Early intervention may prevent the problem from interfering with learning in other areas. 3 other people cannot understand what the child is saying, is mostly using vowels, or omitting the beginning sounds in words. By age 8 all speech sounds should be mastered. The child's words are mixed up and not grammatically correct at age 5. Between ages 3 and 4 years stuttering is common.
Most children grow out of repeating sounds and hesitating between words.
When the pattern exists longer than 2 or 3 months and interferes with communication, this is called stuttering. Parents should ignore stuttering and not correct the child. Severe stuttering should receive speech therapy to avoid a long-term problem. Nodules on the vocal cords can cause hoarseness. Nose breathing while speaking and hoarseness should be evaluated.