Some disfluency is of more concern that others. Even given these descriptions, it's difficult for a parent to know if the child is stuttering. That's why it is important to talk to your pediatrician or other health care expert, like those in the Hearing and Speech Clinic at Children's Mercy, if you are concerned. It's best to investigate these matters before the stuttering becomes ingrained. Jacobsen says normal disfluency occurs in a child two to five years of age when the child is tired, excited or talking about complex matters.
Most children occasionally prolong and repeat sounds.
A rise in pitch or sliding up and down in loudness trying to get the stuck word unstuck. Tension in the lips, throat or chest. A struggle to speak. Moments of fear, crying or a fearful face. Avoidance of speaking.