Visit previous version of website
FND Links Feedback Donate Language
  • English (UK)
Home / Symptoms / FND Symptoms / Functional Speech Swallowing Symptoms

Functional Speech Swallowing Symptoms

NEWS JULY 2021! Speech and Language therapy international consensus recommendations – click here

The commonest functional speech and swallowing symptoms are:

Slurred Speech

Slurred speech (dysarthria) might be sometimes normal and sometimes not. It may sound a bit like you are ‘drunk’ even though you have had nothing to drink. If it gets worse with increasing tiredness your neurologists will often consider the diagnosis of myasthenia gravis, but it does also occur as a functional symptom.

Stuttering speech

People who have never had a stutter before may develop an acquired stutter. Speech may be hesitant, often with gaps in the middle of words rather than at the ends of words. There might be hesitancy at the start of every single word. Alternatively there may be a ‘telegrammatic’ type of speech in which words like ‘and’ or ‘the’ are missed out from the sentence

Word Finding Difficulty

This is really a ‘thinking’ (cognitive) symptom more than a speech symptom. You may find that:

Whispering/Hoarse Speech (Dysphonia)

This sounds like the kind of speech people have when they have a sore throat (laryngitis)  except it is not due to a sore throat or any other abnormality visible on the vocal cords and lasts for much longer. This is often called functional dysphonia. It is usually investigated by an Ear, Nose and Throat doctor (ENT, Otolaryngology) to make sure there is no identifiable cause. It may come and go and sometimes may even be triggered by a bout of laryngitis, but the vocal cords ‘forget to work’ properly after the virus has gone.

Occasionally people can lose their speech completely, this is called functional aphonia. Sometimes it will feel easier to speak in some situations than others.

Foreign Accent Syndrome

Foreign Accent Syndrome. Another rare functional speech problem is called foreign accent syndrome. This can be caused by a variety of neurological conditions but can also be a functional neurological symptom. There are two closed facebook groups here and here run by patients with this problem. There is also a site about foreign accent syndrome run by Bill Katz at the University of Texas at Dallas.

Swallowing problems (globus)

Typically, if a person with FND has related swallowing problems they will experience a sensation of something stuck in the upper part of their throat. This can occur even when they are not swallowing anything but can also make swallowing difficult. This symptom is often called globus or globus pharyngis. Swallowing problems are usually first investigated by an Ear, Nose and Throat doctor (ENT, Otolaryngology) to make sure there is no identifiable cause. People with globus quite commonly have acid reflux that is helpful to treat as well, although is not the whole cause of the symptom.


There are many causes of cough. Functional cough may be a loud barking cough or a tickly ‘hypersensitive’ cough. Cough is usually first investigated by a respiratory doctor to make sure there is no other respiratory disorder present.

Why are my tests normal?

In these kinds of speech and swallowing problems all the parts of the nervous system are there, they are just not working properly at certain times.

Your doctor will make this diagnosis after listening to your symptoms and examining you. The diagnosis is based on the presence of typical symptoms and examination findings which are specifically only present in functional disorders.

Normal scans and tests help to make the diagnosis, but the diagnosis is usually made by a neurologist; or an ENT doctor in the case of functional dysphonia; or a respiratory physician in the case of cough. Speech and language professionals (sometimes called speech and language therapists or speech pathologists) have particular expertise in examining speech and swallowing and in many places are closely involved in making or confirming the diagnosis.

What is the treatment?

Read more about the role of speech and language therapy on this page

blood pressure medication potassium best medications for hypertension herbal tea and blood pressure medication vitamins to lower blood pressure fast lisprinol blood pressure medication diovan blood pressure pills quitting blood pressure medication foods which lower blood pressure naturally weight loss and blood pressure medicine can baby aspirin lower your blood pressure how does lisinopril lower blood pressure beet pills for blood pressure ways to lower your blood pressure fast beet smoothies to lower blood pressure pickle juice lower blood pressure sinus meds for people with high blood pressure can tea lower your blood pressure does taking aspirin lower your blood pressure does bleeding lower blood pressure does beetroot powder lower blood pressure does coconut lower blood pressure does lying on your side lower blood pressure decongestant and high blood pressure buy blood pressure meds online high blood medicine philippines what foods can help lower high blood pressure

diet magic pills how many cla diet pills should i take per day plexus slim diet pills mexico diet pills garcinia total diet pills black widow diet pills heart attack diet pills green coffee diy diet pills pro ana tumblr how to lose weight in your legs and thighs fast v diet pills loss weight pills for men reveal extreme weight loss pills top 10 pills for weight loss laws giving a 10 year old diet pills adeplex weight loss pills weight loss development fat burner diet pills samples of weight loss pills pdx diet pills how about the diet pills by kardashian diet pills including sibutramine can otc diet pills make someone act crazy belly fat pills diet pills that actually burn fat what are t 75 diet pills fruta planta diet pills pai you guo fastin diet pills at walmart

what generic medications treat type 2 diabetes diabetes medications and their effect on bg tpye i diabetes medications what medications help with diabetes cheaper non insulin injectable diabetes medications weight gain diabetes medication fda diabetes medications diabetes type 2 oral medications what heart medications can affect diabetes oral diabetes medications chart for nurses diabetes medications to avoid in heart failure trulicity diabetes medication type 2 diabetes best medications list show best medications for control type 2 diabetes combination diabetes medications pharmacists letter list of diabetes medications that cause stomach cancer type 2 diabetes medications and bone fracture diabetes types of medications what can i do to lower my blood sugar diabetes medications side effects metformin what can i do to lower my blood sugar fast medication induced diabetes what to do to lower your blood sugar names of medications for diabetes type 2 diabetic cold flu medicine major diabetes medications

image natural male enhancement pills at walmart sex pills in walgreens erection definition pills cheap penis enlargement pills that work you want penis enlargement pills meme nfl player who created male enhancement pills guru penis pills ed meds for sale pro tandem pills dexters mom sex pills comic king size pills for sex amazon male sexual enhancement pills that work best supplements for male sexual health top natural ed pills men health magazine sa recommended sex pills sexual enhancement pills for males hard ten days sex pills erection pills at gas stations hf pills sex black ant king male enhancement pills black pills capsule for sex sex for pills ky worst pills for sex drive cordyceps sinensis herbal sex red pills for men white rhino male enhancement pills nhc 6 pills erectile dysfunction

what is cbd gummies good for why are cbd gummies so expensive can i use cbd gummies if i used hemp flower best over the counter cbd gummies cbd gummies how long for effect cbd oils lotion and gummies wholesale bulk cbd gummies cbd near me for pain relief where to buy cbd gummies in nj cbd gummies vitamin shoppe dropease cbd gummies is cbd oil good for copd best cbd gummies for adhd and odd i kids cbd for gummies charlottes web cbd gummies sleep serenity cbd oil for diabetes cbd gummies keto cbd gummies 200 cbd gummies and thyroid medication best tasting cbd gummies cbd gummies for sleep without thc green line cbd gummies cbd for vaping cbd dosage chart for humans cbd oil for high functioning autism best vapes for cbd