Sanjay yadav

Hello Vijaysree Ji,

Feeling concerned when your child isn’t meeting certain milestones is completely understandable. At 4 years old, most children can speak in full sentences, follow instructions, and interact socially. So, if your son is showing speech delays and behavioural issues, it is important to check further.

Before moving ahead, you might consider:

• Have you already consulted a paediatrician or speech therapist?

• Has your child undergone any tests like a hearing evaluation, developmental screening, or autism assessment?

If not, the first step is a comprehensive developmental evaluation. This involves:

• A visit to a developmental paediatrician

• Possible assessment by a speech-language pathologist and a child psychologist

• Screening for conditions like Autism Spectrum Disorder (ASD) or ADHD, if needed

In Mumbai, you can consider:

• SRCC Children’s Hospital, Mahalaxmi – trusted for child development and therapy programs

• Kokilaben Hospital, Andheri, has an advanced Child Development Centre

• Tata Memorial’s M(PCTRC), Parel – offers pediatric neuro and behavioural services

HexaHealth can help you book the right consultations, coordinate appointments, and check insurance eligibility to make this process easier for you.

Wishing your son joyful growth and progress ahead, early support truly makes a difference.

Hi Harini,

I'm sorry you're feeling this way. Since you've already had tests like ECG, Echo, IgE (serum), and lung function tests, which came back normal, but you're still experiencing breathing problems for the last 5 months, here are a few possible causes to consider:

Possible Causes

• Anxiety or panic-related breathing issues (often missed)

• GERD (acid reflux) causing chest tightness or breathlessness

• Allergies or undetected asthma

• Muscle fatigue or post-viral effects

• Anaemia or low haemoglobin

Next Steps

• Get a chest X-ray and CBC (Complete Blood Count) if not done.

• Consult a pulmonologist for a second opinion.

• Consider seeing a psychologist or psychiatrist if anxiety or panic is suspected.

• Maintain a symptom diary (timing, triggers, severity) to help identify patterns.

Precautions

• Avoid dust, smoke, cold air, and heavy exertion.

• Practice deep breathing exercises daily.

• Elevate your head while sleeping if reflux is suspected.

• Stay hydrated and follow a healthy, non-spicy diet.

Please don’t ignore persistent symptoms—early diagnosis helps with better recovery. Wishing you relief and better health soon.