Talk to Speech Therapist on Need To Connect With Speech Therapist For 59y/o Mother
Asking For Someone else, Mother, Female, 59 Years old, Model town, Lahore
Can you help with a qualified female Speech Language Therapist (SLP) who deals with neurological issues and can do home visits in Model Town? 59 years old female with Secondary Progressive Multiple Sclerosis - Coughing / swallowing problems when drinking water - Speech is slurred and voice is low - Currently on semi-solid foods in paste form - Has also suffered from trigeminal neuralgia and is currently taking Carbamazepine - Bed-bound for past 15 years. She is quadriplegic and has no voluntary movement in her arms or legs and unable to sit or turn on her side by herself. - Need a qualified female Speech Language Therapist (SLP) who deals with neurological issues and can do home visits in Model Town. Please comment if you can help or refer some speech therapist for mother. Jazak Allah
Sadaf Imran - Speech Therapist
MS Audiology and Speech Therapist | Karachi
you can consult with me through the marham in online session otherwise I m not going to visit at home.
Sadaf - Speech Therapist
Master of Science in Speech and Language Pathology/ Therapy | Lahore
1 Positive Reviews
model town of which city?
Hafiza Shabnum Noor - Speech Therapist
BS Speech and Language Pathology, MPhil Speech and Language Pathology | Lahore
16 Positive Reviews
Based on the symptoms there is difficulty in swallowing liquids, coughing, slurred speech, and low voice.she likely needs urgent swallowing and speech assessment by a qualified female Speech-Language Pathologist (SLP) with experience in neurological conditions like Multiple Sclerosis.
Besides, she needs swallowong safety assessment, diet consistency managemnt, Manuvers, and work on her speech and voice.
Please bring her once to Rangers hospital for assessment than will.manage her at home.
Rameen Masud - Speech Therapist
BS Psychology, MS Speech and Language Therapy | Islamabad
7 Positive Reviews
online consultation is available through marham
Ms. Sadaf Zafar Iqbal - Speech Therapist
MA (Speech Therapy), MS - SLP, IBT | Lahore
11 Positive Reviews
1. Swallowing Safety (Most Important)
Because she coughs while drinking → risk of choking.
Do this:
Give thickened liquids (not plain water)
→ use soups, yogurt drinks, or slightly thick water
Always keep her head slightly elevated (30–45°) during feeding
Feed slowly, small spoon at a time
After feeding, keep her sitting/upright for 20–30 minutes
❌ Avoid:
Thin liquids (plain water, tea)
Using straw (can cause choking)
?️ 2. Speech Stimulation (Low Effort)
Even if speech is slurred, stimulation helps brain activity.
Daily (10–15 min, 2 times):
Ask her to repeat simple sounds: “Aa”, “Oo”, “Ma”
Encourage slow speaking
Use yes/no questions (blink, nod if possible)
Play her favorite recitations or voices → she may try to respond
? 3. Oral Muscle Exercises
(Do very gently)
Lip closing: ask her to press lips together
Tongue movement: move tongue side to side (if possible)
Light cheek massage
? This helps both speech + swallowing
?️ 4. Positioning & Physical Care
Since she is bed-bound:
Turn her side every 2–3 hours (prevent bed sores)
Use pillows for support
Keep mouth clean (oral hygiene daily)
? 5. Diet Plan
Since she is already on semi-solid:
Give soft mashed foods (khichdi, mashed banana, yogurt, dal)
Avoid dry, hard, or crumbly foods
Ensure nutrition + hydration
? 6. Medication Awareness
She is taking Carbamazepine for Trigeminal Neuralgia
? This can sometimes cause:
Drowsiness
Reduced alertness
So always feed when she is fully awake
❤️ 7. Emotional Care
Talk to her daily, even if she doesn’t respond
Play Quran, duas, or calming sounds
Gentle touch and reassurance matter a lot
⚠️ When to Seek Urgent Help
Frequent choking
Food coming out of nose
Fever after swallowing issues (risk of aspiration)
Sudden worsening of speech
⭐ Important Note
This plan helps at home, but honestly, she needs a Speech & Swallow Therapist (SLP) visit—even once—to guide properly for dysphagia therapy.
Ms. Maryam Rafiq - Speech Therapist
BSc (Hons) Speech Language & Pathology | Lahore
2 Positive Reviews
Has the patient got evaluated for swallowing like FEES? Coughing after Intaking water is indicating aspiration which needs evaluation and rehabilitation ASAP.
And yes, I can offer home visits
Ms. Sahrish Nauman - Speech Therapist
BS (Psychology), MS (Speech Therapy) | Lahore
I understand your situation—this requires a very experienced neuro SLP (speech therapist), ideally one who can handle dysphagia (swallowing), dysarthria, and bed-bound care.
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