1261cf5 elementor-widget elementor-widget-spacer\" data-id=\"1261cf5\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b9fb75 elementor-widget elementor-widget-text-editor\" data-id=\"6b9fb75\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"rtecenter\" style=\"text-align: center;\"><em>As a closing note, your child\u2019s speech delay might just be him or her being a \u2018late bloomer\u2019 but it can be caused by something else as mentioned above. Be vigilant. Bring your child to a medical practitioner preferably before three years old for an early assessment and intervention as this has proven to bear successful outcomes.<\/em><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4784454 elementor-widget elementor-widget-spacer\" data-id=\"4784454\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64bf17b jteHAlandingLastTxt elementor-widget elementor-widget-text-editor\" data-id=\"64bf17b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<i>This article first appeared in <a href=\"https:\/\/babytalkmalaysia.com\/my-child-has-not-started-talking\/\">BabyTalk<\/a>.<\/i>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>I recently met a couple with a 2\u00bd-year old son who voiced out their concerns to me that their son has not started talking. He has not uttered a single comprehensible word and he only uses finger-pointing and gesturing for communicating. Other than this, he had an uneventful birth history, is a very active and energetic toddler with normal physical development, and has no symptoms to suggest any underlying illness. What could be the reason for this speech delay?<\/p>\n","protected":false},"author":2,"featured_media":23548,"template":"","topic":[98,102,153,99,95,94,156,151],"language":[137],"class_list":["post-23546","health-article","type-health-article","status-publish","has-post-thumbnail","hentry","topic-children","topic-diet-nutrition","topic-nose-throat","topic-fitness","topic-general","topic-health-wellness","topic-internal-medicine","topic-specialties","language-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>My Child Has Not Started Talking - Columbia Asia Hospital I Private Hospital in Malaysia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"My Child Has Not Started Talking - Columbia Asia Hospital I Private Hospital in Malaysia\" \/>\n<meta property=\"og:description\" content=\"I recently met a couple with a 2\u00bd-year old son who voiced out their concerns to me that their son has not started talking. He has not uttered a single comprehensible word and he only uses finger-pointing and gesturing for communicating. Other than this, he had an uneventful birth history, is a very active and energetic toddler with normal physical development, and has no symptoms to suggest any underlying illness. What could be the reason for this speech delay?\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/\" \/>\n<meta property=\"og:site_name\" content=\"Columbia Asia Hospital I Private Hospital in Malaysia\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-01T10:08:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/03\/health-article-my-child-has-not-started-talking-banner-header.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"836\" \/>\n\t<meta property=\"og:image:height\" content=\"400\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/\",\"url\":\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/\",\"name\":\"My Child Has Not Started Talking - Columbia Asia Hospital I Private Hospital in Malaysia\",\"isPartOf\":{\"@id\":\"https:\/\/www.columbiaasia.com\/malaysia\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/03\/health-article-my-child-has-not-started-talking-banner-header.jpg\",\"datePublished\":\"2020-08-20T10:01:47+00:00\",\"dateModified\":\"2024-03-01T10:08:04+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#primaryimage\",\"url\":\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/03\/health-article-my-child-has-not-started-talking-banner-header.jpg\",\"contentUrl\":\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/03\/health-article-my-child-has-not-started-talking-banner-header.jpg\",\"width\":836,\"height\":400},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.columbiaasia.com\/malaysia\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Health Articles\",\"item\":\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"My Child Has Not Started Talking\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.columbiaasia.com\/malaysia\/#website\",\"url\":\"https:\/\/www.columbiaasia.com\/malaysia\/\",\"name\":\"Columbia Asia Hospital I Private Hospital in Malaysia\",\"description\":\"Surpassing two decades of providing private healthcare in Malaysia, we continue to bring reliable &amp; affordable medical services through our 13 hospitals.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.columbiaasia.com\/malaysia\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"My Child Has Not Started Talking - Columbia Asia Hospital I Private Hospital in Malaysia","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/","og_locale":"en_US","og_type":"article","og_title":"My Child Has Not Started Talking - Columbia Asia Hospital I Private Hospital in Malaysia","og_description":"I recently met a couple with a 2\u00bd-year old son who voiced out their concerns to me that their son has not started talking. He has not uttered a single comprehensible word and he only uses finger-pointing and gesturing for communicating. Other than this, he had an uneventful birth history, is a very active and energetic toddler with normal physical development, and has no symptoms to suggest any underlying illness. What could be the reason for this speech delay?","og_url":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/","og_site_name":"Columbia Asia Hospital I Private Hospital in Malaysia","article_modified_time":"2024-03-01T10:08:04+00:00","og_image":[{"width":836,"height":400,"url":"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/03\/health-article-my-child-has-not-started-talking-banner-header.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/","url":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/","name":"My Child Has Not Started Talking - Columbia Asia Hospital I Private Hospital in Malaysia","isPartOf":{"@id":"https:\/\/www.columbiaasia.com\/malaysia\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#primaryimage"},"image":{"@id":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#primaryimage"},"thumbnailUrl":"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/03\/health-article-my-child-has-not-started-talking-banner-header.jpg","datePublished":"2020-08-20T10:01:47+00:00","dateModified":"2024-03-01T10:08:04+00:00","breadcrumb":{"@id":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#primaryimage","url":"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/03\/health-article-my-child-has-not-started-talking-banner-header.jpg","contentUrl":"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/03\/health-article-my-child-has-not-started-talking-banner-header.jpg","width":836,"height":400},{"@type":"BreadcrumbList","@id":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/my-child-has-not-started-talking\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.columbiaasia.com\/malaysia\/"},{"@type":"ListItem","position":2,"name":"Health Articles","item":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/"},{"@type":"ListItem","position":3,"name":"My Child Has Not Started Talking"}]},{"@type":"WebSite","@id":"https:\/\/www.columbiaasia.com\/malaysia\/#website","url":"https:\/\/www.columbiaasia.com\/malaysia\/","name":"Columbia Asia Hospital I Private Hospital in Malaysia","description":"Surpassing two decades of providing private healthcare in Malaysia, we continue to bring reliable &amp; affordable medical services through our 13 hospitals.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.columbiaasia.com\/malaysia\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/health-article\/23546","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/health-article"}],"about":[{"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/types\/health-article"}],"author":[{"embeddable":true,"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/users\/2"}],"version-history":[{"count":7,"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/health-article\/23546\/revisions"}],"predecessor-version":[{"id":23560,"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/health-article\/23546\/revisions\/23560"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/media\/23548"}],"wp:attachment":[{"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/media?parent=23546"}],"wp:term":[{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/topic?post=23546"},{"taxonomy":"language","embeddable":true,"href":"https:\/\/www.columbiaasia.com\/malaysia\/wp-json\/wp\/v2\/language?post=23546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}